Policy: Register These 4 Fee Schedule High Points

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

Article Overview

This article summarizes key parts of the CMS calendar year 2024 Medicare Physician Fee Schedule final rule that may affect Part B providers. It focuses on broad policy and payment changes in telehealth, split/shared visit definitions, behavioral health coverage and services, and equity-oriented care initiatives. The piece is aimed at readers who need a high-level sense of what changed and why it may matter for Medicare billing and reimbursement planning.

Why This Topic Matters

The updates described in the article reflect important CMS policy shifts that can affect how Medicare services are delivered, documented, and paid. It is useful for providers, coders, compliance staff, and revenue cycle teams tracking telehealth, behavioral health, and other Medicare Part B changes.

Article Sections

  1. Telehealth services

    Discusses Medicare telehealth policy updates for CY 2024, including temporary and permanent additions, location-related payment policy, and time-limited extensions tied to federal legislation.

  2. Split/shared definition update

    Summarizes the revised split/shared visit definition for CY 2024 and its alignment with national guidance on how the substantive portion is determined.

  3. Behavioral health options

    Reviews CMS behavioral health policy changes for CY 2024, including implementation of provisions affecting mental health professionals and new psychotherapy-related coding developments.

  4. Equity-inspired changes

    Covers CMS updates related to equity-focused care services, including payment and coding changes affecting several community- and caregiver-oriented service areas.

What You Will Learn

  • Which broad Medicare fee schedule policy areas are highlighted in the CY 2024 final rule
  • How telehealth policy changes are being extended or modified for Medicare
  • What kinds of split/shared visit guidance were updated for 2024
  • Which behavioral health and equity-oriented service areas are affected by CMS policy updates

Who Should Read This

  • Medical coders
  • Billing staff
  • Revenue cycle professionals
  • Compliance teams
  • Medicare participating providers
  • Behavioral health practices

Codes Discussed

  • CPT: 0591T
  • CPT: 0592T
  • CPT: 0593T
  • HCPCS Level II: G0136
  • POS: 10

Code Ranges Discussed

  • CPT: 0591T-0593T

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