Part B News Features
Question: For the purposes of E/M coding, does intravenous (IV) contrast for diagnostic imaging fit the definition of “Drug therapy requiring intensive monitoring for toxicity” under the... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Practices that bill botulinum toxin injections in 38 states should make sure they’re following the new uniform policy. Medicare administrative contractors (MAC) CGS Administrators, Palmetto GBA,... More
Question: For the purposes of E/M coding, does intravenous (IV) contrast for diagnostic imaging fit the definition of “Drug therapy requiring intensive monitoring for toxicity” under the... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
Practices that bill botulinum toxin injections in 38 states should make sure they’re following the new uniform policy. Medicare administrative contractors (MAC) CGS Administrators, Palmetto GBA,... More
Tools
Find the latest list of designated health services (DHS) that are subject to the Stark physician self-referral rule’s restriction on referrals. The new list went into effect Jan. 1, 2026.
Get a head start on revisions to codes in the E/M, cardiovascular, radiology and medicine chapters of the 2026 CPT Manual. The following chart contains the current and revised long descriptors for codes that CMS released in the proposed 2026 Medicare physician fee schedule and intends to assign an active (A) payment status
Benchmark of the Week
Practices that bill botulinum toxin injections in 38 states should make sure they’re following the new uniform policy. Medicare administrative contractors (MAC) CGS Administrators, Palmetto GBA, National Government Services, Noridian and WPS implemented the local coverage determination (LCD), effective Feb. 22. It applies to the treatment of 19 conditions, including chemodenervation for blepharospasm, urinary incontinence and chronic migraine.
A utilization jump for several primary psychological, neuropsychological and neurobehavioral testing codes that began in 2019 continued in 2024, the latest year of available Medicare numbers. Even the runt of the litter — a seldom-claimed test code plagued by high denial rates (96146) — saw a usage boost.
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