ED Coding & Reimbursement Alert - 2008 Issue 22
GOVERNMENT REGS: Medicare Halts Bilateral Payment for Certain Procedures as of July 1
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Article Overview
This Medicare-focused article explains a set of payment and coding updates taking effect July 1. It is aimed at coders, billers, and reimbursement staff who need to track CMS transmittals, fee schedule changes, and newly recognized CPT Category III codes. The article covers changes to Medicare payment indicators and the addition of new codes for select services, along with a brief note on how CMS classifies the new entries.
Why This Topic Matters
These updates can affect reimbursement, claims processing, and code tracking for Medicare-reported services. Readers need to know which payment indicators changed and which new codes CMS added so they can monitor policy impacts and fee schedule recognition.
Article Sections
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Payment indicator changes effective July 1
This section summarizes Medicare changes to payment indicators for selected procedures and describes the timing of the update. It focuses on reimbursement policy changes announced through CMS guidance.
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CMS introduces new codes
This section discusses new CPT Category III codes that Medicare begins recognizing in July. It also notes the status CMS assigns to the new entries and points readers to the related transmittal.
What You Will Learn
- Which general Medicare payment policies are changing in July
- What kinds of new CPT Category III codes CMS is recognizing
- How CMS transmittals relate to fee schedule updates
- Which types of services are affected by the announced policy changes
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle teams
- Compliance staff
- Practice managers
Codes Discussed
Code Ranges Discussed
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