NPPs may be able to bill for some CPO codes

Why This Topic Matters

The proposed changes affect how multiple specialties may report services and how Medicare may process, price, and monitor claims. Readers who bill under Medicare can use the article to identify which service categories and code families may be impacted.

Article Sections

1. Care plan oversight and non-physician practitioner billing

   Introduces proposed clarification affecting billing participation by non-physician practitioners in a Medicare care management context.

2. Telehealth services

   Summarizes proposed additions to Medicare telehealth service coverage for ESRD-related visits.

3. Bone marrow aspiration and bone marrow biopsy

   Describes a proposed new reporting approach for same-day bone marrow procedures and related claim treatment.

4. Venous mapping

   Covers a proposed new G code for venous mapping associated with hemodialysis access placement and related billing considerations.

5. Radiation treatment management

   Notes a proposed change to the global period for a radiation treatment management service code.

6. Payment for hospice consultation services

   Explains a proposed G code for hospice evaluation and counseling services and the related Medicare payment approach.

7. Home dialysis descriptor changes

   Summarizes proposed descriptor revisions for a group of home dialysis-related G codes to address partial-month circumstances.

8. Respiratory therapy

   Addresses a proposed pricing status change for respiratory therapy codes.

9. Code Q0092 for set-up for portable X-ray equipment

   Discusses CMS questions about pricing methodology for portable X-ray equipment setup.