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This overview is the perfect primer for learning what’s changing in the ICD-10-CM code set. The ICD-10-CM code set update for fiscal year (FY) 2024 adds 395 new codes, deletes 25 existing codes, and revises 22 codes (nine of which are to the short title only). There are also 131 new headers and four revised […]
The post Get a Jump on Diagnosis Code Changes for FY 2024 appeared first on AAPC Knowledge Center.
You won’t find these codes in your 2023 code books, but they are effective April 1. The Centers for Medicare & Medicaid Services (CMS) has released coding changes and policy updates for the Outpatient Prospective Payment System (OPPS). The updates include the addition of many new HCPCS Level II codes, the deletion of a few […]
The post OPPS April 2023 Update Brings Coding and Policy Changes appeared first on AAPC Knowledge Center.
Billing updates aim to help physician offices get paid for CAR T-cell therapy. The latest round of updates to HCPCS Level II coding clarifies outpatient billing requirements for chimeric antigen receptor (CAR) T-cell therapy, an often curative treatment that uses a patient’s own genetically modified immune cells to fight cancer. The key takeaway is that […]
The post Check Out These Changes to Outpatient CAR-T Coding appeared first on AAPC Knowledge Center.
Keep this table handy to apply new modifiers JK and JL correctly starting in May. Durable medical equipment (DME) suppliers and pharmacies that provide insulin pumps or insulin for pumps need to be aware of the following key points about upcoming Medicare changes under Part B. Comply With the Coinsurance Cap Starting July 1, 2023, […]
The post Changes Are Coming for Billing Insulin in DME Pumps Under Medicare appeared first on AAPC Knowledge Center.
Make sure your practice is prepared for these new and revised codes. Every year, there are always a lot of code changes to learn about and this year is no exception: CPT® 2023 includes 225 new codes, 93 revised codes, and 75 deleted codes. There are coding and guideline changes in every section of the […]
The post Get a Look at CPT® 2023 Code Changes appeared first on AAPC Knowledge Center.
Colonoscopies that require additional related procedures will soon see a change in Medicare coinsurance. A provision of the Consolidated Appropriations Act (CAA) of 2021 has put Medicare patients on a gradual coinsurance reduction plan for certain colorectal cancer screening tests that turn into a diagnostic or therapeutic service. Currently, the addition of any procedure beyond […]
The post Colorectal Screening Cost-Sharing Changes Are Coming appeared first on AAPC Knowledge Center.
Dozens of additions, deletions, and revisions are effective Oct. 1, 2022. The October 2022 update to the HCPCS Level II code file from the Centers for Medicare & Medicaid Services (CMS) includes more than 40 changes, and most of them are new codes. The changes are effective Oct. 1, 2022, with a few important exceptions. […]
The post October Brings HCPCS Level II Code Changes appeared first on AAPC Knowledge Center.
When ICD-10-CM is updated Oct. 1, so are these National Coverage Determinations. Are you wondering which National Coverage Determinations (NCDs) will be affected by the thousands of diagnosis code changes going into effect Oct. 1? A Centers for Medicare & Medicaid Services (CMS) transmittal tells all. CMS Transmittal 11546, issued Aug. 4, is a one-time […]
The post Check NCDs for Medical Necessity Code Changes appeared first on AAPC Knowledge Center.
Proposed rule recommends increase in Medicare reimbursement for ESRD and other policy updates. On June 21, 2022, the Centers for Medicare & Medicaid Services (CMS) issued the calendar year (CY) 2023 end-stage renal disease (ESRD) prospective payment system (PPS) proposed rule. The rule proposes to increase Medicare reimbursement to ESRD facilities, update the ESRD Quality […]
The post CMS Proposes 2023 ESRD Payment and Policy Changes appeared first on AAPC Knowledge Center.
But be aware that some of the changes for coding and billing outpatient claims are retroactive to April or January. Many of the changes to Medicare’s Outpatient Prospective Payment System (OPPS) in the July update mirror those in the Medicare Physician Fee Schedule Database (MPFSDB) update for the same quarter — such as the new […]
The post Learn About OPPS Changes in July Update appeared first on AAPC Knowledge Center.