Next Event: NCCI Edits & Modifier 59: Version 31.2
Date: June 26,2025
CMS Updates Manuals to Reflect End of FLR
The Centers for Medicare and Medicaid Services (CMS) has updated CMS Publication 100-02, Medicare Benefit Policy Manual, Chapter 15 – Covered Medical and Other Health Services as well as CMS Publication 100-04, Medicare Claims Processing Manual, Chapter 5 – Part B Outpatient Rehabilitation and CORF/OPT Services to reflect recent changes in outpatient therapy service billing instructions and payment policies related to the Bipartisan Budget Act of 2018 and the calendar year 2019 Medicare physician fee schedule final rule. To access the changes, log in to your Gold Member account and click
Progress Reports Since FLR Has Ended
Since functional limitation reporting (FLR) (G-codes) is no longer required in 2019 for traditional Medicare Part B therapy patients, does this mean Progress Reports are also no longer required every 10 visits? The answer is
Is Functional Limitation Reporting Ending
Is functional limitation reporting ending at the end of 2018? The answer depends on what insurance carrier you are asking about. For traditional Medicare Part B beneficiaries, functional limitation reporting (FLR)