License for Use of "Physicians' Current Procedural Terminology", (CPT) Fourth Edition

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CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with CGS or the CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice if you violate its terms. The AMA is a fourth party beneficiary to this Agreement.

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POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")

End User License Agreement

These materials contain Current Dental Terminology, Fourth Edition (CDT), copyright © 2002, 2004 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.

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IVR: 866.238.9650 Customer Service and myCGS: 866.270.4909

2020 DME MAC Jurisdiction C News

NOTE: All articles and announcements for 2020 are available on our Articles Archive Page

August 2020

• CGS Suspends In-Person Events – 08.05.20
• PFS, OPPS, and IRF: FY 2021 Payment Rules – 08.05.20
• CGS Office Has a New Address! – 08.04.20
• FY 2021 Medicare Payment Policies for IPFs, SNFs, and Hospices – 08.03.20

July 2020

• myCGS Designated Approver (DA) Registration Tips – 07.31.20
• myCGS Helpdesk Hours – 07.31.20
• Payment for COVID-19 Counseling, Reporting Hospital Therapeutics, Out-of-Pocket Drug Costs – 07.30.20
• MLN Connects® for Thursday, July 30, 2020 – 07.30.20
• Required Prior Authorization for Certain DMEPOS Items to Resume – 07.28.20
• Coronavirus Aid, Relief, and Economic Security Act (CARES Act) Adjustments and Modifier Usage – 07.27.20
• myCGS FAQ Spotlight: Viewing Redeterminations and Reopenings Decision Letters – 07.24.20
• Fee Schedule Tips – 07.23.20
• Trump Administration Announces New Resources to Protect Nursing Home Residents Against COVID-19 – 07.23.20
• LCD and Policy Article Revisions Summary for July 23, 2020 – 07.23.20
• External Infusion Pumps Final LCD (L33794) and Response to Comments (RTC) Article Published – 07.23.20
• Scoliosis Brace – Correct Coding – 07.23.20
• MLN Connects® for Thursday, July 23, 2020 – 07.23.20
• Insulin Infusion Pumps with Integrated Continuous Glucose Sensing Capabilities and Related Accessories/Supplies – Codes E0787 and A4226 – Correct Coding – 07.20.20
• COVID-19: Nursing Home Testing, SNF Benefit Period Waiver – 07.20.20
• KU Modifier Claim Reopening Requests for Certain Accessories in Connection with Complex Rehabilitative Manual Wheelchairs & Certain Manual Wheelchairs – 07.17.20
• Policy Article Revisions Summary for July 16, 2020 – 07.16.20
• Correct Coding and Coverage of Ventilators – Revised July 2020 – 07.16.20
• MLN Connects® for Thursday, July 16, 2020 – 07.16.20
• ABN Form Renewal – 07.13.20
• Understanding Claim Denials – 07.13.20
• CGS Request Forms: Redeterminations and Reopenings – 07.09.20
• MLN Connects® for Thursday, July 9, 2020 – 07.09.20
• ESRD PPS CY 2021 Proposed Rule; COVID-19: New and Expanded Flexibilities for RHCs & FQHCs – 07.07.20
• The 3rd Quarter 2020 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 07.02.20
• Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: July 3–5, 2020 – 07.02.20
• MLN Connects® for Thursday, July 2, 2020 – 07.02.20
• The 3rd Quarter 2020 Drug Fees are now available – 07.02.20
• The Summer 2020 DME Jurisdiction C Supplier Manual is now available – 07.01.20
• The Summer 2020 DME MAC Insider is now available – 07.01.20
• myCGS Helpful Tips! Log Out, Claim Correction, and Claim History – 07.01.20

