AMA CPT® Assistant - 2022 Issue 11 (November)

Coding Brief: PCM Codes for Preprocedural Optimization (November 2022)

November 2022 pages 16-17 Coding Brief: PCM Codes for Preprocedural Optimization The topic of appropriate reporting for interdisciplinary preprocedural optimization management for elective procedures (eg, bariatric surgery, percutaneous coronary interventions, hip or knee replacement, and so on), raised at a recent Current Procedural Terminology (CPT®) Editorial Panel (the Panel) meeting, has garnered much interest. The goal of these preprocedural optimization services is to minimize foreseeable operative risks and to maximize the potential for a positive postoperative outcome. Preprocedural optimization management typically requires ongoing communication among an interdisciplinary care team, adjustment of medications, improving current medical conditions (diabetes, hypertension...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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