Federal Regulations: Information and Updates

What's
a zipped
PDF file?

Medicare Inpatient DRGs
10/24/03: Inpatient (Part A) Deductible for 2004
10/6/03: Corrections to Inpatient 10-1-2003 Final Rule

8/1/03: Medicare Inpatient FY2004 10-1-2003 Final Rule
8/1/03: Medicare Inpatient FY2004 10-1-2003 Final Rule — Zipped PDF files

6/9/03: Final Rules, High Cost Outlier Changes DRG/LTCDRG

6/9/03: Corrections to Proposed DRG 10/1/03 Rules
6/4/03: Corrections to Proposed DRG 10/1/03 Rules
5/19/03: Proposed Rules, DRG 10/01/03
5/9/02: Proposed Rules, DRG 10/01/03 — Zipped PDF files   1.3MB

03/05/03: Proposed Changes to Outlier Calculations

4/25/03: Corrections to FY2003 Final Inpatient 10/01/02 Federal Rules and Regulations
8/1/02: Medicare Final Inpatient 10/01/02 Federal Rules and Regulations
8/1/02: Medicare Final Inpatient 10/01/02 — Zipped PDF files   1.5MB

5/9/02: Medicare Proposed Inpatient 10/1/02 Federal Rules and Regulations
5/9/02: Medicare Proposed Inpatient 10/01/02 — Zipped PDF files   2.1MB

8/1/01: Medicare Final Inpatient 10/01/01 Federal Rules and Regulations
8/1/01: Medicare Final Inpatient 10/01/01 — Zipped PDF files   3MB

5/4/01: Medicare Proposed Inpatient 10/1/01 Federal Rules and Regulations
5/4/01: Medicare Proposed Inpatient 10/01/01 — Zipped PDF files   1.5MB

8/1/00: Medicare Final Inpatient 10/1/00 Federal Rules & Regulations
8/1/00: Medicare Inpatient 10/01/00 Final Rule — Zipped PDF files   1.5MB

5/5/00: Medicare Proposed Inpatient 10/1/00 Federal Rules & Regulations
7/30/99: Medicare Final Inpatient 10/1/99 Federal Rules & Regulations
5/07/99: Medicare Proposed Inpatient 10/1/99 Federal Rules & Regulations
7/31/98: Medicare Inpatient 10/1/98 Final Federal Rules & Regulations
5/8/98: Medicare Proposed Changes to Hospital Inpatient Payment Systems
8/29/97: Medicare 10/1/97 Inpatient Final Federal Rules & Regulations
8/30/96: Medicare Inpatient 10/1/96 Final Federal Rules & Regulations

Inpatient DRG Titles & Weights
10/1/07: Titles and Weights
10/1/06: Titles and Weights
10/1/05: Titles and Weights
10/1/04: Titles and Weights
10/1/03: Titles and Weights
10/1/02: Titles and Weights
10/1/01: Titles and Weights
10/1/00: Titles and Weights
10/1/99: Titles and Weights
10/1/98: Titles and Weights
10/1/97: Titles and Weights
10/1/96: Titles and Weights
10/1/95: Titles and Weights

ICD-9-CM Coding
10/1/07: ICD-9-CM Changes
10/1/06: ICD-9-CM Changes
10/1/05: ICD-9-CM Changes
10/1/04: ICD-9-CM Changes
10/1/03: ICD-9-CM Changes
10/1/02: ICD-9-CM Changes
10/1/01: ICD-9-CM Changes
10/1/00: ICD-9-CM Changes
10/1/99: ICD-9-CM Changes
10/1/98: ICD-9-CM Changes

What's a zipped
PDF file?

APC System for Hospital
Outpatient Departments

01/06/04: Payment Reform Changes to OPPS CY2004
12/31/03: Changes to OPPS CY2004

11/07/03: CY2004 1-1-2004 Final Changes
11/07/03: CY2004 1-1-2004 Final Changes Zipped PDF Files

8/12/03: CY2004 1-1-2004 Proposed Changes
8/12/03: CY2004 1-1-2004 Proposed Changes Zipped PDF Files

02/10/03: Corrections to OPPS2003 Final Rule

11/15/02: Corrections to 11/1/02 OPPS2003 Rule

11/01/02: Final Rule 1/1/2003
11/01/02: Final Rule Zipped PDF Files   2.0MB

8/9/02: Proposed Rule 1/1/2003
8/9/02: Proposed Rule Zipped PDF Files   1.5MB

03/01/02: Final Rule 4/1/2002
03/01/02: Final Rule Zipped PDF Files   .8MB

11/30/01: Final Rule 1/1/2002
11/30/01: Final Rule Zipped PDF Files   1.7MB

11/2/01: Conversion Factor for CY 2002; Final Rule 1/1/2002
11/2/01: Conversion Factor for CY 2002; Final Rule Zipped PDF File   57k

