OCPS Briefs

Why This Topic Matters

It highlights near-term Medicare billing and coverage developments that can affect claim processing, device coding workflows, and awareness of potential coverage policy activity.

Article Sections

1. Look for more codes, lower fees for power wheelchairs

   CMS payment update for power mobility devices, including a finalized fee schedule, new coding structure, and revised reimbursement timing. The section also notes that the update replaces older billing codes and affects multiple device-related code elements.

2. CMS panel to consider spinal fusion effectiveness for low back pain

   Preview of a Medicare coverage review involving spinal fusion for low back pain related to lumbar degenerative disc disease. The section describes the committee’s evidence review role and possible implications for future coverage consideration.