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  2. CQM-5891

CMS 146 is using a CPT code retired as of 1/1/2023

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      Thank you for your question about CMS146v11 Appropriate Testing for Pharyngitis. Regarding the use of CPT code 99217, we acknowledge that this code is no longer valid for billing purposes. Value set contents are re-evaluated on a yearly basis. We hope this helps.

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      Thank you for your question about CMS146v11 Appropriate Testing for Pharyngitis. Regarding the use of CPT code 99217, we acknowledge that this code is no longer valid for billing purposes. Value set contents are re-evaluated on a yearly basis. We hope this helps.
    • CMS0146v11
    • CPT code 99217 is no longer code valid for billing purposes as of 1/1/2023.

      The Direct Reference C Ode (DRC) in CMS146v11 is: 

      • code "Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital observation status if the discharge is on other than the initial date of observation status. To report services to a patient designated as observation status or inpatient status and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.])" ("CPT Code (99217)")

            edave Mathematica EC eCQM Team
            RoSoltoff4889 Roy Soltoff
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