In this article: Telehealth and Extended Flexibilites – Feb, 2026 Telehealth Prior to the Pandemic Current Telehealth Rules Important Details (modifiers, frequency, teaching physicians, and more) RHCs and FQHCs Place of Serivce CPT® Codes for Telehealth Is it or isn’t it a Telehealth Service Communication-Based Technology Services Telehealth Flexibilities Extended Until Dec. 31, 2027! Date […]
New and Newsworthy
Change is constant and expected in coding and reimbursement policies and knowing about these is required for accurate and timely payment. CodingIntel keeps you current with CMS coding rules and policies and CPT annual updates. Read about breaking changes to CMS rules and new, revised and deleted codes.
Physician Fee Schedule Final Rule for Calendar Year 2026
2026 conversion factor $33.4009 ($33.5675 for qualifying APM participants) – updated 11/4/2025 Payment policies in the 2026 Physician Fee Schedule Conversion Factor For the first time, there are two conversion factors for services paid under the Physician Fee Schedule. This is a result of a law passed in 2015. The Medicare Access and CHIP Re-authorization […]
Annual CPT® Changes | Webinar
Recorded December 18th, 2025
1 CEU expires 12/30/26
Guest presenter Shannon McCall of HCPro
The American Medical Association’s 2026 update to the CPT® Manual is here, with codes and coding changes effective 1-1-2026.
CMS’s Physician Fee Schedule Final Rule
Recorded December 11th, 2025
1 CEU expires 12/30/26
Guest presenter Claire Ernst of Hooper, Lundy & Bookman, P.C.
CMS released the 2026 Final Rule right on time, Friday, Halloween, 4:30 pm. They love a holiday rule release and we love being up-to-date with CMS policy. The agency finalized many of its proposals: variable conversion factor, applying an “efficiency adjustment” to many non-time-based codes, lowered payments for skin substitutes, telehealth updates (but not the updates we were hoping for).
2026 CMS Proposed Physician Rule | Webinar
Recorded August 14th, 2025
1 CEU expires 7/30/26
CMS released its proposed policy changes for physician practices in mid-July this year, with the usual 60-day comment period. Our webinar will tell you what’s in it.
Select HCPCS codes from 2025 and 2024 | Webinar
Recorded March 20th, 2025
CMS continues to develop new HCPCS codes to describe services that promote their healthcare agenda, and are not in the CPT® code set. This webinar will address a select few of the newer services from this year and last year.
Advanced Primary Care Management Codes | Webinar
Recorded January 16th, 2025
1 CEU expires 1/30/26
CMS developed three HCPCS codes effective 1-1-2025 to pay primary care practices to manage the care of patients over time. CMS continues to believe that practices incur significant expense for the care that happens in between office visits.
CPT® Coding Changes
Updates to the CPT® Manual: 2025 Edition The 2025 edition of the CPT® Manual confirms hundreds of code changes that take effect Jan. 1, 2025, including 270 new codes and 112 deleted codes. The 2025 Manual also revises nearly 40 codes. In this roundup of some of the significant changes to the 2025 CPT code […]
HCPCS code G2211
Table of Contents G2211 FAQ Changes to G2211 in 2025 and 2026 Not all visits Clinician’s relationship with the patient, type of problem Acute condition, seen in primary care CMS expected frequency Q&A from CodingIntel’s August 17, 2023, CMS Proposed Rule Webinar G2211 Visit complexity inherent to evaluation and management associated with medical care services […]
Coding for Prolonged Services: CPT® and HCPCS Codes
Common rules: Prolonged services codes are add-on codes to the highest level E/M services in certain categories. In order to use prolonged care, the primary code must be selected based on time. This is in the CPT® and HCPCS definition of prolonged services. Prolonged services codes may only be added to the highest-level code in […]
G2211 Survey Results
Your comments tell the story Our survey asked if you are billing G2211 and getting paid for it. And, if so, which payers are paying. The disruption of the claims processing system in the U.S., that all but halted claims submission and payment for many groups ,also hindered data collection in our survey. But combined […]
Coding Matters™
Health care coding news matters to coders, billers administrators and practitioners in medical practices. Often, there’s new beyond new codes or new policies and keeping up-to-date with that news can inform decisions that practices make. CodingIntel’s Coding Matters® page will help you be in the know about government regulation, compliance actions, third-party policies and the […]
2023 CPT® E/M Changes
Ready to learn about the 2023 CPT® E/M changes? There is a significant update to the Evaluation and Management (E/M) section of the CPT® book. There are 25 codes that are going away. There are revisions to the introductory guidelines related to five different categories of codes. Prolonged services are getting yet another overhaul. This […]