MLN Matters Article MM12049 (New): Implementation of Two (2) New NUBC Condition Codes. Condition Code “90”, “Service Provided as Part of an Expanded Access Approval (EA)” and Condition Code “91”, “Service Provided as Part of an Emergency Use Authorization (EUA)”
This Article comprises Sub-regulatory guidance for two newly created condition codes, effective for claims received on or after February 1, 2021. MLN Matters (MM) Articles are based on Change Requests (CRs). Special Edition (SE) Articles clarify existing policy. In this case, this Article is based on content within CR12049 that is posted on the CMS website.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 23, 2020
DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.