Fee schedule round-up: Coding, billing, policy and regulatory changes

Why This Topic Matters

The proposed rule spans multiple areas that can affect reimbursement, coverage, documentation, and administrative workflows. Readers can use this overview to decide whether the full article is relevant to their specialty, billing operations, or compliance responsibilities.

Article Sections

1. Potentially misvalued codes and global surgery valuation

   Discusses CMS requests for comment on valuation review priorities, including ophthalmology procedures, spine-related services, home visits, and the broader global surgical package valuation effort.

2. Remote therapeutic monitoring codes

   Covers proposed new billing options related to remote therapeutic monitoring, including policy alignment, supervision concepts, and changes affecting therapy and non-therapy reporting.

3. Split/shared extension and multiple visits on the same day

   Summarizes proposed updates to split/shared visit policy and the handling of more than one visit billed on the same date of service.

4. Consultations and the Medicare Economic Index

   Addresses consultation policy reaffirmation and a proposed revision to the Medicare Economic Index methodology used in payment updates.

5. Supply costs, indirect practice expense inputs, and cognitive assessment

   Reviews proposed updates to supply and equipment pricing, indirect practice expense inputs, and changes affecting cognitive assessment payment values and time assumptions.

6. Screening services, malpractice RVUs, and vaccine administration

   Covers proposed changes for preventive screening services, malpractice-related RVU methodology, and payment alignment for vaccine administration after the public health emergency.

7. Enrollment, coverage, and geographic adjustment policies

   Summarizes proposals involving supplier enrollment screening, retirement of an older coverage determination, and phased geographic practice cost index changes.

8. Dental services, drug wastage modifiers, and health center billing

   Describes policy proposals affecting dental coverage concepts, drug wastage reporting, and new or revised billing approaches for rural health centers and federally qualified health centers.

9. Audiology services, methadone treatment, and colorectal cancer screening

   Covers proposals related to audiology billing, opioid treatment program payment updates, and expanded colorectal cancer screening policy.

10. Specimen collection fees and controlled substance e-prescribing enforcement

    Reviews the proposed removal of older specimen collection fee guidance and the continuation of compliance letters related to electronic prescribing of controlled substances.