Medicare/CMSMedium ImpactBilling Codes

2025-11-26 - Medicare Participating Physician or Supplier Agreement Form Expires on November 30

Published January 12, 2026Effective January 1, 2026

AI Summary

The Medicare Participating Physician or Supplier Agreement Form CMS-460 expires on November 30, 2025, but Medicare Administrative Contractors will continue accepting the current version while it undergoes OMB review. Additionally, new telehealth services codes G0660-G0668 will be available starting January 1, 2026 for qualifying episodes under the Transforming Episode Accountability Model.

Action Required

By January 1, 2026: Billing team must add new HCPCS codes G0660-G0668 to billing system for telehealth evaluation and management services under the Transforming Episode Accountability Model. Ensure claims include required demonstration code A9 and verify patient eligibility criteria are met with qualifying procedures within 30 days of episode start. Update encounter forms to capture telehealth waiver eligibility.

Affected Billing Codes

G0660G0661G0662G0663G0664G0665G0666G0667G0668

Plan Types

Traditional Medicare

Specialties

all-specialties