Diabetes Screening & Definitions Update: CY 2024 Physician Fee Schedule Final Rule - Revised

Related CR Release Date: June 21, 2024
Effective Date: January 1, 2024
Implementation Date: October 7, 2024
MLN Matters Number: MM13487 Revised
Related Change Request (CR) Number: CR 13487
Related CR Transmittal Number: R12694BP & R12694CP

Note: CMS clarified claims processing requirements for ICD-10-CM diagnosis code Z13.1 and previously processed claims. Also, CMS updated the web addresses of the transmittals (pages 1-3). Substantive content changes are in dark red.

CR 13487 tells you about:

  • The revised definition of diabetes
  • Revised diabetes screening frequency limitations
  • Coverage of the Hemoglobin A1c (HbA1c) test for diabetes screening

Make sure your billing staff knows about these changes.

View the complete CMS Medicare Learning Network (MLN) Matters (MM)13487.

Last Updated Jul 03 , 2024