Principal Diagnosis Code Reporting Update for Hospice and Manual Updates to Sections 30.3, 40.2, and 50 of Chapter 11 of the Claims Processing Manual: Processing Hospice Claims
The purpose of this Change Request (CR) is to provide an updated list of unacceptable principal diagnosis codes under the hospice benefit. The CR also updates section 30.3 of chapter 11 of the Claims Processing Manual, to provide updated guidance regarding non-reportable principal diagnosis codes, section 40.2, to provide clarification of liability for claim denials during a hospice election, and section 50, to include “related conditions” so that the Manual is consistent with Federal Regulations and the Federal Register.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 13, 2025
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