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Two physician groups asked CMS to exclude independent clinicians from the indirect practice expense reduction that went into effect Jan. 1. Their proposed solution includes the creation of a new modifier.
 
 
The percentage of Medicare Part B patients who received a telehealth service declined to 23% in 2025 after holding steady at 25% for two years. Government turmoil and uncertainty might be responsible for the dip.
 
Take note of the differences between the proposed and final versions of the ICD-10-CM code set. The ICD-10-CM Coordination & Maintenance Committee added six new codes that describe a personal history of gender transition (Z87.8901-Z87.8909 and Z87.893) that were not featured in the April release of the proposed codes. In addition, the committee changed course on its proposal to delete C75.9 (Malignant neoplasm of endocrine gland, unspecified).
 
Don't forget about a key change to a Medicare-covered HCPCS code that providers reported hundreds of thousands of times in its debut year. As of Jan. 1, code G0136 now covers physical activity and nutrition assessments, not social determinants of health (SDOH).
 
 
Remind your team that the provider/patient relationship is the focus of G2211 and sit tight for updates that will allow the add-on code with unbundled home or residence E/Ms visits.
 

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