CMS issues new edits for drug tests, nerve blocks

Why This Topic Matters

These CMS edits can change whether certain services may be reported together and may affect claim processing for practices that bill drug testing and pain management procedures. It also highlights ongoing MAC coverage alignment efforts that can influence documentation and billing workflows.

Article Sections

1. Billing

   Overview of the CMS edit updates affecting drug testing and related claim bundling, along with the broader Medicare coverage activity tied to urine drug testing policies.

2. Nerve block edit update

   Discussion of the upcoming NCCI edit changes for diagnostic ultrasound nerve coding and its relationship to multiple pain management procedures.

3. Resource

   Reference to the CMS practitioner services PTP quarterly update file associated with additions, deletions, and modifier indicator changes.