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Medicare decides it will accept place of service 27 (Outreach site/street) “to align with broader CMS efforts to address economic, social, and other obstacles impacting Medicare beneficiary healthcare access.”
Practices that treat transgender, intersex, and gender-expansive patients take note: Coders should append modifier KX to a claim when a gender-specific procedure or gender-specific diagnosis code doesn’t match the patient’s reported sex
Practices that regularly perform facet joint blocks and denervations are bracing for more scrutiny of their claims and challenges to getting paid.
Just days before it was to take effect, Cigna announced it would “delay implementation” of a strict new policy for E/M services billed with modifier 25 (Significant, separately identifiable E/M service by the same physician on the same date as a procedure).
It’s not an early April Fool’s joke: CMS won’t issue National Correct Coding Initiative (NCCI) edits in April.


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