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....
The Centers for Medicare & Medicaid Services (CMS) has released the calendar year (CY) 2024 Revisions to Payment Policies Under the Physician Fee Schedule (MPFS) and Other Revisions to Medicare Part B (CMS-1784-P) Proposed Rule, which includes proposals related to Medicare physician...
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, ...
Under the second step that will take effect from April 1, 2005, CMS will establish a national file of the CPT/HCPCS codes on the physician fee schedule that are billable as a purchased diagnostic test/interpretation, for every U.S. payment locality....
The Centers for Medicare & Medicaid Services (CMS) released theCY 2021 Revisions to Payment Policies under the Physician Fee Schedule and Other Changes to Part B Payment Policies, which includes proposals related to Medicare physician payment and the Quality Payment...
The Centers for Medicare & Medicaid Services (CMS) issued its2025 Physician Fee Schedule (PFS) proposed ruleearlier this month. Alongside a2.8 percent payment cutfor physicians, the rule includes numerous proposals directed at virtual care, including brand new codes for certain digital th...
actual charge or 85% of the fee schedule amount when revenue code 0657 is billed with Modifier GV. You may report additional revenue codes describing the visits provided under each level of care. You must report in line-item detail for all visits related to the palliation and management ...
CMS published this annual update in conjunction with its annual physician fee schedule updates. CMS advised that going forward, however, it planned to add codes or advise the public of Code List changes only via the Code List’sspecific website. It is unclear if CMS will be making updates ...
In the March 31 COVID-19 interim final rule with comment period, CMS established separate payment for audio-only telephone evaluation and management services. While it is not proposing to continue to recognize these codes for payment under the Physician Fee Schedule in the absence of the public ...
Under that 2019 rule, CMS paid the equivalent of the Physician Fee Schedule (PFS) payment rate for clinic visits provided at excepted off-campus provider-based departments (PBDs), an amount that is approximately 60 percent less than the OPPS payment rate. CMS claimed that it ad...