decisionhealth Newsletters, Part B News - 2025 Issue 10 (October)
Wrap in recent updates to CMS’ preventive services tool
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Article Overview
This article summarizes recent updates to CMS’ Medicare preventive services educational tool. It is aimed at coding and billing professionals who track preventive service guidance, HCPCS reporting changes, and related office and outpatient E/M context. The update touches on behavioral health, hepatitis C screening, and general preventive service billing guidance.
Why This Topic Matters
The article helps readers stay current with CMS preventive services education so they can recognize when new HCPCS references or surrounding billing guidance have been added to common preventive service resources. This is relevant for organizations that regularly code Medicare preventive services in office, outpatient, behavioral health, or screening settings.
Article Sections
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CMS preventive services tool updates
Overview of recent additions to CMS’ Medicare preventive services educational resource and the areas affected by the update.
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Behavioral health screening pages
Discussion of new guidance appearing on alcohol misuse screening and counseling and depression screening pages, including added references related to crisis-focused follow-up and safety planning.
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Hepatitis C screening
A note on the addition of a hepatitis C screening-related HCPCS code to the preventive services tool.
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General guidance on add-on office/outpatient E/M coding
Summary of broader guidance added for office and outpatient evaluation and management services in connection with preventive care visits and modifier use in the same-day setting.
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Resource
Reference to the CMS preventive services educational resource cited in the article.
What You Will Learn
- Which preventive services pages were updated by CMS
- What kinds of HCPCS references were added to the preventive services tool
- How the article frames recent guidance updates for behavioral health, hepatitis C screening, and office/outpatient E/M context
- Where to find the CMS preventive services educational resource mentioned in the article
Who Should Read This
- Medical coders
- Billing specialists
- Compliance staff
- Revenue cycle professionals
- Clinical documentation staff
- Practice managers
Codes Discussed
Modifiers Discussed
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