Part B

Service-specific reviews

This edition includes information on preventing claim denials for ostomy supplies, revised ZIP code files for CBSAs, chronic care management services, and more.

This edition includes information on preventing claim denials for ostomy supplies, revised ZIP code files for CBSAs, chronic care management services, and more.

View targeted probe and educate (TPE) round results for ambulance services: basic life support non-emergent transport and mileage (HCPCS A0428 and A0425).

View targeted probe and educate (TPE) round results for ambulance services: basic life support non-emergent transport and mileage (HCPCS A0428 and A0425).

Detailed instructions to use the free PC-ACE software for billing Medicare claims electronically.

Detailed instructions to use the free PC-ACE software for billing Medicare claims electronically.

This edition includes information on a 2026 proposed physician payment rule and information on expanded access to gene therapies.

This edition includes information on a 2026 proposed physician payment rule and information on expanded access to gene therapies.

Surgeons append modifier 66 to claims indicating they were on a team of surgeons performing a specific procedure on the same patient during the same operative session. Billing modifier 66 requires…