Four key CPT updates to improve your coding efforts in 2019

February 12th, 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 summarizes expert commentary on several 2019 CPT changes and documentation topics that may affect outpatient coding workflows. It is aimed at coders and billing professionals who want a high-level understanding of new, revised, deleted, and bundled reporting issues in chronic care management, knee-related injection services, E/M-related code relationships, and health and behavior assessment coding.

Why This Topic Matters

The piece helps coding professionals recognize which 2019 CPT updates may affect claim reporting, documentation review, and compliance processes. It is relevant for identifying areas where coding changes or bundling guidance may create confusion in routine practice.

Article Sections

  1. Add new CCM code to your list

    Discusses a 2019 chronic care management update within the E/M chapter and the broader reporting context around physician-led versus staff-directed services. Also notes related documentation and monthly reporting considerations at a high level.

  2. Beware knee injection services

    Reviews a knee-related injection coding update and the reason the article flags caution in this area. The section also places the change in the context of imaging-related arthrography services and coding errors.

  3. Watch codes reported with E/M

    Covers code combinations being reviewed because of frequent pairing with evaluation and management services. The section focuses on the documentation and reporting scrutiny associated with same-day billing.

  4. Avoid E/M with assessment codes

    Summarizes CPT guidance on health and behavior assessment and intervention reporting in relation to E/M services. It highlights a grouped set of assessment-related codes and the general bundling concern.

What You Will Learn

  • Which 2019 CPT update areas are most likely to affect routine outpatient coding work
  • How chronic care management reporting changed at a high level
  • Why certain knee injection services required closer attention in 2019
  • Which E/M-related code pairing issues were being reviewed by the AMA
  • What broad guidance CPT provided for health and behavior assessment reporting

Who Should Read This

  • Medical coders
  • Billing staff
  • Practice managers
  • Physician advisors
  • Compliance staff

Codes Discussed

  • CPT: 99491
  • CPT: 99490
  • CPT: 27369
  • CPT: 27370
  • CPT: 20610
  • CPT: 29105
  • CPT: 64455
  • CPT: 20551
  • CPT: -25
  • CPT: 96150
  • CPT: 96151
  • CPT: 96152
  • CPT: 96153
  • CPT: 96154
  • CPT: 96155

Code Ranges Discussed

  • CPT: 96150-96155

Modifiers Discussed

  • CPT: -25

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