Screening for the Human Immunodeficiency Virus (HIV) infection
On February 5, CMS released a change request to inform contractors that CMS has determined that the evidence is adequate to conclude that screening of HIV infection for all individuals between the ages of 15-65 years is reasonable and necessary for early detection of HIV and is appropriate for individuals entitled to benefits under Part A or enrolled in Part B.
Effective date: April 13, 2015
Implementation date: March 7, 2016, for non-shared A/B MAC edits; July 5, 2016 for CWF analysis and design; October 3, 2016, for CWF Coding, Testing and Implementation, MCS, and FISS Implementation; January 3, 2017, for Requirement 9403.04.9
View Transmittal R3461CP
View Transmittal R190NCD
Screening for Cervical Cancer with Human Papillomavirus (HPV) testing
On February 5, CMS released a change request stating CMS has determined that for dates of service on or after July 9, 2015, evidence is sufficient to add HPV testing under specified conditions.
Effective date: July 9, 2015
Implementation date: March 7, 2016, for non-shared MAC edits; July 5, 2016, for CWF analysis and design; October 3, 2016, for CWF Coding, Testing and Implementation, MCS, and FISS Implementation; January 3, 2017, for Requirement BR9434.04.8.2
View Transmittal R3460CP
View Transmittal R189NCD
Revision to Fiscal Intermediary Shared System (FISS) lab travel allowance editing to include new specimen collection code G0471
On February 5, CMS released a change request updating FISS reason code 32436 to include HCPCS code G0471 in the list of specimen collection fee codes that will allow the travel allowance to be paid on outpatient claims.
Effective date: April 1, 2016
Implementation date: July 5, 2016, for claims processed on or after
View Transmittal R1619OTN