June 2020

• CMS Issues Interim Final Rules with Comment (CMS-1744-IFC & CMS-5531-IFC) – COVID-19 Public Health Emergency – Revised – 06.29.20
• COVID-19: SNF Benefit Period Waiver, HHAs Proposed Rule, Ending Nursing Home Blanket Waiver – 06.26.20
• Prosthetic Feet and Additions to Lower Limb Extremity Prostheses – Correct Coding and Coding Verification Review Requirement – 06.25.20
• LCD and Policy Article Revisions Summary for June 25, 2020 – 06.25.20
• MLN Connects® for Thursday, June 25, 2020 – 06.25.20
• myCGS Redeterminations and Reopenings Tip: Multiple CCNs – 06.24.20
• Medicare Beneficiary Information on CGSMedicare.com – 06.24.20
• New Online Tool! Therapeutic Shoes for Persons with Diabetes Activity Timeline – 06.22.20
• Medicare Coverage of COVID-19 Testing for Nursing Home Residents and Patients – 06.22.20
• myCGS: New Password Resources Page CGSmedicare.com! – 06.19.20
• MLN Connects® for Thursday, June 18, 2020 – 06.18.20
• Oxygen and Oxygen Equipment Final LCD (L33797) and Response to Comments (RTC) Article Published – 06.18.20
• LCD and Policy Article Revisions Summary for June 18, 2020 – 06.18.20
• Xembify® – Correct Coding – 06.18.20
• Urological Supplies Final LCD (L33803) and Response to Comments (RTC) Article Published – 06.11.20
• Incorrect Use of HCPCS Code A9279 – Correct Coding – 06.11.20
• LCD and Policy Article Revisions Summary for June 11, 2020 – 06.11.20
• MLN Connects® for Thursday, June 11, 2020 – 06.11.20
• Revised: The July 2020 HCPCS Updates – New, Revised, and Discontinued HCPCS Codes – 06.10.20
• Revised: Supplier Education on Use of Upgrades for Multi-Function Ventilators [MLN Matters SE20012] – 06.08.20
• KOPA Annual Conference Online – June 11-12, 2020 – 06.08.20
• Important Message About Forwarding CGS Mail – 06.05.20
• CGS Request Form Updates: Redeterminations and Reopenings – 06.04.20
• Policy Article Revisions Summary for June 4, 2020 – 06.04.20
• MLN Connects® for Thursday, June 4, 2020 – 06.04.20
• COVID-19: Using the CR Modifier and DR Condition Code – 06.02.20

May 2020

• New COVID-19 FAQs on Medicare Fee-for-Service Billing – 05.29.20
• Use of CR Modifier and "COVID-19" Narrative on Specified Claims Due to the COVID-19 PHE – 05.28.20
• MLN Connects® for Thursday, May 28, 2020 – 05.28.20
• NOTICE: The cgsmedicare.com website will be temporarily unavailable due to planned maintenance. This downtime will begin at 7:00 p.m. (CDT) on Friday, May 29 and should last no longer than 3 hours. We apologize for any inconvenience this may cause you. – 05.26.20
• Retired: CMS Issues Interim Final Rules with Comment (CMS-1744-IFC & CMS-5531-IFC) – COVID-19 Public Health Emergency – Revised – 05.21.20
• MLN Connects® for Thursday, May 21, 2020 – 05.21.20
• COVID-19: Payment for Lab Tests, Safely Reopening Nursing Homes, Lab & Ambulance Claims – 05.20.20
• Supplier Reminder: CR Modifier – 05.19.20
• COVID-19: Deadlines, New Releases, and Important Calls – 05.18.20
• Supplier Reminder – 1-800-Medicare – 05.14.20
• Correct Use of the KX Modifier During the COVID-19 PHE – 05.14.20
• MLN Connects® for Thursday, May 14, 2020 – 05.14.20
• COVID-19: Additional Waivers, Price Transparency, and CMS Letter to Nursing Homes – 05.13.20
• Billing of Part B Drugs and Enteral Nutrition to DME MACs During COVID-19 Pandemic – Dispensing Amounts – Revised – 05.11.20
• MLN Matters Number: MM11784 – Extension of Payment for Section 3712 of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) – 05.11.20
• COVID-19: Nursing Home Reporting, Updated Telehealth Video, Pharmacies & Other Suppliers Can Enroll as Labs, IRF Flexibilities – 05.08.20
• The 1st and 2nd Quarter 2020 DMEPOS Fee Schedules have been revised. – 05.08.20
• myCGS Registration and Functionality Webinars This Month! – 05.08.20
• Retired: CMS Issues Interim Final Rules with Comment (CMS-1744-IFC & CMS-5531-IFC) – COVID-19 Public Health Emergency – 05.07.20
• MLN Connects® for May 7, 2020 – 05.07.20
• Temporary Interruption in Some myCGS and IVR Inquiries on May 8, 2020 – 05.06.20
• Thinking of Going Paperless? Now Is the Time! – 05.06.20
• Redeterminations and Reopenings Form Submission Now Available in myCGS! – 05.04.20
• COVID-19: Second Round of Sweeping Changes, RHC & FQHC Flexibilities, EMTALA – 05.01.20

