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You can say goodbye to the elevated payment rates that have buoyed Part B professional fees for most of 2024. Should CMS' proposals in the latest physician fee schedule hold, providers and medical groups will see a nearly 3% reduction to the Medicare Part B conversion factor in 2025.
 
The agency also announced plans to launch a slate of advanced care management services, set a deadline for big changes in the Merit-based Incentive Payment System, teased 2025-effective codes, floated a revamp of surgical modifier rules, and signaled the end of many entrenched telehealth flexibilities, among other policy changes and revisions, according to the proposed 2025 Medicare physician fee schedule, and its 2,248 pages of Medicare policy, released today.
 
 
Effective Oct. 1, coders will now have a way to capture a post-acute encounter for sepsis aftercare with the new code Z51.A (Encounter for sepsis aftercare).
 
This code, which was one of the 252 codes proposed earlier this year, was finalized as part of the FY2025 ICD-10 final code update — released July 3 by CMS along with the guidelines.
 
The proposed ICD-10 code changes — released with the FY2025 Hospital Inpatient PPS (IPPS) proposed rule on April 10 –  include three new codes to better track the severity of patients with hypoglycemia.
 
The proposed rule includes 252 new codes, 13 revised code descriptors and 36 codes deemed invalid. If finalized, these changes would take effect Oct. 1.
 
The CDC posted updated FY2024 ICD-10-CM guidelines on Monday, Jan. 22, which included a sequencing update for sepsis due to postprocedural infection.
 
 
Take a glimpse at the hundreds of CPT coding updates coming in 2024 to prepare your coding and billing staff for a successful turn of the calendar. You’ll find new codes, as well as code revisions, spread throughout the CPT manual, in addition to important guideline updates.
 
Also, nearly 50 codes are on the chopping block. All coding updates, outside of a separately announced COVID vaccine consolidation that takes effect Nov. 1, 2023, will be effective Jan. 1, 2024.
 

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