Outpatient Code Editor (OCE)

40 - Outpatient Code Editor (OCE) (Rev. 1107, Issued: 11-09-06, Effective: 07-01-07, Implementation: 07-02-07) The CMS incorporates new processing requirements in the Outpatient Code Editor (OCE) by releasing a new or updated version of the software each quarter. The OCE instructions and specifications are utilized under: • The OPPS for hospital outpatient departments, Community Mental Health Centers (CMHC’s) and for limited services provided in a Home Health Agency (HHA) not under the Home Health Prospective Payment System or to a hospice patient for the treatment of a non-terminal illness; • The non-OPPS for Indian Health Service Hospitals, Critical Access hospitals (CAHs), Maryland hospitals, hospitals located in American Samoa, Guam, the Commonwealth of the Northern Mariana Islands. In addition claims from Virgin Island hospitals with dates of service 1/1/02 and later, and hospitals that furnish only inpatient Part B services with dates of service 1/1/02 and later are edited in the non-OPPS OCE; and All other outpatient institutional claims.