tci Medicare Compliance & Reimbursement - 2023 Issue Q1

Part B Coding Coach: Know the Facts on the New Chronic Pain Management Code

And find out the reimbursement amounts for the new code and add-on code. Chronic pain management (CPM) has been a hot topic for Medicare Part B providers for years — and now you’ve got two new codes for these services. Read on to discover what the CPM codes include and to learn the not-so-obvious coverage requirements revealed in the calendar year (CY) 2023 Medicare Physician Fee Schedule (MPFS) final rule. Take Your Time Reading the Descriptors The descriptors for the new CPM codes are long, and you must read them carefully to understand the requirements. The italicized wording...

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