HCPro, JustCoding Outpatient - 2021 Issue 34 (August)
Take a first peek at dozens of new CPT codes slated to appear in 2022
August 24th, 2021
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Article Overview
This article reviews proposed 2022 CPT changes discussed in the Medicare Physician Fee Schedule proposed rule. It is aimed at coders, billers, and practice leaders who want to understand which broad service areas are affected, how the proposal process fits into final coding updates, and where to look for more detail in the forthcoming CPT Manual and Addendum B.
Why This Topic Matters
The preview helps readers assess how upcoming CPT revisions may affect documentation, coding workflows, and payment-related planning across several specialties. It also explains that some proposals are not final, making it useful for teams tracking regulatory updates and comment-period developments.
Article Sections
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E/M services: Care management
Discusses proposed updates affecting chronic care and principal care management services, including changes tied to time-based reporting and payment policy considerations.
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Anesthesia
Covers proposed anesthesia code changes related to spine procedures and the related rationale for revising the code set.
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Cardiovascular system
Summarizes proposed new cardiovascular-related codes involving vascular access, embolic protection, left atrial appendage procedures, aortic repair, and arterial harvest reporting.
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Digestive system
Reviews proposed additions for upper aerodigestive evaluation and esophageal myotomy services, including procedure context and global period discussion.
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Urinary system
Describes proposed permanent replacements for device-related urinary system codes involving adjustable balloon continence devices and associated reporting changes.
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Nervous system
Covers several proposed nervous system code changes, including a new image-guided intracranial procedure, spine-related add-ons, neurostimulator revisions, and pain management-related reporting.
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Eye and ocular adnexa
Summarizes proposed ophthalmology code updates for cataract-related device placement and lacrimal canaliculus implant reporting.
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Auditory system
Reviews proposed updates involving implantable hearing-related devices and revisions to distinguish among implantation, removal, and replacement reporting.
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Radiology
Covers proposed imaging-related codes for trabecular bone score services and the split between professional and technical reporting components.
What You Will Learn
- Which broad CPT sections are expected to change in the 2022 update cycle.
- How proposed CPT updates are presented in the Medicare Physician Fee Schedule rulemaking process.
- Which general clinical service areas are affected by new, revised, and replacement codes.
- How global periods and other payment-related details are discussed in the preview context.
- Where coders may need to monitor final wording differences between proposed and final CPT descriptors.
Who Should Read This
- Medical coders
- Coding auditors
- Billing and reimbursement staff
- Practice managers
- Physician office administrators
- Compliance staff
Codes Discussed
Code Ranges Discussed
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