Thursday, February 24, 2022
- Podiatry Nail Debridement & Evaluation and Management Services: Comparative Billing Report
- Skilled Nursing Facilities: Submit Technical Expert Panel Nominations by March 16
- HCPCS Application Summaries & Coding Decisions: Non-Drug and Non-Biological Items and Services
- Skilled Nursing Facility Web Pricer
- ESRD: Web Pricer & Last PC Pricer
- CWF Editing – National Coverage Determination (NCD) 270.3 Blood-Derived Products for Chronic, Non-Healing Wounds
- International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) – July 2022
- Revisions to National Coverage Determination (NCD) 240.2 (Home Use of Oxygen) and 240.2.2 (Home Oxygen Use for Cluster Headache)
- Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – April 2022 Update
News
Podiatry Nail Debridement & Evaluation and Management Services: Comparative Billing Report
CMS will issue a comparative billing report (CBR) on Medicare Part B claims for podiatry nail debridement and evaluation and management services soon. Use the data-driven report to compare your billing practices with those of your peers in your state and across the nation.
CBRs aren’t publicly available. Look for an email from cbrpepper.noreply@religroupinc.com to access your report. Update your email address in the Provider Enrollment, Chain, and Ownership System to ensure delivery.
More Information:
- View a webinar recording
- Visit the CBR website
- Register for a live webinar on March 9 from 3–4 pm ET
Skilled Nursing Facilities: Submit Technical Expert Panel Nominations by March 16
CMS wants input on the Skilled Nursing Facility Value-Based Purchasing Program scoring methodology for services furnished during fiscal year 2024. Visit the Technical Expert Panels webpage to learn more, and find out how to submit a nomination.
Claims, Pricers, & Codes
HCPCS Application Summaries & Coding Decisions: Non-Drug and Non-Biological Items and Services
CMS published the second biannual 2021 HCPCS Level II Application Summary and Coding Decisions for Non-Drug and Non-Biological Items and Services (PDF). Visit the HCPCS Level II Coding Decisions webpage for more information.
Skilled Nursing Facility Web Pricer
CMS released the Skilled Nursing Facility Prospective Payment System Web Pricer for fiscal years 2020–2022. For the best experience, access the Web Pricer through Google Chrome. You may also use Microsoft Edge or Mozilla Firefox but not Microsoft Internet Explorer.
ESRD: Web Pricer & Last PC Pricer
CMS released the ESRD Prospective Payment System Web Pricer for calendar years (CYs) 2020–2022. For the best experience, access the Web Pricer through Google Chrome. You may also use Microsoft Edge or Mozilla Firefox but not Microsoft Internet Explorer.
Reminder: The CY 2021 ESRD PC Pricer is the last downloadable PC Pricer.
MLN Matters® Articles
CWF Editing – National Coverage Determination (NCD) 270.3 Blood-Derived Products for Chronic, Non-Healing Wounds
International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) – July 2022
Learn about coding changes to the following NCDs (PDF):
- Implantable Cardiac Defibrillators
- Vagus Nerve Stimulation
- Histocompatibility Testing
- Acupuncture for Chronic Low Back Pain
- Bone Mineral Density Studies
- CAR T-Cell Therapy
Revisions to National Coverage Determination (NCD) 240.2 (Home Use of Oxygen) and 240.2.2 (Home Oxygen Use for Cluster Headache)
Learn about changes to these NCDs, effective September 27, 2021 (PDF).
Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – April 2022 Update
Learn about April updates (PDF):
- New codes
- Procedure status and payment policy indicator changes
Report a problem viewing this newsletter.
Subscribe to the MLN Connects® newsletter. Previous issues are available in the archive.
This newsletter is current as of the issue date. View the complete disclaimer.
Follow the MLN on Twitter #CMSMLN, and visit us on YouTube.
The Medicare Learning Network®, MLN Connects®, and MLN Matters® are registered trademarks of the U.S. Department of Health and Human Services (HHS).