2026-05-21 - Critical Access Hospitals: Download Your FY 2025 PEPPER
AI Summary
CMS released FY 2025 PEPPER reports for critical access hospitals to help review billing patterns and identify potential coding issues. A new HCPCS code G0136 was finalized for physical activity and nutrition risk assessments as an add-on to E/M visits or annual wellness visits every 6 months.
Action Required
Download FY 2025 PEPPER reports from the PEPPER Portal if you are a critical access hospital to review billing patterns and identify potential coding improvements. Authorized officials, access managers, and staff end users can access reports through the Identity & Access System. Begin using new HCPCS code G0136 for physical activity and nutrition risk assessments when performed as add-on to E/M visits every 6 months or during annual wellness visits.
Affected Billing Codes
Plan Types
Traditional Medicare
Specialties
family-medicine, internal-medicine, general-practice, all-specialties