Healthcare News: CMS seeks comment on implementing new CCM codes in 2020

December 3rd, 2019

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains CMS’s proposal in the 2020 Medicare Physician Fee Schedule final rule to create temporary HCPCS codes for complex and non-complex chronic care management services. It is relevant for coders, compliance staff, and billers who follow Medicare policy updates and CPT/HCPCS coordination for chronic care management reporting. The article covers the proposed transition, the related existing CPT structure, and CMS’s request for comments on whether to use the new codes in 2020 or wait for anticipated CPT updates.

Why This Topic Matters

CMS payment policy changes can affect how chronic care management services are reported and paid under Medicare. Understanding the proposed HCPCS replacement codes and the implementation timeline helps practices prepare for coding and reimbursement updates.

What You Will Learn

  • How CMS is approaching proposed HCPCS replacements for chronic care management services
  • Why CMS is considering temporary codes before CPT descriptor updates occur
  • What broad policy questions CMS is asking stakeholders to comment on
  • How the proposal relates to Medicare Physician Fee Schedule implementation timing

Who Should Read This

  • Medical coders
  • Billing professionals
  • Compliance staff
  • Practice managers
  • Healthcare reimbursement analysts

Codes Discussed

  • HCPCS Level II: GCCC1
  • HCPCS Level II: GCCC2
  • HCPCS Level II: GCCC3
  • HCPCS Level II: GCCC4
  • CPT: 99490
  • CPT: 99487
  • CPT: 99489

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