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Common Edits and Enhancements Modules (CEM) Code Set Update

The purpose of this change request is to direct the Medicare shared system maintainers to obtain the most recent external code sets, and use them to update the necessary tables and/or reference files as part of the CEM software utilized by the A/B MACs. These are common code sets that are used across both the Part A and Part B CEMs and are updated on a regular basis. This change became recurring with updates to Pub. 100-04, Chapter 24, Section 50.3.

Download the Guidance Document

Final

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: May 29, 2015

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.