AHA Coding Clinic® for HCPCS - 2020 Issue 1; For Your Information
2020 Annual update to the therapy code list
For CY 2020, the CPT Editorial Panel created two new biofeedback codes to replace CPT code 90911. CMS designated them as “sometimes therapy” to permit physicians and Non-Physician Practitioners (NPPs), including nurse practitioners, physician assistants, and certified nurse specialists to furnish these services outside a therapy plan of care when appropriate. However, when furnished to hospital outpatients, these two new biofeedback services will continue to be paid under the Outpatient Prospective Payment System. The two new “sometimes therapy” codes using their CPT long descriptors, are as follows: CPT code 90912 — Biofeedback training, perineal muscles, anorectal or...
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Article Overview
This article summarizes the 2020 annual update to the therapy code list and is relevant to coders, billers, therapists, and compliance staff working with outpatient therapy and related professional services. It covers newly created CPT therapy-related codes, deleted manual muscle testing codes, deleted HCPCS Level II G-codes used for functional reporting, and the timing of these changes for 2020 billing and reporting workflows.
Why This Topic Matters
The update affects how therapy-related services are represented in current coding and reporting systems, including which services were newly added and which legacy codes were removed. It is important for anyone maintaining charge capture, claim edits, or documentation processes tied to therapy code changes.
Article Sections
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CY 2020 CPT updates
Overview of new CPT therapy-related codes introduced for calendar year 2020 and the service categories they address.
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Manual muscle testing CPT codes deleted December 31, 2019
Discussion of the CPT manual muscle testing codes removed at the end of 2019 and their effective dates.
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HCPCS Level II G-codes deleted December 31, 2019
Summary of the HCPCS Level II therapy reporting codes that were deleted for dates of service after December 31, 2019, including the affected code groups and reporting context.
What You Will Learn
- Which therapy-related CPT changes took effect for CY 2020
- Which therapy codes were deleted at the end of 2019
- Which HCPCS Level II functional reporting codes were removed
- How the article organizes therapy code updates by code set and effective date
Who Should Read This
- Medical coders
- Billing staff
- Therapists
- Compliance teams
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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