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Medicare Reimbursement Policy Updates for September 18, 2023

Reimbursement Policy

Revision

Diagnosis Validity MA (PDF)

Added “CMS instruction” to correct diagnostic coding in Reimbursement Guidelines. 

Drug and Biologicals MA (PDF)

 

Modifier JZ added to Billing and Coding. Instruction for drugs with multiple administration routes added to Reimbursement Guidelines.

Global Surgery MA (PDF)

Non-physician practitioners reimbursement of a Major Procedure (90 day) language added to Reimbursement Guidelines. 

Modifier Guidelines MA (PDF)

Added Erythropoiesis stimulating agent (ESA), GY, GZ, PI, and Q0 Modifiers.  Added language regarding deceased modifiers and set up of portable x-ray equipment. 

Status Codes MA (PDF)

Added Status Code “I” to Reimbursement Guidelines.