tci Part B Insider - 2014 Issue 33

Part B Coverage: Medicare Launches New Code for Hepatitis C Screening

CMS now provides coverage for these tests in certain populations. After several months of wrangling, CMS has confirmed that it will pay for hepatitis C virus screenings administered to Medicare patients who meet specific criteria. The agency also debuted a new HCPCS code to describe the preventive test and offered diagnosis coding tips, all thanks to Transmittal 174, issued on Sept. 5. The specifics: Effective for dates of service June 2, 2014 and afterward, CMS will pay for hepatitis C screenings if patients meet either of the following two requirements: Patient is at high risk for hepatitis C. Medicare...

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