decisionhealth Newsletters, Part B News - 2017 Issue 7 (July)
CMS previews preventive service add-on codes, dozens of new CPT codes
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Article Overview
This article summarizes a proposed set of Medicare and CPT code changes previewed by CMS for a future fee schedule year. It is aimed at coders, billers, and practice leaders who need a broad understanding of how the upcoming updates may affect preventive care reporting, surgical services, imaging, orthotics/prosthetics, and anticoagulation-related services. The article highlights the general categories of code additions, deletions, and revisions discussed in the proposal without providing a full coding manual.
Why This Topic Matters
The preview helps readers identify areas of their code book and fee schedule workflows that may change and prepares them for upcoming CPT and HCPCS updates. It is especially relevant for practices that report preventive services, anesthesia, surgery, radiology, rehabilitation, or laboratory management services.
Article Sections
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Preventive service add-on codes
Discusses proposed new Medicare add-on code concepts tied to extended preventive services and the broader context of CMS payment changes.
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Anesthesia services for gastrointestinal endoscopic procedures
Reviews upcoming anesthesia code changes related to gastrointestinal endoscopy and the associated package of deletions and replacements.
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Head and neck muscle graft code replaced with two new codes
Summarizes proposed changes to a head and neck flap/muscle graft service and the introduction of related replacement codes.
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Five new nasal sinus endoscopy codes
Covers new nasal and sinus endoscopy reporting categories referenced in the proposed fee schedule.
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Imaging now assumed for endovascular abdominal aortic aneurysm repair (EVAR)
Describes EVAR-related CPT restructuring, including bundled imaging supervision and interpretation and related code deletions and revisions.
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Bone marrow aspiration services updated to reflect changes in medicine
Outlines new and revised bone marrow, stem cell, and musculoskeletal service codes discussed in the proposal.
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Chest and abdomen X-rays will be reported by view
Explains proposed radiology reporting changes for chest and abdominal imaging that shift emphasis to view-based reporting.
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Subsequent encounter services for orthotic and prosthetic training
Covers revisions to orthotic and prosthetic management and training services, including initial and subsequent encounter distinctions.
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New International Normalized Ratio (INR) monitoring services
Summarizes proposed INR monitoring-related code deletions, replacements, and related Medicare coverage notes.
What You Will Learn
- Which broad service categories are affected by the proposed CMS code updates.
- How the article frames upcoming changes to preventive, surgical, imaging, rehabilitation, and monitoring services.
- What types of code changes are being previewed, such as additions, deletions, revisions, and placeholder codes.
- Which specialty areas are most likely to be impacted by the proposed updates.
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Physician practices
- Revenue cycle teams
Codes Discussed
Code Ranges Discussed
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