4 key CPT updates to improve your coding efforts in 2019

Why This Topic Matters

The article helps readers spot changes that may affect claim accuracy, documentation, and compliance in the new year. It is especially relevant for practices that report chronic care management, injection-related services, splint application, tendon and nerve procedures, or behavioral assessment services.

Article Sections

1. Add new CCM code to your list

   Introduces a new chronic care management reporting topic within the E/M chapter and discusses the broader context for physician-led service reporting in 2019.

2. Beware knee injection services

   Covers a knee injection-related CPT update, including the replacement of an older service and concerns about prior reporting patterns.

3. Watch codes reported with an E/M

   Reviews a small group of CPT services that were being billed alongside evaluation and management claims at elevated rates and notes associated documentation and modifier considerations.

4. Avoid E/M with assessment codes

   Summarizes new CPT guidance related to health and behavior assessment reporting and same-day evaluation and management billing.