tci ED Coding & Reimbursement Alert - 2009 Issue 2

CPT Update: Check Out Your Top Changes for 2009

Latest CPT axes prolonged E/M modifier --but offers EDs no alternative strategy. Starting Jan. 1, ED coders will have to adjust to a deleted modifier and note some code set renumberings. AMA Makes Modifier 21 Obsolete In 2009, coders can no longer rely on modifier 21 (Prolonged evaluation and management services), which was left off the roster of 2009 modifiers, confirms Joan Gilhooly CPC, CHCC, president of Chicago's Medical Business Resources. Before this development, ED coders could append modifier 21 to the highest-level E/M service within a given category to account for "extra" encounter time -- for example, 99285...

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