Transmittals: CMS Halts Bilateral Payment For Certain Procedures

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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 reviews Medicare coding and payment updates announced in a CMS transmittal, including changes to procedure payment indicators and the addition of new CPT Category III codes. It is relevant to coders, billers, and reimbursement staff who track Medicare fee schedule changes and transmittal-based updates. The discussion covers broad payment indicator changes, new code availability, and general status information tied to the update.

Why This Topic Matters

Medicare transmittals can change how procedures are paid and which new codes are recognized, so coding and billing teams need timely awareness to avoid claim errors and missed reimbursement opportunities.

What You Will Learn

  • What types of Medicare payment indicator changes were announced
  • Which broad categories of new codes were added to the fee schedule
  • How CMS transmittals can affect coding and reimbursement workflows
  • What general status information accompanied the newly introduced codes

Who Should Read This

  • Medical coders
  • Medical billers
  • Revenue cycle staff
  • Coding auditors
  • Practice managers

Codes Discussed

  • CPT: 58353
  • CPT: 58356
  • CPT: 51797
  • CPT: +15847
  • CPT: 0190T
  • CPT: 0191T
  • CPT: 0192T
  • CPT: 0188T
  • CPT: 0189T

Code Ranges Discussed

  • CPT: 0191T-0192T

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