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CPT Changes

In the fall of 2021, the AMA released CPT changes to take effect January 1, 2022.

The breakdown is as follows:

  • New Codes: 249
  • Deleted Codes: 63
  • Revised Codes: 93
  • Covid-19 Vaccines: Series of 15 vaccine-specific codes
  •  

Two new CPT subsections were added:

  • • “Remote Therapeutic Monitoring Services,” which includes codes 98975 through 98977
  • “Remote Therapeutic Monitoring Treatment Management Services,” which includes codes 98980 and 98981

These new procedure codes will improve the coding and reporting of telemedicine services provided to patients who choose to continue meeting with their providers electronically to manage their care instead of seeing the provider face to face. Evaluation and management time coding guidelines were revised to include specific instructions and guidance, which states that time should not be counted when spent on:

  • the performance of other services that are reported separately
  • travel
  • teaching that is general and not limited to discussion that is required for management of a specific patient

There were no changes to modifiers for 2022!

Here is the link to the AMA codes for the Covid-19 Vaccine:
https://www.ama-assn.org/system/files/covid-19-immunizations-appendix-q-table.pdf

This table links the individual severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine product codes (91300, 91301, 91302, 91303, 91304, 91305, 91306, 91307, 91308) to their associated immunization administration codes (0004A, 0001A, 0002A, 0003A, 0011A, 0012A, 0013A, 0021A, 0022A, 0031A, 0034A, 0041A, 0042A, 0051A, 0052A, 0053A, 0054A, 0064A, 0071A, 0072A, 0073A, 0081A, 0082A), manufacturer name, vaccine name(s), 10 and 11-digit National Drug Code (NDC) Labeler Product ID, and interval between doses. These codes are also located in the Medicine section of the CPT code set.

Additional introductory and instructional information for codes 0001A, 0002A, 0003A, 004A, 0011A, 0012A, 0013A, 0021A, 0022A, 0031A, 0034A, 0041A, 0042A, 0051A, 0052A, 0053A, 0054A, 0064A, 0071A, 0072A, 0073A, 0081A, 0082A, 91300, 91301, 91302, 91303, 91304, 91305, 91306, 91307, and 91308 can be found in the Immunization Administration for Vaccines/Toxoids and Vaccines, Toxoids guidelines in the Medicine section of the CPT code set.

Reference

Journal of AHIMA 12/20/2021

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