AMA CPT® Assistant - 2022 Issue 1 (January)
Evaluation and Management Changes for 2022 (January 2022)
January 2022 pages 3-8 Evaluation and Management Changes for 2022 While only a small number of new codes were added to the Evaluation and Management (E/M) section of the Current Procedural Terminology (CPT®) 2022 code set, extensive changes were made to code descriptors, guidelines, and parenthetical notes. This article provides an overview of these changes and code revisions. Established Patient 99211Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional Code 99211 was revised to remove the phrase “usually...
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Article Overview
This article reviews January 2022 changes to the CPT evaluation and management section. It is aimed at coders, billers, compliance staff, and clinicians who report E/M services and need a high-level understanding of updated guidance affecting office/outpatient E/M, critical care, remote monitoring, and care management services. The discussion covers descriptor revisions, guideline updates, newly added categories, and relationships among overlapping service types.
Why This Topic Matters
These updates affect how E/M services are interpreted and reported, especially for practices that bill care management, remote monitoring, or critical care services. Understanding the scope of the changes helps reduce reporting errors and supports consistent use of the 2022 CPT guidance.
Article Sections
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January 2022 pages 3-8
Opening overview of the CPT 2022 E/M changes covered in this issue article, including the scope of revisions and the major service areas addressed.
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Established Patient
Discussion of a revision within established patient office or other outpatient E/M guidance and its relationship to the broader 2021–2022 descriptor changes.
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Critical Care Services
Summary of updated critical care guidance, including services referenced as part of the critical care period and related reporting context.
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Remote Physiologic Monitoring Treatment Management Services
Overview of revised remote monitoring treatment management guidance, including communication requirements and coordination with other care management services.
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Care Management Services
General discussion of changes within the care management area, including new structure, care planning, and related service categories.
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Care Planning
Explanation of the care plan concept and the general elements that may be part of a patient-centered plan of care.
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Care Management Activities and Office Capabilities
Summary of the types of care management activities and practice capabilities associated with care management services.
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Coding Tip
A brief coding note related to how certain care management activities may be applied within the broader service framework.
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Care Plan Oversight Services
Overview of care plan oversight reporting concepts and how these services relate to other non-face-to-face and care management services.
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Chronic Care Management Services
Discussion of chronic care management service structure, including time-based categories and the general patient profiles addressed.
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Complex Chronic Care Management Services
Summary of the more resource-intensive chronic care management category and its general reporting framework.
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General Behavioral Health Integration Care Management
Description of updates affecting behavioral health integration care management and its interaction with other E/M and psychiatric services.
What You Will Learn
- How the 2022 CPT E/M changes are organized by service category.
- Which sections of E/M guidance were revised for 2022.
- How care management guidance was expanded and reorganized.
- What general topics are addressed in critical care and remote monitoring updates.
- How behavioral health integration care management relates to other E/M service categories.
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Compliance professionals
- Physicians and other qualified health care professionals
- Practice managers
Codes Discussed
Code Ranges Discussed
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