April fee schedule update adds PC/TC split for 93351

Why This Topic Matters

The update may affect how cardiology services are reported and reimbursed under Medicare, especially when component billing is involved. It also highlights broader fee schedule revisions that can change billing frequency, units of service, and coverage status.

Article Sections

1. PC/TC split update for stress echocardiography

   Discusses a Medicare physician fee schedule change affecting a cardiology stress echocardiography service and compares it with existing CPT-based reporting approaches.

2. When a PC/TC split could make sense

   Describes the limited practice scenarios in which a split component billing approach may be considered for this type of service.

3. Fee comparison for global and component billing

   Presents a comparison of payment amounts associated with different reporting approaches for the service and related treadmill components.

4. April fee schedule update: home INR testing revisions

   Summarizes CMS changes to home INR testing billing, including unit and frequency limits and a revised code descriptor.

5. Heartsbreath test status update

   Notes a coverage and status change for a heart-transplant rejection test in the Medicare fee schedule database.

6. Official resource

   Provides a source reference for the CMS transmittal associated with the update.