Medical policy

This MLN provides the quarterly update of ICD-10 revisions for clinical laboratory services effective October 2026.

IDTFs are required to report the exact CPT/HCPCS codes and procedures they intend to perform when enrolling with the CMS-855B form.

Review this article for information on billing psychotherapy services, psychotherapy with evaluation and management, and prolonged services.

First Coast identified several errors when providers bill for infectious disease panels. Read this article to learn more about billing these services correctly.

CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the conditions for which an item or service is covered (or not covered)…

CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the conditions for which an item or service is covered (or not covered)…

The Office of Inspector General (OIG) conducted a nationwide audit identifying Medicare Part B payments to physicians for anesthesia administered during selected spinal pain management (SPM)…

CMS clarified billing requirements for the screening for hepatitis C virus in adults. 

CMS clarified billing requirements for the screening for hepatitis C virus in adults. 

Medicare provides limited benefits for outpatient drugs. Drugs and/or biologicals purchased by the patient and taken to their physician's office for administration are not covered.