decisionhealth Newsletters, Coder Pink Sheets - 2014 Issue 11 (November)
CPT revises surgical package to restrict pre-op E/Ms
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Article Overview
This article covers a CPT 2015 surgery guideline revision, the related AMA/CPT Assistant guidance, and how the update compares with Medicare global period policy. It is relevant to coders, billers, surgeons, and compliance staff who need to understand how preoperative evaluation and management services are treated within the surgical package.
Why This Topic Matters
The update affects how preoperative visits are considered under the surgical package and how closely CPT and Medicare policy align. Readers in surgical coding and reimbursement need to know the general policy change and its potential implications for billing and compliance.
What You Will Learn
- What the CPT 2015 surgery guideline revision addresses
- How the surgical package definition was updated in broad terms
- How the update relates to CPT Assistant guidance from 2009
- How the policy compares with Medicare global period treatment of related visits
- Why the change may matter for surgical coding and reimbursement
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Surgeons
- Practice managers
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