CMS has previously maintained that the requirement to submit 16 days of data in a 30-day period for codes 98975 and 98977 was reinstated as of the end of the COVID-19 public health emergency. In its latest rulemaking, CMS noted that the text of its proposed rule “inadvertently listed...
Building off of guidelines set by the American Medical Association’s Digital Medicine Payment Advisory Group over the past year, CMS has proposed the following CPT codes for RTM coverage: CPT code 989X1: Remote therapeutic monitoring (e.g., respiratory system status, musculo...
CMS also rejected a request from a commenter to create a third virtual check-in code with a crosswalk to CPT code 99443 for a longer virtual check-in than the existing G2012 (5-10 minutes) and G2252 (11-20 minutes) codes. CMS’ reasoning was that the virtual check-in codes are meant...
which reassigned four procedures (CPT codes 0308T, 0616T, 0617T and 0618T) from Level 5 Intraocular APC to a new Level 6 Intraocular APC to improve payment stability for an APC code category with a low volume of claims submitted per year. CMS, however, also proposes to replace CPT co...
To facilitate billing by these practitioners for the remote evaluation of patient-submitted videos or images and virtual check-ins (HCPCS codes G2010 and G2012), CMS is proposing to use two new HCPCS G codes. CMS has also received questions as to whether services should be reported as telehealt...
Revised Process for Adding Codes to the Telehealth Services List CMS proposes to clarify and modify its process for making changes to the Medicare Telehealth List. In previous years services were added on a Category 1, Category 2 or Category 3 basis. Now that the COVID-19 public ...
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Expansion of Remote Patient Monitoring Services.CMS added coverage for a range of remote patient monitoring codes and is no longer requiring that the patient have multiple diseases. Reducing Frequency Limitations.CMS is removing frequency limitations for inpatient visits, skilled nursing facility ...
codes that it considers DHS (the Code List) for four DHS categories: (1) clinical laboratory services; (2) therapy (including physical therapy (PT), occupational therapy (OT) and speech-language pathologist (SLP) services; (3) radiology and other imaging services; and (4) radiation therapy ...
While CMS does not propose to extend the codes for audio-only E/Ms beyond the COVID-19 PHE, CMS is seeking comment on developing coding and payment for an audio-only service similar to a virtual check in, but that would have a longer unit of time an...