Starting January 1, 2024, CMS proposes a separate add-on payment for healthcare common procedure coding system (HCPCS) code G2211. The add-on code is designed to capture resource costs associated with evaluation and management visits for primary care and longitudinal care of complex patie...
CMS has finalized its proposal to allow Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) to bill for RTM through general management HCPCS code
In CY 2023, CMS said it has observed what it calls SAHS (significant, anomalous, and highly suspect) billing for the Healthcare Common Procedure Coding System (HCPCS) codes A4352 (Intermittent urinary catheter; Coude (curved) tip, with or without coating (Teflon, silicone, ...
The Centers for Medicare & Medicaid Services (CMS) have issued the Healthcare Common Procedure Coding System (HCPCS) J-code J9028 for billing and reimbursement of nogapendekin alfa inbakicept-pmln (Anktiva; N-803), ImmunityBio announced in a news release.1 Anktiva is currently being assessed...
CMS proposes creating three Healthcare Common Procedure Coding System (HCPCS) codes and six G codes for mental healthcare practitioners “to mirror current interprofessional consultation CPT codes used by practitioners who are eligible to bill E/M visits.” ...
HCPCS Codes:CMS solicits comments on 73 new healthcare common procedure coding system (HCPCS) codes effective April 1, 2024, and 127 new HCPCS codes effective July 1, 2024. CMS will also solicit comments on HCPCS codes effective Oct. 1, 2024, and Jan. 1, 2025, in the Final Rule. ...
commercializing Trigeminal Nerve Stimulation (TNS) technology for treating neurological and neuropsychiatric disorders, announces that the Centers for Medicare & Medicaid Services (“CMS”) is establishing two new Level II Healthcare Common Procedure Coding System (“HCPCS”) codes for the...
(HCPCS) codes for these services: C7900, C7901 and C7902. Beneficiaries using these codes will be required to be in their homes when receiving services. In response to comments, CMS modified 42 CFR 410.27(a)(1)(iii) to include an amendment that would not require physicians ...
CMS has proposed to create two HCPCS G-codes, HCPCS codes GPD0X and GPD1X , to describe podiatric evaluation and management services.
Detailed longitudinal investigation of the adoption of new HCPCS codes and the factors influencing it are scarce, although the availability of large-scale claims databases should facilitate such studies. We examined claims for three CPT codes used for next generation sequencing (NGS): 81445, 81450 ...