CMS Transmittal R13560OTN: Editing for Hospital Services Provided to Hospice Enrollees
Policy CMS-T-R13560OTN · Multi-specialty
Editing for Hospital Services Provided to Hospice Enrollees
View alertLocal Coverage DeterminationHospice
LCD L34538: Hospice Determining Terminal Status — CGS
LCD-L34538
Document details
- Document type
- Local Coverage Determination
- Issuing body
- MAC Contractor
- Document ID
- LCD-L34538
- Published
- June 5, 2026
- Effective date
- August 7, 2025
- MAC region
- CGS Administrators
Summary
The LCD on Hospice Determining Terminal Status will impact billing practices by clarifying eligibility criteria for hospice services. This could lead to adjustments in claims submission and documentatNew LCD for hospice status may affect billing methods!
Affected codes
ICD-10-CM
Affected specialty
Hospice alerts →Source document
https://www.cms.gov/medicare-coverage-database/view/lcd.aspx?lcdid=34538&ver=20CLV Intelligence summarizes publicly available federal publications. Not affiliated with or endorsed by any government agency.
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