April 2020

• Physicians! Are You Ordering Inhalation Medication and Nebulizers for Your Patients? – 04.30.20
• Policy Article Revisions Summary for April 30, 2020 – 04.30.20
• Open Meeting Announcement – External Infusion Pumps (DL33794) Proposed LCD Released for Comment – 04.30.20
• External Infusion Pumps Open Meeting Agenda – 04.30.20
• MLN Connects® for Thursday, April 30, 2020 – 04.30.20
• The IVR System and myCGS Web Portal Will Be Unavailable May 1–3, 2020 – 04.29.20
• CMS Reevaluates Accelerated Payment Program and Suspends Advance Payment Program – 04.27.20
• MLN Connects® for Thursday, April 23, 2020 – 04.23.20
• Accelerated/Advance Payment During COVID-19 Emergency Collaborative Webinar – 04.21.20
• IVR and myCGS Service Disruptions May 1, 2020 – 04.21.20
• Billing Reminder for the K0553 Supply Allowance for CGMs – 04.21.20
• COVID-19: Nursing Home Transparency, Recommendations for Areas with Low Incidence of Disease – 04.20.20
• COVID-19: RHC & FQHC Flexibilities, Increased Payment for Lab Tests, Hospital Waivers, Call Audio and Transcript – 04.17.20
• External Infusion Pumps Final LCD (L33794) and Response to Comments (RTC) Article Published – 04.16.20
• LCD and Policy Article Revisions Summary for April 16, 2020 – 04.16.20
• MLN Connects® for Thursday, April 16, 2020 – 04.16.20
• COVID-19: Reprocessing Hospital Claims, Essential Diagnostic Services, Non-Invasive Ventilators – 04.15.20
• Signature Requirements on Proof of Delivery During the COVID-19 Pandemic – 04.14.20
• Provider Compliance Tips for Nebulizers and Related Drugs Fact Sheet – Revised – 04.14.20
• Immediate Infusion of $30 Billion into Health Care System – 04.13.20
• Medicare FFS Claims: 2% Payment Adjustment Suspended (Sequestration) – 04.13.20
• CGS Medicare, any time, any place. A refreshed version of our app is here! – 04.13.20
• COVID-19: Infection Control, Maximizing Workforce, Updated Q&A, CS Modifier for Cost-Sharing, Payment Adjustment Suspended – 04.10.20
• CGS Spotlight: How to Contact Us: Customer Service or IVR? – 04.10.20
• myCGS Version 5.9.2 Now Available—Claim Explanations Revised and Improved – 04.09.20
• Negative Pressure Wound Therapy (NPWT) – Coverage Reminder – 04.09.20
• MLN Connects® for Thursday, April 9, 2020 – 04.09.20
• myCGS: Status Button Feature Available – 04.07.20
• COVID-19: Telehealth Video, Coinsurance and Deductible Waived, ASC Attestations, Ambulance Modifiers, Lessons from Front Lines, MLN Call Today – 04.07.20
• The 2nd Quarter 2020 Drug Fees are now available, and the 3rd and 4th Quarter 2019 Drug Fees have been revised. – 04.06.20
• TPE Review Update from CGS Medical Review – 04.06.20
• Required Prior Authorization Suspended for the Duration of the COVID-19 Pandemic – 04.03.20
• COVID-19: Telehealth Billing Correction, Nursing Home Recommendations, Billing for Multi-Function Ventilators, New ICD-10-CM Diagnosis Code – 04.03.20
• Beneficiary Notice Delivery Guidance in Light of COVID-19 – 04.02.20
• Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: April 3–5, 2020 – 04.02.20
• LCD and Policy Article Revisions Summary for April 2, 2020 – 04.02.20
• Nebulizers Final LCD (L33370) and Response to Comments (RTC) Article Published – 04.02.20
• MLN Connects® for Thursday, April 2, 2020 – 04.02.20
• The Spring 2020 DME Jurisdiction C Supplier Manual is now available – 04.01.20
• The Spring 2020 DME MAC Insider is now available – 04.01.20

