Proposed fee schedule: glaucoma screenings, other new billable services

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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 proposed Medicare payment and coverage updates affecting preventive and diagnostic services, nutrition counseling, telemedicine, and Indian Health Service billing. It is intended for coders, billing staff, compliance teams, and clinicians who need a broad view of CMS’s proposed 2002 fee schedule changes and the associated coverage categories discussed in the rulemaking.

Why This Topic Matters

The article matters because it highlights Medicare changes that affect what may be billed, who may furnish certain services, and how CMS is aligning new benefits with existing fee schedule and coverage policy. Readers can use it to understand which service categories are being expanded or clarified and where further regulatory detail is being sought.

Article Sections

  1. Glaucoma screening coverage and proposed billing structure

    Discusses the new Medicare coverage category for glaucoma screening, the types of patients CMS is considering for eligibility, and the proposed physician fee schedule framework for payment and supervision.

  2. New payment for Medical Nutrition Therapy

    Summarizes CMS’s proposed details for the new nutrition therapy benefit, including who may furnish the service, referral expectations, and the general payment framework.

  3. Other highlights of the proposed fee schedule

    Covers additional Medicare policy updates discussed in the proposed rule, including screening exams, colonoscopy coverage, telemedicine payment, and Indian Health Service facility billing.

What You Will Learn

  • Which Medicare service categories are receiving proposed coverage or payment clarification.
  • How CMS is describing the structure of billing for newly addressed preventive and outpatient services.
  • Which general practitioner, patient, and site-of-service issues the proposed rule addresses.
  • What additional fee schedule topics are included beyond the main glaucoma screening discussion.

Who Should Read This

  • Medical coders
  • Billing specialists
  • Compliance professionals
  • Physician practices
  • Optometry and ophthalmology practices
  • Registered dietitians and nutrition professionals
  • Revenue cycle teams

Codes Discussed

Code Ranges Discussed

  • CPT: 99241–99275
  • CPT: 99201–99215
  • CPT: 90804 THROUGH 90809

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