CPT Updates for 2020

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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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