Pub 100-04 Medicare Claims Processing: Adjustment to Payment under Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for Partial Device Credit
Guidance that rescinds Transmittal 1297, dated July 20, 2007, and replaces it with Transmittal 1383, dated November 23, 2007. The replacement corrects an erroneous provider device credit threshold in the instruction. The provider must receive a credit from the device manufacturer of 50 percent or more, for a replacement device, in order to bill the FC modifier on the claim. Transmittal 1297 had incorrectly identified a 20 percent credit. All other information remains the same.
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: November 23, 2007
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