New Codes for Reporting Principal Care Management Services (January 2022)

January 2022 pages 9-11 New Codes for Reporting Principal Care Management Services Several changes have been made in the Care Management Services subsection of the Evaluation and Management (E/M) section of the Current Procedural Terminology (CPT®) 2022 code set. A new subsection entitled “Principal Care Management Services” and new codes 99424-99427 have been added. Within this new subsection, new introductory guidelines and a table to clarify the appropriate reporting of principal care management services have also been added. In addition, instructional parenthetical notes have been updated throughout the E/M and Medicine sections to accommodate the addition of these...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the CPT 2022 additions for principal care management services within Evaluation and Management and Medicine. It is useful for coders, billers, and clinical documentation teams who need a high-level understanding of the new subsection, the associated reporting framework, and the types of instructional notes and table guidance added to support accurate use of the new material.

Why This Topic Matters

The CPT 2022 changes discussed here affect how principal care management services are organized and reported. Understanding the scope of the update helps practices align documentation, time tracking, and month-based reporting with the revised code set structure.

Article Sections

  1. January 2022 pages 9-11

    Introduces the CPT 2022 update and frames the article’s focus on principal care management services.

  2. Principal Care Management Services

    Presents the new subsection and the newly added principal care management service codes along with related instructional notes.

  3. New Guidelines

    Summarizes the new CPT 2022 guidance that explains the scope of principal care management services and the general reporting framework.

  4. Reporting Principal Care Management Services

    Describes the table-based reporting structure, monthly time categories, and the broader reporting context for these services.

What You Will Learn

  • How the CPT 2022 update organizes principal care management services
  • What kinds of guidance were added to support reporting of the new subsection
  • How the article frames time-based reporting and monthly service tracking
  • How the update relates to other care management content in the CPT code set

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Physician practices
  • Clinical documentation specialists

Codes Discussed

Code Ranges Discussed


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