Home | 6/23/2022 Issue | Article

Provider response is mixed when category III codes become permanent

Effective Jun 23, 2022
Published Jun 27, 2022
Last Reviewed Jun 23, 2022
When the AMA replaced 10 temporary category III codes with 14 permanent category I codes in 2019, providers generally — but not always — boosted their reporting of the replacement codes. The category III codes, also known as T codes, were carrier-priced, which means that each Medicare administrative contractor (MAC) decides whether it will cover the service and how much it will pay on a case-by-case basis. Permanent codes are usually assigned an active payment status.

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