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E/M fee preview: Care management service tops list with 26% pay jump

By Part B News  
   August 15, 2023

A number of services in the E/M category are on track for big pay gains in CY 2024, led by behavioral health care management (99484), set for a 26% jump to $54 per service, and joined by two prolonged services codes (99415, 99416).

But the good news isnโ€™t everywhere. While the pay increases are significant for some services, a total of nine codes in the E/M family are part of the gains, according to a Part B News payment analysis factoring in the conversion factor cut and changes to relative value units (RVU) from the proposed 2024 Medicare physician fee schedule. That contrasts with dozens of E/M codes that will see reduced fees in CY 2024.

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