Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
AHA Coding Clinic® for HCPCS - 2014 Issue 4; For Your Information
New HCPCS Level II G-codes for radiation therapy
The Centers for Medicare & Medicaid Services (CMS) recently established new HCPCS Level II G codes for use in calendar year (CY) 2015. These new HCPCS Level II G codes will be utilized to report radiation treatment delivery services. However, please note that the new HCPCS Level II G codes will be recognized under the Medicare Physician Fee Schedule (MPFS), but will not be recognized under the hospital Outpatient Prospective Payment System (OPPS). Under the OPPS facilities will continue to report radiation treatment delivery services with the appropriate CPT code(s).
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