Medical Billing

77427 Radiation tx management X5 Temporary Addition for the PHE for the COVID-19 Pandemic 90785 Psytx complex interactive 90791 Psych diagnostic evaluation 90792 Psych diag eval w/med srvcs 90832 Psytx pt&/family 30 minutes 90833 Psytx pt&/fam w/e&m 30 min 90834 Psytx pt&/family 45 minutes 90836 Psytx pt&/fam w/e&m 45 min 90837 Psytx pt&/family 60 minutes 90838 Psytx pt&/fam w/e&m 60 min 90839 Psytx crisis initial 60 min 90840 Psytx crisis ea addl 30 min 90845 Psychoanalysis 90846 Family psytx w/o patient 90847 Family psytx w/patient 90853 Group psychotherapy Temporary Addition for the PHE for the COVID-19 Pandemic 90951 Esrd serv 4 visits p mo <2yr 90952 Esrd serv 2-3 vsts p mo <2yr 90953 Esrd serv 1 visit p mo <2yr Temporary Addition for the PHE for the COVID-19 Pandemic 90954 Esrd serv 4 vsts p mo 2-11 90955 Esrd srv 2-3 vsts p mo 2-11 90957 Esrd srv 4 vsts p mo 12-19 90958 Esrd srv 2-3 vsts p mo 12-19 90959 Esrd serv 1 vst p mo 12-19 Tem

Medicare Payment Doubles for High-Production Coronavirus Lab Tests CMS is boosting Medicare payment to $100 for coronavirus lab tests that can process more than 200 specimens a day effective April 14 through the duration of the national emergency .

Medicare FFS Claims: 2% Payment Adjustment Suspended (Sequestration) Section 3709 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act temporarily suspends the 2% payment adjustment currently applied to all Medicare Fee-For-Service (FFS) claims due to sequestration. The suspension is effective for claims with dates of service from May 1 2020 through December 31, 2020.

CMS now waives cost-sharing (coinsurance and deductible amounts) under Medicare Part B for Medicare patients for certain COVID-19 testing-related services.  Previously, CMS made available the CS modifier for the gulf oil spill in 2010; however, CMS recently repurposed the CS modifier for COVID-19 purposes. Now, for services furnished on March 18, 2020, and through the end of the Public Health Emergency, outpatient providers, physicians, and other providers and suppliers that bill Medicare for Part B services under specific payment systems outlined in the April 7 message should use the CS modifier on applicable claim lines to identify the service as subject to the cost-sharing wavier for COVID-19 testing-related services and to get 100% of the Medicare-approved amount.  Additionally, they should NOT charge Medicare patients any co-insurance and/or deductible amounts for those services.