AUC Mandate News: Drop AUC Consultation Information from Medicare Fee-for-Service Claims, CMS Says

In a notification to contractors and a Medicare Learning Network (MLN) Matters article issued in early 2024, CMS states that claims containing AUC-related codes with 2023 and 2024 dates of service will be processed; however, all AUC-related codes and modifiers will end Dec. 31, 2024. Contractors are instructed to remove all national and local edits related to the AUC Program effective Jan. 1, 2025. CMS also states that it will no longer qualify provider-led entities or clinical decision support mechanisms.

It is unclear what is next for the AUC Program, though modifications to overcome the implementation challenges that plagued the mandate would likely require changes to the law by Congress.

Stay tuned to ASNC for updates on the AUC Program and other advocacy issues.