Medicare Part B covers physicians’ services, outpatient hospital services, certain home health services, durable medical equipment, and certain other medical and health services not covered by Medicare Part A.
Each year, the Medicare Part B premium, deductible, and coinsurance rates are determined according to provisions of the Social Security Act. The standard monthly premium for Medicare Part B enrollees will be $185.00 for 2025, an increase of $10.30 from $174.70 in 2024. The annual deductible for all Medicare Part B beneficiaries will be $257 in 2025, an increase of $17 from the annual deductible of $240 in 2024. 
The increase in the 2025 Part B standard premium and deductible is mainly due to projected price changes and assumed utilization increases that are consistent with historical experience.
Beginning in 2023, individuals whose full Medicare coverage ended 36 months after a kidney transplant, and who do not have certain other types of insurance coverage, can elect to continue Part B coverage of immunosuppressive drugs by paying a premium. For 2025, the standard immunosuppressive drug premium is $110.40. 

​ https://www.cms.gov/newsroom/fact-sheets/2025-medicare-parts-b-premiums-and-deductibles

Are you aware of the additional 395 new billable codes coming in 2024? The areas include external causes of morbidity, social determinants of health (SDOH), and osteoporosis. 

External causes of morbidity -The biggest remodel in this year’s codes can be found in;
Chapter 20 – External Causes of Morbidity (V00-Y99). Kid's, bless their hearts. We all know just how inquisitive these little humans can be. Whether it’s seeing if one of their toy's will fit up their nose, or if a pencil can go in one ear and out of the other, CMS also realized just how important it is to identify such incidents. Here are a few examples;

• W44.B3xA Plastic toy and toy part entering into or through a natural orifice, initial encounter
• W44.H0xA Other sharp object unspecified, entering into or through a natural orifice, initial encounter
• W44.F0xA Objects of natural or organic material unspecified, entering into or through a natural orifice, initial encounter
• W44.F3xA Food entering into or through a natural orifice, initial encounter

SDOH ICD-10 codes (Social Determinants of Health)
Chapter 21 - Factors Influencing Health Status and Contact with Health Services (Z00-Z99), which capture details related to child upbringing. A Sample;

• Z62.23 Child in custody of non-parental relative
• Z62.24 Child in custody of non-relative guardian
• Z62.823 Parent-step child conflict
• Z62.83 Non-parental relative or guardian-child conflict
• Z62.831 Non-parental relative-child conflict
• Z62.832 Non-relative guardian-child conflict
• ​Z62.833 Group home staff-child conflict
• Z62.892 Runaway [from current living environment]

Osteoporosis ICD-10 codes (42 new codes) 
Chapter 13 - Diseases of the Musculoskeletal System and Connective Tissue (M00-M99) Some examples:

• M80.8B2P Other osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with malunion
• M80.8B9D Other osteoporosis with current pathological fracture, unspecified pelvis, subsequent encounter for fracture with routine healing
• M80.0B1K Age-related osteoporosis with current pathological fracture, right pelvis, subsequent encounter for fracture with nonunion
• M80.0B2G Age-related osteoporosis with current pathological fracture, left pelvis, subsequent encounter for fracture with delayed healing

Diseases of the eye and adnexa ICD-10 codes (45 new codes)
Chapter 7 - Diseases of the Eye and Adnexa (H00-H59)
A sample:

• H50.621 Inferior oblique muscle entrapment, right eye
• H50.649 Lateral rectus muscle entrapment, unspecified eye
• H50.662 Superior oblique muscle entrapment, left eye
• H50.651 Medial rectus muscle entrapment, right eye

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