New Updates in HCPCS codes from April 2021

The Centers for Medicare & Medicaid Services (CMS) posts quarterly updates of the HCPCS Level II code system on their website. Additionally, six codes are revised and 12 are discontinued, effective April 1, 2021. There are also two codes with changes to Medicare coverage. Following are  the changes. Code A9592 Copper cu-64, dotatate, diagnostic, 1 millicurie … Read more

COVID-19: EUA (Emergency Use Authorization) for Antibody Treatment

The U.S. Food and Drug Administration issued an Emergency Use Authorization (EUA) for the investigational monoclonal antibody therapy, bamlanivimab and etesevimab, administered together, for the treatment of mildto-moderate COVID-19 in adults and pediatric patients with positive COVID-19 test results who are at high risk for progressing to severe COVID-19 and/or hospitalization. Bamlanivimab and etesevimab, administered … Read more

CPT code 92507, 92508, 92520, 92521, 92522 ; Speech Evaluation coding

Basics of CPT code 92507, 92508, 92520, 92521 In medical doing, their are separate set of procedure codes (CPT code 92507, 92508, 92520, 92521, 92522, 92523, 92524 & 92526) used for reporting evaluation and treatment of speech sound production, receptive language, and expressive language abilities, voice and resonance production, speech fluency, and swallowing. Evaluations may … Read more

List of New G codes added in 2021

Here’s a sampling of the new G codes that represent physician services, along with some expert analysis: G2211   Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related … Read more

5 New Medicine Codes from July 1, 2021

The CPT® Editorial Panel also released early an additional five new codes in the Medicine/Vaccine, Toxoids section of the AMA’s CPT®. The following codes are effective July, 1, 2021, but won’t be published until CPT® 2022: 90626   Tick-borne encephalitis virus vaccine, inactivated; 0.25 mL dosage, for intramuscular use 90627   Tick-borne encephalitis virus vaccine, inactivated; 0.5 … Read more

AMA new update to COVID-19 vaccine CPT codes

The American Medical Association (AMA) today announced that the Current Procedural Terminology (CPT®) code set is being updated by the CPT Editorial Panel to include vaccine and administration codes that are unique to the COVID-19 vaccine candidate under development by Janssen Pharmaceutica, a division of Johnson & Johnson. The new CPT codes will be effective for use … Read more

Guidelines for Office or Other Outpatient E/M Services

History and/or Examination Office or other outpatient services include a medically appropriate history and/or physical examination, when performed. The nature and extent of the history and/or physical examination is determined by the treating physician or other qualified health care professional reporting the service. The care team may collect information and the patient or caregiver may … Read more

IPPS Final Rule Changes for 2021

The Inpatient Prospective Payment System (IPPS) Final Rule for Fiscal Year 2021 (FY 2021) went into effect for acute care hospital discharges on October 1, 2020. The final rule was published on the Centers for Medicare and Medicaid Services (CMS) website on September 2, 2020 and was published in the Federal Register on September 18, 2020. The … Read more

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