Fee schedule update highlights new billing opportunities

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a CMS quarterly physician fee schedule update and related program memo guidance affecting Medicare payment for selected services. It is relevant to physicians, coding staff, compliance teams, and revenue cycle professionals who need to track updated coverage, fee schedule status, and effective dates for specific Medicare-reimbursed services. The article also includes a table of affected codes, payment statuses, and allowable amounts.

Why This Topic Matters

Understanding these fee schedule updates helps practices align billing and documentation workflows with current Medicare payment policy and avoid missing newly payable services or revised fee schedule settings.

Article Sections

  1. Home INR monitoring billing guidance

    Discusses Medicare payment changes related to home INR monitoring services and the accompanying CMS update materials. The section also addresses the related program memo context and coverage timing.

  2. Electroencephalography fee schedule change

    Summarizes a fee schedule status change affecting electroencephalography and its separate components. The section notes the effective date and the role of RVU-based pricing.

  3. Diabetic foot exam coverage for patients with loss of protective sensation

    Reviews the Medicare update expanding coverage for certain preventive foot exams and follow-up care related to loss of protective sensation. The section references the related new codes and frequency considerations.

  4. CMS 3rd quarter changes to physician fee schedule database

    Presents the affected fee schedule table summarizing payment status and allowable amounts for the services included in the update. The section serves as the article’s code and payment reference list.

What You Will Learn

  • How a CMS physician fee schedule update can affect Medicare billing opportunities
  • Which broad service categories were changed in the update
  • How the article organizes affected services by fee schedule and payment status
  • What types of CMS source materials accompany the update

Who Should Read This

  • Physician practices
  • Medical coders
  • Billing staff
  • Revenue cycle teams
  • Compliance professionals

Codes Discussed

Code Ranges Discussed

  • HCPCS LEVEL II: G0245–G0250

Modifiers Discussed


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