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Posts Tagged ‘2010 cardiology cpt codes’

The news is doing the rounds that consultation codes (99241-99255) will not exist in the year 2010. Pediatrics coders are pondering as to how it’s going to affect their practice.

CMS has proposed ending coverage of consultation codes (99241-99255) to boost payments for primary care services. The AMA intends to make use of these codes at least till CPT 2010. For Medicare and private payers that adopt Medicare’s consultation coverage change, you need to use E/M codes (99201-99215 for office visits or 99221-99223 for hospital care rather than using consultation codes (99241-99245 for outpatient consults and 99251-99255 for inpatient consults).

The proposed rule suggests redistributing the savings that would result from invalidating consultation codes into payments for E/M services like office visits (99201-99215, office or other outpatient visit…) and initial hospital care (99221-99223).

If enacted, the consult pay elimination could benefit general pediatricians who might witness a payment hike from increased frequently used office visit codes. However, pediatric specialists tend to bill more consultations could see a downslide in revenue.

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January 2010 is just round the corner. As we step into the New Year, CPT will witness a plethora of changes, so much so that you’ll have a tough time keeping pace with what’s been added, what’s been revised, what’s been deleted. You’ll also need to know all the text and guideline changes if you are to make a mark in your coding career.

As far as cardiology is concerned, the American Medical Association (AMA) has released four new Category I CPT codes to report cardiac CT (CCT) and Cardiac CT angiography (CCTA) exams.

The new codes, to get going from January 1, 2010, are the result of several years of hard work put in by the American College of Cardiology (ACC), the Society of Cardiovascular CT (SCCT), the American Society of Nuclear Cardiology (ASNC) among others.

For more of such cardiology and other CPT updates, you can get hold of the CPT book, which is a treasure trove of coding know how. But you’ll do well to remember that there are many a 2010 CPT code changes which will not make it to the printed form until the year 2011.

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