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Medicare will soon begin reimbursing physicians for inserting leadless pacemakers, provided the patient is enrolled in a CMS-approved clinical trial.

Providers who were waiting for CMS to release detailed guidance on new moderate sedation codes 99151-99157 may have been disappointed by Change Request 10001: Payment for moderate sedation services.
Here’s one change to look out for on Dec. 1, when the proposed changes to the ASC X12 claim form is released: The new format could require providers to include the device identifier (DI) segment of the unique device identifier for implanted devices such as pacemakers or defibrillators.

It’s only one Medicare administrative contractor (MAC) at the moment, but expect others to join this prohibition against handwritten entries on claims.

CMS finalized its decision not to have a national policy for Medicare coverage of gender reassignment surgery; instead, individual Medicare administrative contractors (MACs) will decide whether to cover the procedure.

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