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2026-05-21 - Critical Access Hospitals: Download Your FY 2025 PEPPER
Effective date
Not stated in the notice
Identified
May 21, 2026
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.
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What to do
Action · 3 steps
01Download FY 2025 PEPPER reports from the PEPPER Portal if you are a critical access hospital to review billing patterns and identify potential coding improvements.
02Authorized officials, access managers, and staff end users can access reports through the Identity & Access System.
03Begin 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.
Codes mentioned
G0136
Original notice
2026-05-21 - Critical Access Hospitals: Download Your FY 2025 PEPPER
cms.gov · Always check the source before changing claims.
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