CPT Updates for 2020

Home Blog CPT Updates for 2020

The van Halem Group's Abrielle Uritz, RN, BSN, CPC, CEMC provides information about the updates that will be made to the current CPT code set. E/M services will now have a clearer definition and will be aligned with the times in the telephone care service codes.

Some of these updates include the following:

  • Patient must be established, while the problem being addressed may be new.
  • Patient must initiate the service through Health Insurance Portability and Accountability Act (HIPAA)-compliant secure platforms.
  • Codes can be reported once per seven-day period.
  • Time begins with the initial personal review of the patient-generated inquiry.
  • Time counted is spent in evaluation, professional decision-making, assessment and subsequent management.
  • Time is accumulated over the seven days and includes time spent by the original physician and any other physicians or other qualified health professionals in the same group practice.
  • Time does not include time spent on nonevaluative electronic communications including but not limited to scheduling appointments, referral notifications and test result notifications.
  • Permanent documentation storage (electronic or hard copy) of the encounter(s) is required.
  • If a separately reported E/M visit occurs within seven days of the initiation of an online digital E/M service, then the physician or other qualified health professionals work devoted to the online digital E/M service is incorporated into the separately reported E/M visit.
  • Do not report this service during a procedural global period.

More updates are also noted, including remote physiologic monitoring codes, new time-based codes, new surgical codes, and more. 

Click here to read the full article from The van Halem Group.


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