8/24/01: Proposed Rule 1/1/2002
8/24/01: Proposed Rule Zipped PDF Files   1.5MB

11/13/00: Interim Final Rule 1/1/2001 Summary & Background
11/13/00: Interim Final Rule 1/1/2001 Entire Text   300k .zip file
11/13/00: Interim Final Rule 1/1/2001 Zipped PDF files   1.8MB

4/7/00: Final Rule 7/1/00 Summary & Background
4/7/00: Final Rule 7/1/00 Entire Text   500K .zip file
4/7/00: Final Rule 7/1/00 Zipped PDF files   2.5MB

6/30/99 (Corrections to Proposed Rule): Summary & Background
6/30/99 (Corrections to Proposed Rule): Entire Text   300K .zip file
6/30/99 (Corrections to Proposed Rule): Zipped PDF files   3.3MB

9/8/98 (Proposed): Summary & Background
9/8/98 (Proposed): Entire Text   500K .zip file
9/8/98 (Proposed): Zipped PDF files   4.8MB

Medicare Prescription Drug Discount Card
12/15/03: Medicare Prescription Drug Discount Card Program

Long Term Care DRG (LTC-DRG) System
7/15/03: Long Term Care DRG PPS Corrections
06/06/03: Final LTC FY2004 Changes Effective 7/1/2003
03/07/03: Proposed LTCH Payment Change to July 1, 2003
03/07/03: Final LTCH 2003 Rates Corrections

08/30/02: Final Rule 1/1/2003
08/30/02: Final Rule Zipped PDF Files   0.8MB

03/22/02: Proposed Rule 1/1/2003
03/22/02: Proposed Rule Zipped PDF Files   0.4MB

CHAMPUS DRG
6/27/03: CHAMPUS DRG 2003 ASA Changes
11/06/02: CHAMPUS DRG changes

Ambulance Payment System
11/22/02: Ambulance 2003 Update

 
Our APC Reference Library features training manuals, articles, and other useful links.
 

APC Titles & Weights
10/01/2008: APC / HCPCS Assignment
10/01/2008: APC Status Codes and Titles
10/01/2008: APC Payment Rates
10/01/2008: APC Quantity HCPCS/CPT4 Edits

07/01/2008: APC / HCPCS Assignment
07/01/2008: APC Status Codes and Titles
07/01/2008: APC Payment Rates
07/01/2008: APC Quantity HCPCS/CPT4 Edits

04/01/2008: APC / HCPCS Assignment
04/01/2008: APC Status Codes and Titles
04/01/2008: APC Payment Rates
04/01/2008: APC Quantity HCPCS/CPT4 Edits

01/01/2008: APC / HCPCS Assignment
01/01/2008: APC Status Codes and Titles
01/01/2008: APC Payment Rates
01/01/2008: APC Quantity HCPCS/CPT4 Edits

10/01/2007: APC / HCPCS Assignment
10/01/2007: APC Status Codes and Titles
10/01/2007: APC Payment Rates
10/01/2007: APC Quantity HCPCS/CPT4 Edits

07/01/2007: APC / HCPCS Assignment
07/01/2007: APC Status Codes and Titles
07/01/2007: APC Payment Rates
07/01/2007: APC Quantity HCPCS/CPT4 Edits

04/01/2007: APC / HCPCS Assignment
04/01/2007: APC Status Codes and Titles
04/01/2007: APC Payment Rates
04/01/2007: APC Quantity HCPCS/CPT4 Edits

01/01/2007: APC / HCPCS Assignment
01/01/2007: APC Status Codes and Titles
01/01/2007: APC Payment Rates
01/01/2007: APC Quantity HCPCS/CPT4 Edits

10/01/2006: APC / HCPCS Assignment
10/01/2006: APC Status Codes and Titles
10/01/2006: APC Payment Rates
10/01/2006: APC Quantity HCPCS/CPT4 Edits

07/01/2006: APC / HCPCS Assignment
07/01/2006: APC Status Codes and Titles
04/01/2006: APC Payment Rates
07/01/2006: APC Quantity HCPCS/CPT4 Edits

04/01/2006: APC / HCPCS Assignment
04/01/2006: APC Status Codes and Titles
04/01/2006: APC Payment Rates
04/01/2006: APC Quantity HCPCS/CPT4 Edits

01/01/2006: APC / HCPCS Assignment
01/01/2006: APC Status Codes and Titles
01/01/2006: APC Payment Rates
01/01/2006: APC Quantity HCPCS/CPT4 Edits

10/01/2005: APC / HCPCS Assignment
10/01/2005: APC Status Codes and Titles
10/01/2005: APC Payment Rates
10/01/2005: APC Quantity HCPCS/CPT4 Edits

07/01/2005: APC / HCPCS Assignment
07/01/2005: APC Status Codes and Titles
07/01/2005: APC Payment Rates
07/01/2005: APC Quantity HCPCS/CPT4 Edits

