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July 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.2

This MLN Matters® Article is intended for providers submitting claims to Medicare contractors (Fiscal Intermediaries (FIs), Medicare Administrative Contractors (MACs), and/or Regional Home Health Intermediaries (RHHIs)) for providing Medicare beneficiaries outpatient services that are paid under the Outpatient Prospective Payment System (OPPS), and for outpatient claims from any non-OPPS provider that are not paid under the OPPS, including hospital outpatient departments and community mental health centers, and for claims for limited services when provided in a home health agency not under the Home Health Prospective Payment System (HHPPS) or for services to a hospice patient for the treatment of a non-terminal illness.

Download the Guidance Document

Final

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

Issue Date: May 11, 2012

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.