March 2020

• COVID-19: Regulatory Changes, Telehealth Billing, and Specimen Collection Codes – 03.31.20
• The 2nd Quarter 2020 DMEPOS Fee Schedule is now available in Searchable, PDF, and CSV formats. – 03.31.20
• COVID-19: Financial Relief, Nursing Home Telehealth, Quality Reporting, Clinical Laboratories, Hospital Data Sharing – 03.30.20
• Six Lower Limb Prosthetic Codes Added to Required Prior Authorization – 03.30.20
• COVID-19: Enrollment Relief, Open Payments, Beneficiary Notices – 03.27.20
• Dear Physician – Positive Airway Pressure (PAP) Devices: Initial Qualification – 03.26.20
• Dear Physician – Power Wheelchairs and Power Operated Vehicles – 03.26.20
• MLN Connects® for Thursday, March 26, 2020 – 03.26.20
• COVID-19: Relief for Quality Reporting Programs and Provider Enrollment – 03.24.20
• COVID-19: Telehealth and Non-Essential Procedures – 03.23.20
• Dear Physician – Glucose Monitors – 03.19.20
• Lower Limb Prosthetics (LLP) Prior Authorization – What Suppliers Need to Know – 03.19.20
• LCD and Policy Article Revisions Summary for March 19, 2020 – 03.19.20
• MLN Connects® for Thursday, March 19, 2020 – 03.19.20
• Retired: Billing of Part B Drugs to DME MACs During COVID-19 Pandemic – Dispensing Amounts – 03.19.20
• Nashville Mega Workshop Update – 03.18.20
• A Message from CGS DME Jurisdiction C Regarding COVID-19 – 03.18.20
• CGS Spotlight: Where to Find LCDs – 03.18.20
• President Trump Expands Telehealth Benefits for Medicare Beneficiaries During COVID-19 Outbreak – 03.17.20
• COVID-19: FFS Response and Nursing Home Visitor Guidance – 03.16.20
• COVID-19: Test Pricing, Diagnostic Lab Tests, Pricing & Codes, and EHB Coverage – 03.16.20
• Dear Physician – Positive Airway Pressure (PAP) Devices: Initial Qualification – 03.12.20
• Dear Physician – Positive Airway Pressure (PAP) Devices: Replacement – 03.12.20
• Final Rule CMS-1713-F – Standard Written Orders – 03.12.20
• LCD and Policy Article Revisions Summary for March 12, 2020 – 03.12.20
• L3960 – Coding Verification Review Requirement – 03.12.20
• MLN Connects® for Thursday, March 12, 2020 – 03.12.20
• Section 4.26.2 in Chapter 4 of Publication (Pub.) 100-08 – 03.10.20
• Reminder: Where to Send Refund Checks – 03.10.20
• COVID-19 Response: CMS Issues FAQs to Assist Medicare Providers – 03.09.20
• myCGS Version 5.9.1 Now Available—Important Change to the Eligibility Screen – 03.09.20
• Correcting Modifiers and HCPCS Codes in myCGS – 03.09.20
• CMS Develops Additional Code for Coronavirus Lab Tests – 03.06.20
• Medicare Minute: 2020 MAC Satisfaction Indicator (MSI) – 03.06.20
• LCD and Policy Article Revisions Summary for March 5, 2020 – 03.05.20
• CMS Announces Actions to Address Spread of Coronavirus – 03.05.20
• MLN Connects® for Thursday, March 5, 2020 – 03.05.20
• Standard Elements for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Order, and Master List of DMEPOS Items Potentially Subject to a Face-to-Face Encounter and Written Orders Prior to Delivery and, or Prior Authorization Requirements [MLN SE20007] – 03.02.20
• The 2020 MAC Satisfaction Indicator (MSI) Is Here! – 03.02.20

February 2020

• Using myCGS with Older Web Browsers – 02.28.20
• Six Lower Limb Prosthetic Codes to Be Added to Prior Authorization – 02.27.20
• LCD and Policy Article Revisions Summary for February 27, 2020 – 02.27.20
• MLN Connects® for Thursday, February 27, 2020 – 02.27.20
• Viewing Documents and Letters Related to Redeterminations and Reopenings Cases in myCGS – 02.26.20
• myCGS Version 5.9 Now Available! – 02.25.20
• The 2020 MAC Satisfaction Indicator (MSI) is Coming in March! – 02.25.20
• CGS Listens! Announcing Process Improvements – 02.21.20
• MLN Connects® for Thursday, February 20, 2020 – 02.20.20
• LCD and Policy Article Revisions Summary for February 20, 2020 – 02.20.20
• 2020 HCPCS Code Annual Update-Correct Coding – Revised – 02.20.20
• LCD and Policy Article Revisions Summary for February 13, 2020 – 02.13.20
• MLN Connects® for Thursday, February 13, 2020 – 02.13.20
• Financial Accounting System Changes Advance Notification – Healthcare Integrated General Ledger Accounting System (HIGLAS) – 02.07.20
• MLN Connects® for Thursday, February 6, 2020 – 02.06.20
• LCD and Policy Article Revisions Summary for February 6, 2020 – 02.06.20
• 2020 Jurisdiction List for DMEPOS HCPCS Codes – 02.03.20

