Home INR monitoring, PQRI codes see Q2 changes

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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 piece explains a set of Medicare physician fee schedule updates that affect home INR monitoring reporting, selected PQRI-related measurement codes, and a few additional billing and procedure-status changes. It is aimed at practices and coders who need to know which broad reporting categories were updated and where to look for official CMS guidance. The article provides a non-exhaustive overview of the affected code groups and references supporting CMS resources.

Why This Topic Matters

These quarterly updates can affect whether claims are accepted, how services are reported, and how Medicare payment rules are applied for certain monitoring and quality-reporting services. Readers in primary care, cardiology, and coding/billing roles need to know when Medicare changes the status or reporting framework for affected codes.

Article Sections

  1. Home INR monitoring code updates

    This section discusses Medicare-related updates to home INR monitoring reporting and the affected code group. It summarizes the broader context for the quarterly change.

  2. Other Medicare physician fee schedule changes

    This section outlines several additional fee schedule updates affecting selected respiratory, echocardiography, quality-reporting, and non-covered service categories. It also notes which broad reporting designations were updated.

  3. Official resources

    This section points readers to CMS materials related to the fee schedule update and the PQRI coding issue fix. It serves as a resource list for further review.

What You Will Learn

  • Which broad Medicare billing areas were updated in the quarterly fee schedule change
  • How the article frames changes affecting home INR monitoring reporting
  • What types of additional code groups were included in the update
  • Where to find official CMS reference materials mentioned in the article

Who Should Read This

  • Medical coders
  • Billing staff
  • Primary care practices
  • Cardiology practices
  • Compliance staff
  • Revenue cycle professionals

Codes Discussed

Code Ranges Discussed

  • HCPCS LEVEL II: G0248-G0250
  • HCPCS LEVEL II: J7611-J7614
  • CATEGORY II: 3470F-3472F
  • CATEGORY II: 4192F-4196F
  • CATEGORY II: G8489-G8494

Modifiers Discussed


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