Send 'Reason for Denial' Value in Prior Authorization Data to the Integrated Data Repository (IDR)
The purpose of this Change Request (CR) is to provide updates to appendices for the GUIDE Model including the GUIDE G-codes, diagnoses codes, and excluded codes when there are new codes added in any given quarter. In addition, a fee file with updated fee amounts for the GUIDE G-codes will be provided, as necessary.
Issued by: Centers for Medicare & Medicaid Services (CMS)
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.