BC Advantage - 2018 Issue 5
EM Code Changes in CPT 2018
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Article Overview
This article reviews major CPT 2018 changes affecting evaluation and management coding. It focuses on newly added services, deleted and replacement codes, and revised guidance touching cognitive assessment, psychiatric and behavioral health care management, anticoagulation management, observation care, prolonged services, telephone services, and critical care-related guidance. It is intended for coders, billers, and clinicians who need a high-level understanding of how the 2018 E/M update affects reporting.
Why This Topic Matters
CPT yearly updates can change how common E/M services are reported and linked to related services. Understanding the scope of these changes helps coding professionals identify what was added, replaced, revised, or restricted in the 2018 update.
Article Sections
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Cognitive Assessment and Care Plan Services Added
Introduces a newly added cognitive assessment and care planning service and summarizes the associated general guidance.
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Psychiatric Collaborative Care Management Services Added
Covers the addition of collaborative care management services for psychiatric integration and the general reporting framework discussed in the update.
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New Codes for General Behavioral Health Integration Care Management
Describes the addition of general behavioral health integration care management and how it fits within the broader behavioral health update.
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Anticoagulation Management Gets an Overhaul
Summarizes the anticoagulation management section update, including deleted and replacement service reporting changes.
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Revised Guidelines for Initial Observation Care and More
Reviews several revised E/M guidelines and parenthetical instructions affecting observation care, prolonged services, telephone services, and critical care-related reporting.
What You Will Learn
- Which broad E/M service categories were added, revised, or replaced in CPT 2018.
- How the article frames updates related to cognitive assessment, behavioral health integration, and collaborative care.
- What general areas of reporting guidance were clarified for observation, prolonged services, telephone services, and critical care.
- Which code families are discussed in relation to deleted, replacement, or revised reporting guidance.
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physician practices
- Hospital outpatient coding teams
- Behavioral health coding personnel
Codes Discussed
Code Ranges Discussed
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