Part B News Features
Question: Recently HHS made some frightening accusations about Tylenol and pregnant women, and the Texas Attorney General has brought suit against the makers of Tylenol for “deceptively marketin... 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
Utilization of the operation-related modifiers 24 (Unrelated evaluation and management service by the same physician during a postoperative period) and 57 (Decision for surgery) has held relatively st... More
Question: Recently HHS made some frightening accusations about Tylenol and pregnant women, and the Texas Attorney General has brought suit against the makers of Tylenol for “deceptively marketin... 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
Utilization of the operation-related modifiers 24 (Unrelated evaluation and management service by the same physician during a postoperative period) and 57 (Decision for surgery) has held relatively st... More
Tools
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
You'll find a preview of more than 90 CPT codes that CMS plans to cover in 2026 inside the proposed 2026 Medicare physician fee schedule. While the codes themselves take a placeholder five-digit sequence, the full descriptors and work relative value units (RVU) are available, providing insight on the services soon to be and the monetary value placed on them.
Benchmark of the Week
Utilization of the operation-related modifiers 24 (Unrelated evaluation and management service by the same physician during a postoperative period) and 57 (Decision for surgery) has held relatively stable in recent years, and 2024 was no exception.
Prior authorization requests for eight types of services performed in the hospital outpatient setting took a great leap forward in fiscal year (FY) 2024. But there’s good news: While requests nearly doubled from FY2023 to FY2024, denials did not keep pace.
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