October 11, 2012 

 A revised Change Request, (CR), 7631,   Transmittal Number 2563was  issued by CMS  on October 11, 2012. The CR release date, transmittal number, and the Web address for accessing CR 7631 were revised. The entire document can be accessed at http://www.cms.gov/Regulations-and Guidance/Guidance/Transmittals/Downloads/R2563CP.pdf

 A section was added beginning on page 8 regarding global services. Clarification was added to the discussions regarding services for registered inpatients and for services in hospital outpatient departments. The effective and implementation dates have been revised to reflect April 1, 2013.