Also new to the list of reimbursable telehealth services are HCPCS
codes G0513 and G0514 for prolonged preventive services.
In certain situations, modifiers of CPT or HCPCS
codes may be necessary.
The Centers for Medicare and Medicaid Services (CMS) proposes adding three services to the telehealth list as category I services for calendar year 2018: HCPCS
Level II code G0296 for counseling visit to discuss need for lung cancer screening using low-dose CT scan, CPT code 90839 for the first hour of psychotherapy for a patient crisis, and 90840 for every additional half hour needed to treat the crisis.
Why are there are no valid codes for submission for payment in the Current Procedural Terminology (CPT), Healthcare Common Procedural Coding System (HCPCS
) or National Drug Code (NDC) for medical marijuana?
The Forum said that having unique Healthcare Common Procedure Coding System (HCPCS
) codes for each biosimilar will facilitate accurate attribution of adverse events and ensure a competitive biosimilar market.
Claims include all physician and physical therapist line item services at the Healthcare Common Procedure Coding System (HCPCS
) level that are billed to Medicare.
Effective January 2015, CMS expanded coverage to include a 30-minute session provided to a group of 2 to 10 patients (HCPCS
code G0473) (https://www.cms.gov/Outreachand-Education/Medicare-Learning-Network-MLN/MLN MattersArticles/downloads/MM8874.pdf).
(25) Primary care providers receive payment for screening by using Healthcare Common Procedure Coding System (HCPCS
) G0444 (annual depression screening, 15 minutes).
Chief advocacy topics this year included PAMA implementation, lab workforce shortages, a laboratory results "harmonization" initiative, and CMS's failure to assign HCPCS
codes for drug testing.
Did anyone get a scare when the HCPCs
letter arrived on the 26th January?
They reviewed and classified radiologist-billed Healthcare Common Procedure Coding System (HCPCS
) codes from recent years.
Other common billing mistakes by physicians that resulted in overpayments included insufficient documentation about patient services, billing for outpatient drugs in which payment was already included in that of a primary procedure, incorrect use of Healthcare Common Procedure Coding System (HCPCS
) codes, and billing Medicare for noncovered outpatient drugs.