Submission of Condition Codes to the Inpatient Prospective Payment System (IPPS) Pricer to Report Services Provided as Part of an Expanded Access Approval or Emergency Use Authorization
The purpose of this Change Request (CR) is to make system changes to pass new NUBC Condition Codes "90" and "91" to the Inpatient Prospective Payment System (IPPS) PRICER, when reported on the claim. This systems change allows Medicare to implement new payment mechanisms for services provided as part of an Expanded Access Approval or through an Emergency Use Authorization. This CR also ensures that Payer Only Condition Codes ZA-ZZ, and provider-submitted Condition Codes 90 and 91 are passed to downstream systems.
Final
Issued by: Centers for Medicare & Medicaid Services (CMS)
Issue Date: March 12, 2021
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