Traditional MedicareBilling CodesMedium impact
2026-05-21 - Critical Access Hospitals: Download Your FY 2025 PEPPER
Medicare/CMS·Family Medicine, Internal Medicine, General Practice·Payment
We identified it
May 21, 2026
Summary
CMS released FY 2025 PEPPER reports for critical access hospitals to help review billing patterns and identify potential coding issues. A new HCPCS code G0136 was finalized for physical activity and nutrition risk assessments as an add-on to E/M visits or annual wellness visits every 6 months.
Action Required
Download FY 2025 PEPPER reports from the PEPPER Portal if you are a critical access hospital to review billing patterns and identify potential coding improvements. Authorized officials, access managers, and staff end users can access reports through the Identity & Access System. Begin using new HCPCS code G0136 for physical activity and nutrition risk assessments when performed as add-on to E/M visits every 6 months or during annual wellness visits.