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Change Request 6638 Transmittal 1877, dated December 18, 2009 rescinds and replaces, Transmittal 1839, dated October 28, 2009 to remove all Medicare Code Editor (MCE) language, because MCE can t make the required changes. Subject: Instructions Regarding Processing Claims Rejecting for Gender/Procedure Conflict I. SUMMARY OF CHANGES: As the result of transgender and hermaphrodite issues, claims for some beneficiaries are rejecting the IOCE, and CWF due to gender specific edits. This is resulti.

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