Reimbursement: Less Payment For Moh's Micrographic Surgery Next Year
Fee schedule final rule continues IVIG payments, boosts home visits
Warning: Start watching out for payment reductions when your doctor performs more than one Moh's micrographic surgery in the same session.
CPT codes 17311-17315 will be subject to modifier 51 starting in January. That means Medicare will reduce payments for the second and subsequent procedures by 50 percent in the same session.
The Relative Value Update Committee (RUC) has valued 17311-17315 with the understanding that they'll be subject to the multiple procedures reduction, the Centers for Medicare & Medicaid Services (CMS) notes in the physician fee schedule final rule...
To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.
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
Access to this feature is available in the following products: