Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
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tci Part B Insider - 2004 Issue 25
Part B Coding Coach: 3 Easy Steps Lead to 93784-93790 Reimbursement
Why assigning 796.2 is key for Medicare claims
You can get paid for the physician's ambulatory blood pressure monitoring (ABPM) if you know which blood-pressure diagnosis code to use, the three requirements your patient must meet to receive these services, and the differences among codes 93784-93790.
Physicians use ABPM to evaluate the patient's ambient blood pressure during a 24-hour period, says Lisa Barnes, a coder with Fayetteville Diagnostic Clinic, an Arkansas multi-specialty practice that includes internists. Atechnician attaches the blood pressure monitor to the patient. The device obtains blood pressure measurements and records them on either magnetic tape...
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