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User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Procedure Maintenance Screen PG Segment

The purpose of this Change Request (CR) is to update the PG segment of the Procedure Maintenance screen accessed using the mnemonic P2. The Procedure Maintenance screen, accessed using the mnemonic P2 allows for the inquiry and update capabilities of the PB2 and PG segments of the procedure code file records. The PG segment shall be updated to include a new indicator to bypass coinsurance and deductible for a procedure code, when the effective date of the bypass is not the same effective date as the procedure code itself.

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

Issue Date: February 16, 2023

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.