Question:

What’s all this I hear about ChatGPT? Is it coming to coding?

Answer:

All right, I wrote that question myself. I’ve been thinking about this topic.  Alicia Gallegos wrote an article for CodingIntel about the topic.

But, I wanted to see for myself how it could interpret coding rules, so I asked ChatGPT questions about the Proposed Rule.  Let’s compare a few items.

New HCPCS code G2211

What I wrote on CodingIntel about G2211:

CMS is proposing to recognize and pay for HCPCS code G2211, an add-on code to E/M services for complexity. CMS wanted to implement this three years ago, but Congress postponed it until January 1, 2024. That article is updated here.

Congress halted implementation of payment for this service until Jan. 1, 2024 and CMS would like to proceed with it. It will benefit primary care and specialists who treat patients for a serious condition, whose needs require consistency and continuity of care over time.  CMS wants to do this, and discusses it at length. There is opposition from some specialties because implementation of it will significantly factor into the budget neutrality provision, and lower RVUs for other services.  This provision will garner many comments pro and con, and I have no idea what the outcome will be

What ChatGPT wrote about G2211:

HCPCS Code G2211 for Add-On Complexity: The proposed inclusion of HCPCS code G2211 as an add-on code for Evaluation and Management (E/M) services introduces coding intricacies tied to complexity assessment.

Caregiver Training Services

What I wrote about Caregiver Training Services:

CMS is proposing to recognize and pay for two existing, currently bundled CPT® codes and three new CPT® codes that will allow physicians and other qualified health care professionals to provide training for caregivers of patients.

One set of codes (96202, 96203) is for group training in behavior management/ modification of patients with a mental or physical health diagnosis. The group training would include caregivers of different patients. These existing codes had a status indicator of bundled and CMS is proposing to change that to active in 2024.

The other three codes are new for 2024. The codes in this article and the Proposed Rule are placeholder codes until CPT® releases the 2024 code set. Two of the codes, 9X015 and 9X016 are for caregivers of an individual patient to facilitate the patient’s functional performance in their home and community relating to Activities of Daily Living. (ADL) These are timed codes, 30 minutes and 15 minutes respectively. The third new code, 9X017 is for group training of multiple sets of caregivers (who are caring for different patients). That group training code is not assigned a time.  LINK to article

What Chat CPT wrote about Caregiver Training Services:

Caregiver Training Services (CTS): The focus on caregiver training services introduces both individual and group-based coding considerations, underscoring the importance of accurate code assignment.

What do you think?