CMS Estimate Payment for Outpatient Therapy in 2023

July 12, 2022
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Rick Gawenda
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On July 7, 2022, the Centers for Medicare and Medicaid Services (CMS) released the calendar year (CY) 2023 proposed rule for services reimbursed under the Medicare Physician Fee Schedule (MPFS). Click HERE to read my summary on the proposals that will impact outpatient physical, occupational and speech therapy services. Comments are due by 5:00pm on September 6, 2022. In this article, I will provide my members with the estimated payment for calendar year 2023 for the more common CPT codes billed in outpatient therapy compared to the 2022 payment rate for each CPT code. For my examples, I used Detroit, Michigan as the payment locality.

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  1. Where can I go to find the complete list of CPT codes for PT/OT/SLP and the cost changes projected for CY 2023?