decisionhealth Newsletters, Part B News - 2019 Issue 8 (August)
CMS preview of new CPT codes includes E/M, radiology and medicine updates
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Article Overview
This article reviews a CMS preview of proposed CPT updates for CY 2020 within the Medicare physician fee schedule. It outlines several code family changes across specialties such as E/M, radiology, medicine, ophthalmology, pain management, and therapy-related services, along with the general structure of the new and revised codes. It is relevant for coders, billers, physicians, and compliance staff who need to understand upcoming CPT changes and the Medicare context in which they were proposed.
Why This Topic Matters
The preview helps coding professionals anticipate upcoming CPT revisions that may affect documentation review, charge capture, and fee schedule planning for the new year. It is especially useful for organizations tracking CMS-proposed valuation changes and specialty-specific code updates.
Article Sections
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Overview of proposed CY 2020 CPT changes
Introduces the scope of the CMS preview and summarizes the breadth of the code updates discussed in the article.
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Drug delivery device codes
Covers a new family of codes related to implant preparation, insertion, and removal, along with the settings and specialties associated with their use.
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Dry needling codes
Describes new dry needling additions and CMS’s proposed therapy-related status for these services.
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Pericardial drainage codes
Summarizes new drainage-related codes and the incorporation of imaging guidance into the code family.
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Spinal tap codes
Reviews newly proposed lumbar puncture code changes and the distinction between services with and without image guidance.
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Nerve block and nerve destruction codes
Addresses new procedures involving nerve blocks and related destruction services, including imaging guidance and treatment modalities.
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Upper gastrointestinal imaging codes
Describes revisions to radiology coding for upper gastrointestinal examinations and related follow-through studies.
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Biofeedback codes
Summarizes the transition from an older biofeedback code to time-based primary and add-on reporting.
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Ophthalmoscopy codes
Covers revisions to extended ophthalmoscopy reporting and the creation of new eye exam code families.
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Health behavior intervention codes
Discusses the replacement of existing health behavior assessment codes with a new set of intervention-focused codes.
What You Will Learn
- Which CPT code families are being added or revised for the upcoming year
- How CMS frames the proposed changes within the Medicare physician fee schedule
- Which specialties and service types are affected by the update preview
- What broad categories of therapy-related designations and imaging-related bundling are discussed
Who Should Read This
- Medical coders
- Billing staff
- Physicians
- Compliance professionals
- Practice managers
Codes Discussed
Code Ranges Discussed
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