CMS Final Rule: 2019 Fee Schedule 

CMS has released its Final Rule regarding the 2019 fee schedule. Below are some of the key points in the Final Rule for 2019:

Delayed Until 2021

  • Blended reimbursement rate for E & M levels of service

  • New G codes for Primary Care Services, Specialty Services and Extended Care (prolonged services)

  • Reduction in documentation requirements

  • Providers will only be required to document to a level 99202/99212 and include use of ancillary staff within the creation of outpatient office based E & M services

Not Adopted

  • Modifier 25 change (reduction of lesser procedure 50%)

  • Proposed G codes for podiatric services


Click here to view the complete Final Rule.