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March 27, 2018


Spring OPPS Update Released

The Centers for Medicare and Medicaid Services (CMS) summarized the spring update to the outpatie... Learn More


Therapy Caps Repealed and Payment for Therapy Assistant Services Lowered

Medicare payment caps on outpatient therapy were permanently repealed effective January 1, 2018. ... Learn More


OIG Update Work Plan, Studies Cardiac Device Credits

In March, the Office of Inspector General (OIG) posted several updates to its existing Work Plan,... Learn More


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Medical Coding News Archives

Updates to MPFS Released

 
October 16, 2007:
The Centers for Medicare and Medicaid Services (CMS) has released the final 2007 updates to the Medicare physician fee schedule (MPFS). These updates became effective October 1.

Some of the most significant changes to the physician fee schedule include:
  • The global period for code 16035 was changed from 90 days to 000 days.
  • The transitional nonfacility practice expense relative value unit (PE RVU) for code 54150 has been changed to 3.38. The transitional facility PE RVU is now 0.73
  • The bilateral indicator for the following procedures has been changed from 0 (150 percent payment adjustment for bilateral procedures does not apply) to 1 (150 percent payment adjustment for bilateral procedures applies):
    38740
    38745
    64412
    64418
    64613
  • The bilateral indicator for code 20690 was changed from 1 (150 percent payment adjustment for bilateral procedures applies) to 0 (150 percent payment adjustment for bilateral procedures does not apply).
Other revisions include the addition of the category II CPT® codes (the Physician Quality Reporting Initiative codes) to the MPFS database and revisions to the short narrative for code G8370.

Deborah C. Hall
Clinical/Technical Editor

 

 
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