2025 AUGS Coding Webinar-Presentation Slides

Pdf Summary

The American Urogynecologic Society's (AUGS) 2025 Coding Webinar focuses on critical changes impacting medical reimbursement. One key update is the revised Physician Fee Schedule (PFS), with a 2.83% decrease in the conversion factor (CF) for 2025, the fifth consecutive year of cuts. These reductions are exacerbated by the absence of an inflationary adjustment, prompting urgent congressional action.<br /><br />The webinar discusses new Transfer of Care coding updates, emphasizing modifiers (-54, -55, -56) required for 90-day global procedures when care is split among providers. A new HCPCS code, G0559, allows post-op care reporting even without a documented transfer agreement. These changes affect billing and require clear documentation to ensure appropriate reimbursement.<br /><br />Telehealth updates are also outlined, with new CPT codes (98000-98015) introduced for synchronous audio/video and audio-only visits. These updates reflect the expanded use of telehealth services post-COVID-19. Despite being essential to modern healthcare, the new telemedicine codes won't be reimbursed by CMS in 2025, with a focus on existing office visit codes for billing. Providers are encouraged to consult payers when offering audio-only options to new patients.<br /><br />The webinar concludes with details on the G2211 add-on code facilitating reimbursement for complex or serious condition management during outpatient visits. The code supports numerous billing scenarios but is unavailable for postoperative visits recorded with modifier 25, non-CMS telehealth visits, or procedural visits unless paired with eligible preventative services.<br /><br />Overall, the 2025 changes necessitate heightened diligence in billing practices to maintain financial stability under CMS's evolving guidelines. Providers are urged to adapt to these updates, emphasizing the importance of documenting care to meet new billing requirements. Resources like AUGS's coding community and fact sheets are recommended for further guidance.

Meta Tag

Concept Medicare Physician Fee Schedule

Concept Conversion factor

Concept Transfer of Care

Concept HCPCS G0559

Concept Telehealth

Concept G2211

Keywords

AUGS 2025 Coding Webinar

Physician Fee Schedule

conversion factor decrease

Transfer of Care coding

HCPCS code G0559

telehealth CPT codes

audio/video visits

G2211 add-on code

billing documentation

CMS guidelines

Medicare Physician Fee Schedule

Conversion factor

Transfer of Care

HCPCS G0559

Telehealth

G2211