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Pre-Conference Workshop - Another Day, Another Dol ...
2024 Coding Changes and New CPT Codes
2024 Coding Changes and New CPT Codes
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Pdf Summary
The document is a review of the 2024 coding changes in medical billing, presented by Jameca R. Price, MD, and Nemi M. Shah, MD. The primary focus is on updates to payment procedures, new CPT codes, and their appropriate use. The document mentions conversion factors for medical claims in 2024, which vary depending on the service date, with figures of 32.7442 and a proposed 33.2875. Two new add-on codes are introduced: 99459 for pelvic examinations, intended to capture additional resources during evaluations linked to preventive medicine, and G2211 for complex longitudinal care, which pertains to managing long-term health concerns.<br /><br />The document details the conditions for using these codes. Code 99459 is an add-on for various evaluation and management (E/M) services, requiring documentation of a chaperone and speculum exam but not to be used if the examination is part of a procedure. G2211 focuses on long-term care but excludes preventive visits, procedures, or uses requiring a -25 modifier.<br /><br />Several case studies are presented to model the practical use of these codes. These include scenarios dealing with routine exams, follow-ups on abnormal Pap smears, cervical biopsies, and issues like urinary urgency, giving context-specific guidance on when codes are appropriate.<br /><br />Further proposals include a new add-on code, GPOC1, aimed at addressing postoperative care by practitioners not originally involved in the surgical procedure. The document also hints at an expansion of telehealth services, particularly in audio-only formats for patients at home, pending policy updates by CMS.<br /><br />Questions and discussions are encouraged among readers to clarify these updates.
Keywords
medical billing
2024 coding changes
CPT codes
payment procedures
conversion factors
add-on codes
pelvic examinations
long-term care
telehealth services
postoperative care
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