Fiscal Intermediary Shared System (FISS) - User Enhancement Change Request (UECR) - Create a Beneficiary Liable Reason Code for National Coverage Determination (NCD) 210.14
The purpose of this Change Request (CR) is to create a new FISS reason code to deny low dose lung cancer screenings as beneficiary liable when medical necessity is not met, and the provider indicates an Advance Beneficiary Notice (ABN) was issued prior to administration of the procedure.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: June 28, 2024
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