Mammography, a vital screening tool in the early detection of breast cancer, is typically billed using CPT codes and HCPCS Level II (G codes). However, the correct use of G codes for mammograms—particularly for Medicare beneficiaries—is often a source of confusion for healthcare providers and billing teams. In this comprehensive guide, we’ll explore: The difference […]
Staying abreast of HCPCS Level II code updates is crucial for healthcare providers seeking accurate reimbursement. These codes, particularly HCPCS Level II G codes for Procedures & Professional Services, play a pivotal role in billing for services not covered by CPT® codes. Let’s delve into some key G codes and their implications for your practice. […]
The Centers for Medicare & Medicaid Services (CMS) initiated the educational and operations testing phase of the Appropriate Use Criteria (AUC) program. During this period, Medicare Administrative Contractors (MACs) began accepting AUC-related modifiers and HCPCS G-Codes on claims for advanced diagnostic imaging services provided to Medicare Part B patients. Understanding AUC Program Requirements Under the […]
The Centers for Medicare & Medicaid Services (CMS) has implemented its proposal to introduce codes for the collection of Social Determinants of Health (SDOH). The latest update for the Healthcare Common Procedure Coding System (HCPCS) Level II, applicable from January 2024, is now accessible on the CMS website. This update comprises significant alterations, including the […]