1,539 New Bundles No Modifier Will Open
CMS posted the October correct-coding change lists this morning. The practitioner file adds 4,249 procedure-to-procedure edits and removes 14, and 1,539 of the additions carry modifier indicator 0. The heaviest concentration on any established CPT code lands on percutaneous fistula creation, where a same-session angioplasty worth $4,224 stops being billable at all.
The October correct-coding change lists went up on cms.gov this morning. The page stamp reads 8:10 AM.
The practitioner file adds 4,249 procedure-to-procedure edits effective October 1 and deletes fourteen.
One established CPT code takes 23 of the additions at modifier indicator 0, which is more than four times what any other Category I code picks up. That code is 36836, percutaneous arteriovenous fistula creation in the upper extremity.
Three more edits on 36836 have been on the file since January 1, 2023 at indicator 1. On October 1 they flip to 0.
The rest of this brief is for subscribers.
The impact tables, the code-level detail, and the rest of the analysis sit past this line.
$50 a month, or $500 a year.
Already a subscriber? Sign in