We are soliciting comments regarding our selection of CPT code 15271 as a crosswalk code, as well as general comments and available studies regarding the appropriate valuation of HCPCS code G0465
This also means that for the purposes of Medicare payment, if SDOH risk assessments are furnished, they must be related to the diagnosis or treatment of OUD, and any HRSNs identified through SDOH risk assessments performed should be documented in the patient's medical record to indicate how assessing and addressing the HRSN relates to the treatment and diagnosis of an OUD
Since we believe that this will result in expanded use of the transfer of care modifiers, which will have a corresponding effect on the payment for the affected services, we have reflected this in our utilization estimates accordingly (see download file for this proposed rule titled CY 2025 PFS final rule 2023 Utilization Data Crosswalked to 2025 at ) and anticipate more global surgical packages and post-op care to be billed separately using the modifiers, which could have payment consequences for a selection of high-volume global surgery codes
We refer readers to section IV.A.4.a.(1) of this proposed rule for the discussion of six additional proposed MVPs addressing a range of clinical conditions and specialty care
( 12 ) G0506 (code for chronic care management)
