Rural ZIP Code Claim Record Layout for Medicare Contractors

60.5 – Rural ZIP Code Claim Record Layout for Medicare Contractors Processing Rural DMEPOS Fee Schedule Claims (Rev. 3350, Issued: 09-11-15, Effective: 01-01-16, Implementation: 01-04-16) This file contains rural area, as defined in 42 CFR §414.202, ZIP codes within the contiguous United States for use processing claims subject to the adjusted fee schedule methodology required by Section1834(a)(1)(F) of the Social Security Act. The CMS will provide the specific file names when the rural ZIP code files are released. Field Name Pic Position Comment Effective Date 9(8) 1 - 8 Effective date that ZIP code considered rural (CCYYMMDD). Expiration Date 9(8) 9 - 16 Final date for considering a ZIP code rural. Field will be filled with 99999999s if an end-date has not been established. Discontinued rural ZIP codes will be end dated as of the end of the quarter it was last an active rural ZIP. File Format is CCYYMMDD. ZIP Code X(5) 17 - 21 5-digit ZIP code considered rural State X(2) 22 - 23 Filler X(17) 24 -40 Set to spaces