Keep track of time to seize payment for new add-on codes to preventive services

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers a 2018 Medicare payment update that introduced new prolonged service add-on codes for certain preventive encounters. It focuses on how CMS tied those add-on services to assigned time values across covered preventive services, why the change matters for payment accuracy, and which types of preventive visits and screenings are affected. The piece is aimed at coders, billers, and practices that report Medicare preventive services and need to understand the scope of the new guidance.

Why This Topic Matters

The article is relevant because it affects how practices track time, report prolonged preventive service add-ons, and recognize which preventive encounters may qualify under the updated Medicare framework.

Article Sections

  1. Introduction to the new preventive service add-on codes

    Introduces the 2018 Medicare update and the general purpose of the new prolonged service add-on reporting pathway for preventive encounters.

  2. CMS final rule context and payment intent

    Summarizes CMS’ rationale for creating the new reporting opportunity and the broader payment context described in the final rule.

  3. Time tracking and valuation for preventive encounters

    Describes how CMS assigned time values to covered preventive services and why careful time tracking is relevant for these encounters.

  4. Applying the add-on codes to preventive services

    Discusses the relationship between the preventive service time values and the new add-on reporting framework, including the general timing concept used in the article.

  5. CMS valuation table for 18 preventive services

    Presents the list of Medicare-covered preventive services referenced in the article and their associated typical time values.

  6. Split the codes among services

    Addresses reporting of extra time when multiple preventive services occur during the same encounter and summarizes CMS’ clarification on cumulative time.

What You Will Learn

  • How CMS updated reporting options for prolonged time associated with preventive services
  • Which general categories of preventive encounters are included in the 2018 update
  • How CMS’ time valuation framework affects preventive service reporting
  • How multiple preventive services in one encounter are addressed at a high level
  • Which Medicare-covered preventive service types are referenced in the article

Who Should Read This

  • Medical coders
  • Medical billers
  • Revenue cycle staff
  • Primary care practices
  • CMS/Medicare-focused compliance staff

Codes Discussed

Code Ranges Discussed


Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?