Home INR monitoring, stress echo and PQRI codes see Q2 changes

Why This Topic Matters

The changes discussed can affect claim submission, procedure status reporting, and how cardiology-related services are billed under Medicare. Practices need to review the update to understand which code sets and status assignments were changed and how the affected services are addressed in the fee schedule.

Article Sections

1. Home INR monitoring code updates

   Discusses Medicare fee schedule changes affecting home INR monitoring and the related billing framework. The section focuses on the broader update and its effective timing.

2. PC/TC split for 93351 counter to CPT guidance?

   Covers a cardiology billing issue involving stress echocardiography and the relationship between Medicare billing practice and CPT guidance. It also references component billing in different service settings.

3. Albuterol and PQRI codes receive altered status

   Summarizes procedure status changes affecting certain HCPCS and quality-reporting codes. The section addresses the broader category of reporting and coverage status updates.