Beginning July 1, RHCs and FQHCs will no longer be reimbursed for G0511. Instead, they will need to use more specific CPT / HCPCS codes.
On March 20, CMS released an update of the Medicare Benefit Policy Manual that revises and clarifies payment policy information for Rural Health Clinics and Federally Qualified Health Centers.
There are several additional important updates that RHCs and FQHCs should be aware of.
Make sure your billing staff knows about the 2025 updates to the Medicare Benefit Policy Manual, Chapter 13.
Source:
Medicare Learning Network, MLN Matters 13946