decisionhealth Newsletters, Coder Pink Sheets - 2019 Issue 9 (September)
Proposed physician fee schedule: CMS accepts new digital visit codes, restricts dry needling
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Article Overview
This article gives a high-level preview of upcoming Medicare and CPT developments tied to the physician fee schedule. It focuses on new digital evaluation and management services, related nonphysician online assessment reporting, and CMS’s proposed approach to dry needling, with notes on how coverage and reporting may differ across payer policies. It is aimed at coders, billers, compliance staff, and clinical practices that need to track year-ahead code and coverage updates.
Why This Topic Matters
These changes affect how certain remote services and therapy-related procedures are reported and covered under Medicare and may also influence private payer policy. Understanding the scope of the update helps practices prepare for new code availability, coverage expectations, and reporting requirements.
What You Will Learn
- Which broad service categories are being added or updated for the upcoming year
- How CMS coverage discussion intersects with new digital visit-related services
- What types of reporting considerations are associated with nonphysician online assessment services
- Why dry needling is being treated as a separate policy topic for therapy-related services
- Why private payer review remains relevant for these new services
Who Should Read This
- Medical coders
- Billers
- Compliance staff
- Physician practices
- Therapy practices
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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