Modifier 57 fact sheet
To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit...
Articles
Article Type
Category
Reporting place of service (POS) codes
The place of service (POS) is required on all health insurance claims submitted to Medicare Part B contractors.
ZIP codes requiring a nine-digit ZIP code (ZIP +4)
To access a file containing the quarterly additions and deletions to the list of ZIP codes requiring a plus four extension...
2022 payment rates for opioid treatment program (OTP)
This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2022...
2022 payment rates for home infusion therapy (HIT) services
This article contains the allowances for home infusion therapy services for service dates January 1 through December 31, 2022.
2022 contractor-priced reimbursement rates for external electrocardiographic recording codes - Puerto Rico and U.S. Virgin Islands
Pricing has been updated for codes 93241, 93243, 93245, and 93247.
2022 contractor-priced reimbursement rates for external electrocardiographic recording codes - Florida
Pricing has been updated for codes 93241, 93243, 93245, and 93247.
2023 payment rates for home infusion therapy (HIT)
Download this zipped file for the locality adjusted rates for home infusion therapy for 2023.
2023 payment rates for opioid treatment program (OTP)
This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2023...
2023 anesthesia conversion factors for Puerto Rico
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100...