Oct. 1, 2016
Hopefully everyone is aware of the HCPCS reporting changes set to kick in next week. The best place to review those changes is here: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1611.pdf
We also wanted to clarify a few things regarding these changes.
- The CG modifier should be used even when the only service listed on the UB-04 claim is a preventive service.
- HCPCS codes G0436 and G0437 will be discontinued effective for dates of service after 10/1/2016. The proper codes for tobacco cessation counseling are 99406 and 99407.
- For purposes of RHC billing, modifiers 25 and 59 are interchangeable. We have confirmed this with CMS.
National Association of Rural Health Clinics
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