R12608CP

MLN Connects^® Newsletter Message

Home Health Consolidated Billing: New Physician Specialty Code F6 Excluded

CMS created a new physician specialty code for epileptologists (F6) effective July 1, 2024. This code is excluded from home health consolidated billing for outpatient therapies.

Medicare Administrative Contractors (MACs) will update their systems effective October 1, 2024. They’ll adjust claims processed before October 1, 2024, that you bring to their attention.

More Information:

• Section 20.2.2 Medicare Claims Processing Manual, Chapter 10 (PDF)
• Instruction to your MAC (PDF)