Part B Payment: CMS Proposes Eliminating Mammogram G Codes

Why This Topic Matters

The proposed changes could affect how common services are reported and paid under Medicare, including which codes remain in use and how certain related services are valued or billed. Readers following Medicare payment policy can use the article to understand the general scope of the proposed updates and the areas CMS identified for comment.

Article Sections

1. Mammography

   Discusses proposed Medicare payment changes affecting mammography coding and valuation under the 2015 fee schedule proposal.

2. Behavioral therapy

   Covers proposed additions related to intensive behavioral therapy for obesity and related coding updates.

3. Prostate biopsies

   Summarizes proposed consolidation and valuation review for prostate biopsy coding.

4. Epidurals

   Describes proposed payment and billing changes involving epidural services and related valuation review.

5. Colonoscopies

   Addresses a proposed change related to colorectal cancer screening services and separately provided anesthesia at screening colonoscopy.

6. Moderate sedation

   Explains CMS’s request for comment on valuation of services where moderate sedation may no longer be considered inherent.