decisionhealth Newsletters, Part B News - 2018 Issue 9 (September)
CPT 2019: Check the 6 new E/M codes, and don't overlook the new guidelines
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Article Overview
This article reviews selected changes in the 2019 CPT manual, with emphasis on new and revised guidance across multiple chapters. It is intended for coding professionals, billers, and practices that need to understand documentation updates, chapter-level revisions, and newly added services affecting CPT reporting.
Why This Topic Matters
The update highlights changes that can affect documentation, code selection, and claim processing across several common service areas. It is useful for readers tracking annual CPT revisions and related guidance from CPT and CMS.
Article Sections
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Evaluation and Management
Covers new and revised E/M content in the 2019 manual, including remote monitoring, interprofessional consultation, and chronic care management updates.
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Surgery guidelines
Summarizes new chapter guidance related to imaging documentation and the reporting of imaging assistance within surgical services.
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Integumentary system
Reviews updated biopsy-related guidance and code family changes for skin and needle aspiration procedures.
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Musculoskeletal system
Discusses revised arthrography and imaging guidance information affecting selected musculoskeletal procedures.
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Cardiovascular system
Describes updates involving leadless pacemakers, central venous access procedures, and related imaging guidance notes.
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Radiology
Focuses on documentation and supervision/interpretation guidance for imaging services and radiology reports.
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Medicine
Covers new and revised medicine chapter codes and definitions, including vaccine, testing, and adaptive behavior service updates.
What You Will Learn
- Which CPT 2019 chapters and service categories received notable updates
- How the article frames documentation and reporting guidance changes
- Which broad service families were added, revised, or clarified in the 2019 manual
- What subject areas are affected by new CPT definitions and chapter notes
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Physician practices
- Practice managers
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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