Targeted Probe and Educate (TPE) topics and schedule of review

All current topics for review are listed below with the Medical Review Part B schedule for each round. We will notify the selected providers in writing with further details of the topic being reviewed, the reasons for selection which will be supported by data analysis, and the process of review.

Please note that a status of active review means there are currently reviews underway for the specific round and topic.

A status of inactive review means there are currently no active TPE reviews for the specific round and topic.

For additional information and specific educational resources, see the topic specific links below.

Topics

Topic and education	Review status	Checklist	Results
End stage renal disease (ESRD) services (CPT 90960-90961)	Inactive	ESRD checklist	ESRD results
Rehabilitation services: Outpatient physical and occupational therapy (CPT 97530)	Inactive	Therapy checklist	Therapy results
Surgical services: Cataract extraction (CPT 66982-66984)	Active	Cataract checklist	Cataract results
Drugs and biologicals: Drug injections - (Hyaluronan Acid Therapies) with associated administration and placement codes)	Active	Drug injection checklist	Drug Injection results
Psychiatric services: Psychotherapy (CPT 90832, 90834, and 90837)	Active	Psychotherapy checklist	Psychotherapy results
Mohs micrographic surgery (MMS) (CPT 17311-17315)	Inactive	MMS checklist	MMS results
Nail cutting/Paring and debridement (CPT 11719-11721, 11055-11057, HCPCS G0127)	Inactive	Foot care checklist	Foot care results
Anesthesia services: Anesthesia for diagnostic or therapeutic injections; prone position (CPT 01992)	Inactive	Anesthesia checklist	Anesthesia results
Trigger point injections (CPT 20552-20553)	Inactive	Trigger point injection checklist	Trigger point injection results
Paravertebral facet joint injections (CPT 64490-64491)	Inactive	Facet joint injection checklist	Facet joint injection results
Epidural steroid injections for pain management (CPT 62323)	Inactive	Epidural steroid injection checklist	Epidural steroid injection results
Rehabilitation services: Outpatient physical, occupational and speech therapy services billed with KX modifier	Active	Therapy checklist	Therapy KX results
Removal of benign skin lesions (CPT 11102-11103, 11200-11201, 11300-11303, 11305-11313 and 11401-11406, 11421-11424, 11426, 11440-11446)	Inactive	Skin lesion removal checklist	Removal of benign lesions results
Laboratory services: Definitive drug testing (HCPCS: G0480, G0481, G0482, G0483)	Active	Laboratory services checklist	Laboratory results
Acupuncture (CPT 97810-97811; 97813-97814)	Inactive	Acupuncture checklist	Acupuncture results
Evaluation & management (E/M) services: Established office/outpatient visits (CPT 99215, 99214, 99213), Subsequent hospital inpatient or observation care (CPT 99232), New office/outpatient visits (CPT 99204)	Active	E/M checklist	Evaluation & Management results
Annual Wellness Visits (G0438, G0439)	Active	AWV checklist	AWV results

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Last modified: 04/09/2025

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