CMS Proposes Supervision Levels for Select Services

The Centers for Medicare & Medicaid Services (CMS) has given preliminary approval to change the supervision requirement for 27 hospital outpatient therapeutic services from direct supervision to general supervision, effective July 1, reports AHA News.

Most of the services deal with psychotherapy; the rest relate to bladder catheterization, immunization administration, and smoking and tobacco cessation counseling. CMS does not propose to accept the panel’s recommendation to add CPT® code 94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction or for sputum induction for diagnostic purposes (eg, with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing [IPPB] device) as a non-surgical extended duration therapeutic service. Direct supervision is required for this service.

Before posting its final decision, CMS will accept comments on its preliminary decision through May 19. Comments may be emailed to



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