E/M Coding Alert - 2015 Issue 20
Code Additions: CMS Announces Debut of 5 New Codes
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Article Overview
This article covers a CMS quarterly update announced through MLN Matters that introduces several new CPT and HCPCS codes and notes when they take effect. It also explains the broad payment-status and coverage-status categories associated with the new codes and why practices may need to check with their MAC before billing. The piece is intended for coders, billers, and revenue cycle staff who need to stay current on CMS code updates and Medicare coverage administration.
Why This Topic Matters
Newly added codes can affect claim submission, coverage verification, and payment timing. The article helps readers identify that a CMS update has occurred and highlights the need to confirm local coverage and beneficiary notice requirements before reporting affected services.
Article Sections
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CMS quarterly update and new code additions
Introduces the CMS MLN Matters update and lists the newly added procedure and vaccine-related codes along with their effective dates.
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Payment status and coverage considerations
Summarizes the general Medicare payment-status and coverage-status categories discussed for the newly released codes and notes the need to confirm local handling with the MAC.
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Related prior HCPCS additions and source reference
Mentions additional related HCPCS codes referenced elsewhere and provides the source location for the quarterly update document.
What You Will Learn
- Which Medicare update source announced the new codes
- What categories of codes were added in the quarterly update
- How the article frames payment status and coverage status at a high level
- Why local MAC verification is discussed for newly released codes
- Where to find the referenced CMS source document
Who Should Read This
- Medical coders
- Billers
- Revenue cycle staff
- Compliance staff
- Practice administrators
Codes Discussed
Code Ranges Discussed
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