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Telehealth Coding Extension and 2021 Medicare Physician Fee Schedule

Telehealth Coding Extension

Effective January 11, 2021, the U.S. Department of Health and Human Services' Secretary Azar has extended the COVID-19 Public Health Emergency (PHE) declaration effective Jan. 21, 2021 for an additional 90 days. This means that all of the telehealth and other waivers and flexibilities that have been implemented during the PHE will remain in effect until at least April 21, 2021.

2021 Medicare Physician Fee Schedule

On December 27th, the Consolidated Appropriations Act, 2021, modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule (MPFS).
  • Providing a 3.75% increase in MPFS payments for CY 2021
  • Suspended the 2% payment adjustment (sequestration) through March 31, 2021
  • Reinstating the 1.0 floor on the work Geographic Practice Cost Index through CY 2023
  • Delaying implementation of the inherent complexity add-on code for evaluation and management services (G2211) until CY 2024
Centers for Medicare & Medicaid Services (CMS) has recalculated the MPFS payment rates and conversion factor to reflect these changes. The revised MPFS conversion factor for CY 2021 is 34.8931. The revised payment rates are available in the Downloads section of the CY 2021 Physician Fee Schedule final rule (CMS-1734-F) webpage.

ASRM Announcements contain information of interest to members about ASRM and its affiliates, NIH, FDA, WHO, or CDC matters.

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