DecisionHealth, DecisionHealth - 2024 Issue 4 (April)
Active status for Category III codes doesn’t lead to active billing
CMS lists most Category III — or temporary — codes as carrier-priced. That means that each Medicare administrative contractor (MAC) will decide whether it will pay for a service on a case-by-case basis. In recent years the agency has granted active status to a few temporary codes, but a look at early Medicare Part B claims data shows that active status doesn’t generate a lot of buzz.
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