The Centers for Medicare and Medicaid Services (CMS) publishes a list of services and the corresponding billing codes that are payable under the Medicare Physician Fee Schedule when furnished via telehealth. Many payers use that list to determine whether to authorize telehealth delivery of services. Although CMS approved the 8 Category I CPT codes for adaptive behavior/ABA […]
Effective January 21, the outgoing Secretary of the U.S. Department of Health and Human Services (HHS) extended the national public health emergency (PHE) through April 21, 2021. That means that all telehealth and other waivers and flexibilities that have been implemented during the PHE will remain in effect until at least that date. The ABA Coding […]
The ABA Coding Coalition successfully advocated with the National Correct Coding Initiative for several INCREASES to Medicare MUEs, which take effect on January 1, 2021! The increases are for the following codes: CPT/HCPCS MUE (units of service) 97152 16 97154 18 0362T 16 The Coalition continues to advocate for increases to Medicare MUEs for 97151; however, we […]
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