Extras: Take note of additional payment, code updates in 2027 PFS

Why This Topic Matters

The proposed rule includes changes and requests for feedback that may be relevant to organizations following Medicare policy, payment, and coding developments for 2027.

Article Sections

1. Maternity code overhaul too confusing? How about adding 15 G codes, asks CMS.

   This section covers proposed changes concerning maternity services and CMS’s consideration of an alternative approach for Medicare payment.

2. Smoking and tobacco, alcohol and substance abuse use counseling.

   This section discusses proposed payment updates for counseling services related to tobacco use and alcohol or substance misuse.

3. Comprehensive Outpatient Rehabilitation Facility (CORF) Services and KX Modifier Threshold, and Medical Review Threshold.

   This section addresses proposed CORF-related changes and therapy service thresholds, including medical review.

4. Supporting beneficiaries planning for future medical decisions.

   This section covers advance care planning and requests for information concerning palliative care, care management, hospice eligibility, and Alzheimer’s disease-related topics.

5. Health and well-being coaching coverage proposed.

   This section discusses proposed coverage and payment topics for individual and group health and well-being coaching.