Thursday, February 15, 2024
- CMS Roundup (Feb 9, 2024)
- Marriage and Family Therapists & Mental Health Counselors: New Specialty Codes for Medicare
- Medicare Physician Fee Schedule Database: April Update
- ICD-10 & Other Coding Revisions to National Coverage Determinations: July 2024 Update
- Activation of Validation Edits for Providers with Multiple Service Locations — Revised
News
CMS Roundup (Feb 9, 2024)
You may be interested in these topics from the CMS Roundup:
- Policy on Texting of Patient Information and Orders for Hospitals and Critical Access Hospitals
- Proposed Rule to Strengthen Accrediting Organization Oversight and to Prevent Conflict of Interest
Marriage and Family Therapists & Mental Health Counselors: New Specialty Codes for Medicare
CMS created new specialty codes for marriage and family therapists and mental health counselors. See the instruction to your Medicare Administrative Contractor (PDF).
Medicare Physician Fee Schedule Database: April Update
See the attachment in the instruction to your Medicare Administrative Contractor (PDF) to learn about the April quarterly changes to the Medicare Physician Fee Schedule Database:
- New codes
- Procedure status changes
- Code descriptor revisions
MLN Matters® Articles
ICD-10 & Other Coding Revisions to National Coverage Determinations: July 2024 Update
Learn about the July update (PDF):
- New codes
- Recent changes
- How to find coding information
Activation of Validation Edits for Providers with Multiple Service Locations — Revised
Learn what’s changed (PDF): CMS clarified how to handle certain off-campus provider-based departments excepted from Section 603 payment policy.
Publications
Medicare Preventive Services — Revised
Learn what’s changed:
- Annual wellness visit: Added G0136 for Social Determinants of Health Risk Assessment as an optional element and information about community health integration initiating visit
- Colorectal cancer screening: Use the KX modifier when billing screening colonoscopies as a follow up to a non-invasive test
- Diabetes screening:
- Patients can get 2 screenings within a 12-month period
- Starting in January 2024, Medicare will cover an A1c blood test for patients getting a diabetes screening
- Diabetes self-management training: Added information on:
- Telehealth qualifications and flexibilities
- Registered dietitians and nutrition professionals performing and billing services
- Flu shot: Added information about additional payment for in-home flu shot administration
- Medical nutrition therapy: Added information about registered dietitians and nutrition professionals performing and billing services
- Medicare Diabetes Prevention Program:
- Updated HCPCS and CPT codes and frequency for CY 2024
- Added information on the extended flexibilities period
- Sexually transmitted infection (STI) screening and high intensity behavioral counseling to prevent STIs:
- Added CPT code 0402U effective October 1, 2023
- Updated the ICD-10 codes section
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