Program_Memos / 2000 / B-00-55

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This Program Memorandum from HCFA/DHHS explains an update to the Common Working File diagnosis code set used for DMERC processing of oral anti-cancer drugs. It is relevant to billing and coding staff who need to understand the effective date, implementation timing, and the diagnosis code categories referenced in the update.

Why This Topic Matters

This memorandum affects which diagnosis codes are recognized in the processing workflow for a specific drug category, so it is important for maintaining claim accuracy and aligning internal systems with the stated effective date.

What You Will Learn

  • What the memorandum is addressing at a high level
  • Which organizations and program areas are involved
  • When the update becomes effective and when it is to be implemented
  • What general type of diagnosis code set update is being made

Who Should Read This

  • Medical coders
  • Billing staff
  • DMERC contractors
  • Revenue cycle teams
  • Compliance staff

Codes Discussed

Code Ranges Discussed

  • ICD-9-CM: V58.0 AND L40-239.9
  • ICD-9-CM: L40.0 THROUGH 208.9 AND 236.L

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