Reimbursement: Less Payment For Moh's Micrographic Surgery Next Year

Subscribe or sign in to view the full article.

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

Article Overview

This article explains several Medicare payment updates in the upcoming physician fee schedule final rule. It covers changes affecting Moh's micrographic surgery, IVIG-related services, radiology payment caps, cardiac rehabilitation coding, home- and domiciliary-visit valuation, and echocardiography bundling decisions. It is relevant to coders, billers, and physician practices that need to understand how the rule affects reimbursement and code status across multiple specialties.

Why This Topic Matters

The article helps coding and reimbursement professionals identify which service lines are affected by new Medicare payment policies and valuation changes. It also highlights areas where code treatment, bundling, or reporting requirements are being revised, which can affect claim submission and reimbursement planning.

Article Sections

  1. Moh's micrographic surgery payment changes

    Discusses Medicare payment updates related to Moh's micrographic surgery and the fee schedule final rule. The section focuses on the service family and the timing of the change.

  2. IVIG payment continuation

    Summarizes continued Medicare payment for services tied to intravenous immune globulin administration. It notes the temporary nature of the related coding provision.

  3. Radiology payment cap updates

    Covers Medicare changes affecting the outpatient payment cap for selected radiology and ophthalmic imaging services. It also notes exclusions and bundled-service limitations.

  4. New cardiac rehabilitation G codes

    Describes replacement coding for cardiac rehabilitation services and the move to new Medicare-specific codes. The section also addresses service-unit reporting at a high level.

  5. Domiciliary, rest home, and home visit RVUs

    Reviews work RVU changes for selected evaluation and management visit families. It explains that Medicare adjusted the final values from the original proposal.

  6. Echocardiography bundling and valuation

    Summarizes Medicare's final treatment of a specific echocardiography-related code and related bundling decisions. It compares the proposal with the final rule outcome.

What You Will Learn

  • Which service categories are affected by the upcoming Medicare physician fee schedule final rule
  • How the article frames payment and valuation changes across multiple specialties
  • What broad types of coding revisions are discussed for radiology, cardiac rehab, home visits, and echocardiography
  • How Medicare's final rule addresses code status, bundling, and relative value updates at a high level

Who Should Read This

  • Medical coders
  • Medical billers
  • Physician practice managers
  • Reimbursement specialists
  • Dermatology practices
  • Radiology practices
  • Cardiology practices

Codes Discussed

  • CPT: 17311
  • CPT: 17312
  • CPT: 17313
  • CPT: 17314
  • CPT: 17315
  • HCPCS Level II: G0332
  • CPT: 92135
  • CPT: 92235
  • CPT: 92240
  • CPT: 92250
  • CPT: 92285
  • CPT: 92286
  • CPT: 93797
  • CPT: 93798
  • CPT: 99325
  • CPT: 93320
  • CPT: 93307

Code Ranges Discussed

  • CPT: 17311-17315
  • CPT: 99326-99337
  • CPT: 99343-99350
  • CPT: 93797-93798
  • CPT: 17314-17315

Modifiers Discussed

  • CPT: 51

Subscribe or sign in to view the full article.

Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?