tci Medicare Compliance & Reimbursement - 2007 Issue 41
CPT 2008: Tobacco Counseling, Phone E/Ms Getting Easier To Report
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Article Overview
This article reviews selected CPT 2008 changes that affect how certain time-based services are categorized and reported. It focuses on telephone evaluation and management services, smoking and tobacco cessation counseling, and revised nursing facility care descriptors, while also noting related implementation and payer-adoption considerations. The content is aimed at coders, billers, and clinicians who need to understand which service categories changed and what kinds of documentation and reporting topics are discussed.
Why This Topic Matters
It helps readers determine whether the article covers CPT 2008 updates relevant to outpatient communication services, counseling services, and nursing facility E/M documentation. The piece is useful for those tracking new CPT categories, deleted codes, and time-based descriptor revisions.
Article Sections
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Phone E/M Codes A Boon--If Payors Accept Them
Discusses the 2008 CPT changes to telephone evaluation and management reporting and the surrounding payer-adoption considerations. It also notes general guidance issues related to phone-based services and timing.
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Consider Specific Codes For Smoking Cessation
Covers the addition of smoking and tobacco cessation counseling reporting options in CPT 2008. The section places these services in the context of other counseling categories and time-based reporting.
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CPT Scraps Old 99305-99318 Definitions
Summarizes the revised nursing facility care descriptors in CPT 2008 and the impact of adding typical timeframes to these visit types. It also addresses broader reporting implications for nursing facility services.
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Check Descriptor's Last Sentence For Time Guideline
Explains the importance of the time guidance added to nursing facility descriptors and how it relates to documentation expectations. This section continues the discussion of the revised nursing facility code family.
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Code Based On Time For Some Counseling-Heavy Visits
Presents a nursing facility counseling-focused example to illustrate the revised time-based reporting discussion. It emphasizes documentation and coordination-of-care themes within the nursing facility setting.
What You Will Learn
- Which broad CPT 2008 service categories were revised in the article
- How telephone evaluation and management reporting changed in CPT 2008
- How smoking and tobacco cessation counseling was newly addressed in CPT
- What changed in the nursing facility care descriptor structure
- What types of documentation themes are emphasized for time-based services
Who Should Read This
- Medical coders
- Billing staff
- Physicians and other clinicians
- Practice managers
- Compliance and reimbursement personnel
Codes Discussed
Code Ranges Discussed
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