January 2020

• MLN Connects® for Thursday, January 30, 2020 – 01.30.20
• Documentation Identification Tool Name Change Announcement – 01.29.20
• Pardon Our Appearance – CGS App Currently under Construction – 01.29.20
• Provider Compliance Tips for Polysomnography (Sleep Studies) [MLN 4013531] – 01.29.20
• Information About Calling Customer Service and Other DME MAC Resources – 01.23.20
• Completion of Certificates of Medical Necessity (CMN) – Annual Reminder – January 2020 – 01.23.20
• Items Provided on a Recurring Basis and Request for Refill Requirements – Annual Reminder – January 2020 – 01.23.20
• 2019 Quarterly Status Report – HCPCS Code A4253 – 01.23.20
• 2019 Quarterly Status Report – HCPCS Code A6010, A6021, A6196-A6199, A6210-A6212 – 01.23.20
• 2019 Quarterly Status Report – HCPCS Codes E0601, A7034, A7031, A7030, A7044 – 01.23.20
• 2019 Quarterly Status Report – HCPCS Code E1390 – 01.23.20
• 2019 Quarterly Status Report – HCPCS Code J1559, J2260, J3285 – 01.23.20
• 2019 Quarterly Status Report – HCPCS Codes J7507, J7518 – 01.23.20
• 2019 Quarterly Status Report – HCPCS Codes L0450-L0651 – 01.23.20
• 2019 Quarterly Status Report – HCPCS Codes L1832, L1833 – 01.23.20
• 2019 Quarterly Status Report – Capecitabine – 01.23.20
• MLN Connects® for Thursday, January 23, 2020 – 01.23.20
• Open Meeting Announcement & Urological Supplies (DL33803) – 01.16.18
• Oxygen & Oxygen Equipment, Nebulizers, External Infusion Pumps and Urological Supplies Open Meeting Agenda – 01.16.18
• MLN Connects® for Thursday, January 16, 2020 – 01.16.20
• myCGS – Tips for Successful Claim Corrections – 01.13.20
• Take Advantage of the MBI Converter Tool Before Calling Customer Service or IVR! – 01.10.20
• Financial Accounting System Changes Advance Notification – Healthcare Integrated General Ledger Accounting System (HIGLAS) – 01.10.20
• MLN Connects® for Thursday, January 9, 2020 – 01.09.20
• LCD and Policy Article Revisions Summary for January 9, 2020 – 01.09.20
• Tips to Check Same or Similar Equipment in myCGS – 01.08.20
• Temporary Interruption in myCGS and IVR Availability Due to Quarterly System Maintenance: January 3–5, 2020 – 01.03.20
• The 1st Quarter 2019 Drug Fees have been revised. – 01.03.20
• New DMEPOS Order Requirements as of January 1, 2020 – 01.02.20
• The Winter 2020 DME Jurisdiction C Supplier Manual is now available – 01.02.20
• myCGS Version 5.8 Now Available! – 01.02.20
• The 1st Quarter 2020 Drug Fees are now available. – 01.02.20
• Policy Article Revisions Summary for January 2, 2020 – 01.02.20
• The Winter 2020 DME MAC Insider is now available – 01.02.20
• The acceptance of a voluntary refund as repayment for the claim specified in no way affects or limits the rights of the Federal Government, or any of its agencies or agents, to pursue any appropriate criminal, civil, or administrative remedies arising from or relating to these or any other claims. – 01.02.20

Looking for older articles? All DME MAC Jurisdiction C articles and announcements can be found on our Articles Archive Pages:

• 2020 Archive
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• 2018 Archive
• 2017 Archive
• 2016 Archive
• 2015 Archive
• 2014 Archive
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