Section title: Requests for Interpretation
RFI #
2759
Source of 359 Treatment Codes
Description

Please confirm the source where 359 treatment codes are located.

Scenario

2300 HI01-02 requires a Treatment Code when HI01-01=TC. Previous RFI # 1243 contains a link to the source of treatment codes that no longer exists. The other link referenced is from a memo dated 2003 where we believe is no longer applicable and that treatment codes have since been merged with another code list. We are requesting confirmation on the external code list which contains treatment codes.

RFI Response

The treatment codes you are enquiring about can be found in the Medicare Program Integrity Manual 100-08, exhibit 30 of the PDF found here:

https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/pim83exhibitspdf.pdf

DOCUMENT ID
Various X12 TR3s