Billing Beat

Medicare Preventive Services — Revised: 2-15-2024 Update MLN Matters

March 6, 2024

Annual wellness visit:

  • Colorectal cancer screening: Use the KX modifier when billing screening colonoscopies as a follow up to a non-invasive test
  • Diabetes screening:
    • Patients can get 2 screenings within a 12-month period
    • Starting in January 2024, Medicare will cover an A1c blood test for patients getting a diabetes screening
  • Flu shot: Added information about additional payment for in-home flu shot administration
  • Sexually transmitted infection (STI) screening and high intensity behavioral counseling to prevent STIs:
    • Added CPT code 0402U effective October 1, 2023
    • Updated the ICD-10 codes section
Medicare

Sign up for Billing Beat