Part B Insider (Multispecialty) Coding Alert

Four New Category II Codes For PVRP

The American Medical Association has come up with Category II codes that Medicare can accept in place of "G" codes in the Physician Voluntary Reporting Program.

You can use 3046F-3049F, 3076F-3077F, or 4006F, 4009F in place of "G" codes to report measures relating to beta blocker use and ACE inhibitor or ARB therapy for heart-attack patients--and for hemoglobin level testing and cholesterol testing for diabetic patients

Medicare unveiled three new "exclusion" modifiers, which you can use with these Category II codes to signify that a patient wasn't eligible for a particular intervention or test: 1P, 2P and 3P. You attach these modifiers to the codes above to explain why they didn't apply in a particular case.

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