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Practices that treat transgender, intersex, and gender-expansive patients take note: Coders should append modifier KX to a claim when a gender-specific procedure or gender-specific diagnosis code doesn’t match the patient’s reported sex
 
Practices that regularly perform facet joint blocks and denervations are bracing for more scrutiny of their claims and challenges to getting paid.
 
 
Just days before it was to take effect, Cigna announced it would “delay implementation” of a strict new policy for E/M services billed with modifier 25 (Significant, separately identifiable E/M service by the same physician on the same date as a procedure).
 
The AMA’s May 25 webinar focused on the changes to the E/M code set that went into effect Jan. 1, 2023. But in addition to a detailed review of the new coding guidelines, related technical corrections and four case studies, the co-chairs of the AMA's CPT/RUC Workgroup on E/M gave attendees a glimpse into the future of the E/M code set.
 
Mark your calendar if you're interested in entering a value-based care arrangement through the Medicare Shared Savings Program, the federal government's largest accountable care organization (ACO) network. The deadline to apply for 2024 is June 15.
 

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