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After a brief shutdown and a Rand Paul minifilibuster, Congress passed a “Bipartisan Budget Bill” and, as the issue of Part B News released just before the vote predicted, it addressed two big Part B payment issues that we’ve been covering: the expiration of the Work GPCI floor and the expiration of the therapy cap exception.
The slight increase in the conversion factor means little or no change in reimbursement for most of your E/M codes and other high volume services – with two exceptions.
The final rule for year two of the Quality Payment Program (QPP) makes a few departures from the proposed rule -- the most surprising of which is the early return of the cost category for the merit-based incentive payment system (MIPS).
You’ll find a total of 314 code changes throughout your 2018 CPT manual, including updates that range from revised observation visits in the E/M chapter to new photodynamic therapy services in the Medicine chapter and two new modifiers.
Starting Oct. 1, you’ll be able to select a specific ICD-10-CM code when a patient is in remission from abuse of each of a variety of substances, including alcohol, opioids, cannabis and nicotine.

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