It is important to be aware of the all of the changes that you may face in the near future. To be specific, your specialty may be affected by some billing and coding modifications taking effect January 1, 2013. These modifications include approximately 185 new codes, 119 deleted, 263 altered, 32 resequenced, and 18 revised CPT modifiers. Large areas that are affected include: office or other outpatient services, consultations, diagnostic radiology, nuclear medicine, dialysis, immunology, digestive system, musculoskeletal system, respiratory system, cardiovascular system and more. For example, psychiatry and neurology are two specialties that must adapt.
According to the American Psychiatric Association:
- New 2 codes: Initial evaluation with medical services done by a physician (90792) and non-physician (90791).
- Only 3 timed codes for psychotherapy in all settings instead of a distinction made by setting and whether E/M services were provided. (90832- 30 minutes; 90834-45 minutes; 90837- 60 minutes. For up to 37 minutes you would use the 30 minute code; for 38 to 52 minutes, you would use the 45-minute code; and for 53 minutes and beyond, you would use the 60-minute code) Including new timed add-on codes.
- A new code: for psychotherapy, for a patient in crisis (90839).
- Add-on code for interactive complexity; when the patient encounter is made more complex by the need to involve people other than the patient (90785).
These listed changes are only few of many that will be taking place. In order to get paid as quickly as possible, is important to find out if changes pertain to your specialties billing.
DocComply wishes you a Happy and Healthy New Year!
According to the American Academy of Neurology:
- 7 new nerve conduction codes (95907–95913); Nerve conduction study codes and H–reflex codes, 95900, 95903, 95904, 95934, 95936 have been deleted.
- Two new codes to report pediatric polysomnography for children younger than 6 years of age (95782, 95783).
- Two new codes (+95940 and +95941) for neurophysiology monitoring either inside or outside the operating room; Code +95920 has been deleted.
- A new code (95924) to report when both parasympathetic (92921) and adrenergic function (92922) types of autonomic testing are performed together.
- A new code 64615 for performing chemodenervation to treat chronic migraine.
- Three new codes for complex chronic care coordination. Codes 99487–99489 are reported only once per calendar month and include all non–face–to–face complex chronic care coordination services and none or 1 face–to–face office or other outpatient, home, or domiciliary evaluation and management (E/M) visit related to care for the patient's chronic condition(s).