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{"DID":"crit13d514","Sites":"JMB^JMHHH^Railroad Beneficiaries","Start Date":"05-23-2024 00:00","End Date":"05-27-2024 23:27","Content":"The Palmetto GBA Railroad Medicare Beneficiary Contact Center (BCC) will be closed on Monday, May 27, 2024, in observance of the Memorial Day holiday.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit34dea1","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"07-22-2024 08:25","End Date":"07-22-2024 08:30","Content":"Web chat is unavailable due to a system outage. We are working to resolve the issue and will remove this banner once the system is available.","URL":"","Target":"_self","Color":"red","Mode":"Standard\n","Priority":"yes"}, {"DID":"crit34eadc","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"06-03-2024 14:58","End Date":"06-07-2024 17:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Friday, June 7, 2024, for an 8-hour training.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit3d5e43","Sites":"JMB","Start Date":"03-11-2024 10:47","End Date":"04-18-2024 09:47","Content":"Join us for Spring Tour 2024: Columbia, S.C. on April 2, 2024, Bessemer, Ala. on April 8, 2024, Cleveland, Tenn. on April 10, 2024, Decatur, Ga. on April 11, 2024, Charleston, W. Va. on April 16, 2024, and Richmond, Va. on April 18, 2024. ","URL":"https://palmettogba.com/palmetto/jmb.nsf/DID/SY9IONT0ZJ","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit4b35ae","Sites":"JJB^JMB","Start Date":"07-26-2024 12:01","End Date":"07-30-2024 23:59","Content":"If you missed our Spring Tour, join us in Columbia, S.C. on July 30, to catch up on the most recent provider education from Palmetto GBA.","URL":"https://web.cvent.com/event/93f37ecc-9d69-4a33-b62b-cbd6232d9aff/summary","Target":"_blank","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit4e5c4e","Sites":"JJA^JMA^JMB^JMHHH^JJB","Start Date":"06-14-2024 14:06","End Date":"06-20-2024 06:07","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Wednesday, June 19, 2024, in observance of the Juneteenth holiday. Please note that the chat feature will not be available when the PCC is closed.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"crita42d51","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-31-2023 15:00","End Date":"09-04-2023 17:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, September 4, 2023, in observance of Labor Day.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critaa1545","Sites":"JMB","Start Date":"05-27-2024 00:00","End Date":"05-28-2024 23:27","Content":"Medicare Part B providers are invited to Palmetto GBA's MayFest virtual education event Thursday May 30, 2024.","URL":"https://palmettogba.com/palmetto/jmb.nsf/DIDC/8DRB9MA2C9~Events%20and%20Education","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critba251d","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"06-25-2024 15:12","End Date":"07-04-2024 22:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Thursday, July 4, 2024, in observance of Independence Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critcee21a","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"05-16-2024 11:07","End Date":"05-17-2024 13:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, May 17, 2024, for staff training.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"critdaa222","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"06-03-2024 13:45","End Date":"06-03-2024 14:00","Content":"eServices Messages and eDelivery tabs are currently unavailable. The portal will be briefly unavailable on 6/3/24, beginning at 1:40PM and ending at 1:50PM EST to correct this issue.","URL":"","Target":null,"Color":"red","Mode":"Standard\n","Priority":"no"}, {"DID":"critdc3d32","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"05-23-2024 00:00","End Date":"05-27-2024 23:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, May 27, 2024, in observance of Memorial Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critee34e3","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"07-23-2024 10:09","End Date":"07-26-2024 12:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, July 26, 2024, for staff training. Please note that the webchat feature will be unavailable at this time.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}

Pricing Updates for Home Sleep Study

Published 09/07/2021

Palmetto GBA completed a fee review for codes G0398, G0399 and G0400 under the Jurisdiction M contract — pricing updates for home sleep study (HST). The fee is being changed effective dates of service October 1, 2021.

CPT® Code G0398

HCPCS Code/ Modifier	State	Carrier	Locality	Fee Effective 10/01/21
G0398	SC	11202	01	$156.28
G0398 TC	SC	11202	01	$115.88
G0398 26	SC	11202	01	$40.40
G0398	VA	11302	00	$169.40
G0398 TC	VA	11302	00	$127.73
G0398 26	VA	11302	00	$41.67
G0398	WV	11402	16	$150.90
G0398 TC	WV	11402	16	$110.29
G0398 26	WV	11402	16	$40.61
G0398	NC	11502	00	$159.96
G0398 TC	NC	11502	00	$119.12
G0398 26	NC	11502	00	$40.84

CPT® Code G0399

HCPCS Code/ Modifier	State	Carrier	Locality	Fee Effective 10/01/21
G0399	SC	11202	01	$95.35
G0399 TC	SC	11202	01	$51.53
G0399 26	SC	11202	01	$43.82
G0399	VA	11302	00	$102.03
G0399 TC	VA	11302	00	$56.87
G0399 26	VA	11302	00	$45.16
G0399	WV	11402	16	$93.34
G0399 TC	WV	11402	16	$49.34
G0399 26	WV	11402	16	$44.00
G0399	NC	11502	00	$97.31
G0399 TC	NC	11502	00	$53.03
G0399 26	NC	11502	00	$44.28

CPT® Code G0400

HCPCS Code/ Modifier	State	Carrier	Locality	Fee Effective 10/01/21
G0400	SC	11202	01	$85.07
G0400 TC	SC	11202	01	$44.67
G0400 26	SC	11202	01	$40.40
G0400	VA	11302	00	$90.94
G0400 TC	VA	11302	00	$49.27
G0400 26	VA	11302	00	$41.67
G0400	WV	11402	16	$83.24
G0400 TC	WV	11402	16	$42.63
G0400 26	WV	11402	16	$40.61
G0400	NC	11502	00	$86.78
G0400 TC	NC	11502	00	$45.94
G0400 26	NC	11502	00	$40.84

Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.

Note: CPT® codes and modifiers begin with a numeric character and HCPCS codes and modifiers being with an alpha character.

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