BILLING NEWS

Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS)-Lab codes added

Change Request (CR) 10193 provides the October 1, 2017, update to the lists of items and services that are subject to Part B Consolidated Billing (CB) and are therefore no longer separately payable when provided to ESRD beneficiaries by providers other than ESRD facilities. The ESRD PPS includes CB requirements for limited Part B services included in the ESRD facility’s bundled payment. CMS periodically updates the lists of items and services that are subject to Part B CB and are therefore no longer separately payable when provided to ESRD beneficiaries by providers other than ESRD facilities. For October, the CB requirements for laboratory services included in the ESRD PPS are updated by adding the following HCPCS and CPT codes to the list: G0499 Hepatitis B screening in non-pregnant, high risk individual and CPT code 87341 Infectious agent antigen detection by immunoassay technique.


INDUSTRY NEWS TAGS: CMS


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