04/01/2005: APC / HCPCS Assignment
04/01/2005: APC Status Codes and Titles
04/01/2005: APC Payment Rates
04/01/2005: APC Quantity HCPCS/CPT4 Edits

01/01/2005: APC / HCPCS Assignment
01/01/2005: APC Status Codes and Titles
01/01/2005: APC Payment Rates
01/01/2005: APC Quantity HCPCS/CPT4 Edits

10/1/2004: APC / HCPCS Assignment
10/01/2004: APC Status Codes and Titles
10/01/2004: APC Payment Rates
10/01/2004: APC Quantity HCPCS/CPT4 Edits

07/01/2004: APC / HCPCS Assignment
07/01/2004: APC Status Codes and Titles
07/01/2004: APC Payment Rates
07/01/2004: APC Quantity HCPCS/CPT4 Edits

04/01/2004: APC / HCPCS Assignment
04/01/2004: APC Status Codes and Titles
04/01/2004: APC Payment Rates
04/01/2004: APC Quantity HCPCS/CPT4 Edits

01/01/2004: APC / HCPCS Assignment
01/01/2004: APC Status Codes and Titles
01/01/2004: APC Payment Rates
01/01/2004: APC Quantity HCPCS/CPT4 Edits

10/01/2003: APC / HCPCS Assignment
10/01/2003: APC Status Codes and Titles
10/01/2003: APC Payment Rates
10/01/2003: APC Quantity HCPCS/CPT4 Edits

07/01/2003: APC / HCPCS Assignment
07/01/2003: APC Status Codes and Titles
07/01/2003: APC Payment Rates
07/01/2003: APC Quantity HCPCS/CPT4 Edits

04/01/2003: APC / HCPCS Assignment
04/01/2003: APC Status Codes and Titles
04/01/2003: APC Payment Rates
04/01/2003: APC Quantity HCPCS/CPT4 Edits

01/01/2003: APC / HCPCS Assignment
01/01/2003: APC Status Codes and Titles
01/01/2003: APC Payment Rates
01/01/2003: APC Quantity HCPCS/CPT4 Edits

10/01/2002: APC / HCPCS Assignment
10/01/2002: APC Status Codes and Titles
10/01/2002: APC Payment Rates
10/01/2002: APC Quantity HCPCS/CPT4 Edits

07/01/2002: APC / HCPCS Assignment
07/01/2002: APC Status Codes and Titles
07/01/2002: APC Payment Rates
07/01/2002: APC Quantity HCPCS/CPT4 Edits

04/01/2002: APC / HCPCS Assignment
04/01/2002: APC Status Codes and Titles
04/01/2002: APC Payment Rates
04/01/2002: APC Quantity HCPCS/CPT4 Edits

01/01/2002: APC / HCPCS Assignment
01/01/2002: APC Status Codes and Titles
01/01/2002: APC Payment Rates
01/01/2002: APC Quantity HCPCS/CPT4 Edits

10/01/2001: APC / HCPCS Assignment
10/01/2001: APC Status Codes and Titles
10/01/2001: APC Payment Rates
10/01/2001: APC Quantity HCPCS/CPT4 Edits

07/01/2001: APC / HCPCS Assignment
07/01/2001: APC Status Codes and Titles
07/01/2001: APC Payment Rates
07/01/2001: APC Quantity HCPCS/CPT4 Edits

04/01/2001: APC / HCPCS Assignment
04/01/2001: APC Status Codes and Titles
04/01/2001: APC Payment Rates
04/01/2001: APC Quantity HCPCS/CPT4 Edits

01/01/2001: APC / HCPCS Assignment
01/01/2001: APC Status Codes and Titles
01/01/2001: APC Payment Rates

10/01/2000: APC / HCPCS Assignment
10/01/2000: APC Status Codes and Titles
10/01/2000: APC Payment Rates

7/1/00: Titles and Weights

Physician Fee Schedule
11/07/03: CY2004 1-1-2004 Final Changes
11/07/03: CY2004 1-1-2004 Final Changes — Zipped PDF files


8/15/03: CY2004 1-1-2004 Proposed Changes
8/15/03: CY2004 1-1-2004 Proposed Changes — Zipped PDF files

APGs
Definitions Manual - v.2.0
Titles for Version 2.0
Definitions Manual - v.1.0
Titles for Version 2.0
APG Weights for HCFA and Iowa

Severity DRGs
Titles and Weights (Proposed)
Definitions

APC System for Ambulatory Surgery Center
5/30/03 Corrections to 7/1/2003 ASC Rates
03/28/03 ASC Covered Procedures Effective 7/1/2003

6/12/98 (Proposed): Summary & Background
6/12/98 (Proposed): Entire Text   300K zip file
6/12/98 (Proposed): PDF file   2.8MB


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