New telehealth codes for 2025 have an invalid status indicator from Medicare See the telemedicine section of CPT Coding Changes for 2025 for details. CPT® telephone codes 99441–99443 are deleted in the 2025 CPT book. Included in this article: Telehealth Update – March 19, 2025 Place of Service update from MLN Matters CPT® changes in […]
New and Newsworthy
Change is constant and expected in coding and reimbursement policies and knowing about these is required for accurate and timely payment. CodingIntel keeps you current with CMS coding rules and policies and CPT annual updates. Read about breaking changes to CMS rules and new, revised and deleted codes.
Select HCPCS codes from 2025 and 2024 | Webinar
Recorded March 20th, 2025
CMS continues to develop new HCPCS codes to describe services that promote their healthcare agenda, and are not in the CPT® code set. This webinar will address a select few of the newer services from this year and last year.
Advanced Primary Care Management Codes | Webinar
Recorded January 16th, 2025
CMS developed three HCPCS codes effective 1-1-2025 to pay primary care practices to manage the care of patients over time. CMS continues to believe that practices incur significant expense for the care that happens in between office visits.
Physician Fee Schedule Final Rule for Calendar Year 2025
2025 conversion factor $32.3465 (updated 11/19/2024) Coverage of new HCPCS codes On November 1, CMS released the final 2025 Medicare physician fee schedule. The rule contains dozens of new HCPCS codes that will take effect Jan. 1, 2025. From cardiovascular disease assessment and caregiver training services to a suite of behavioral health services, the new […]
CPT® Coding Changes
Updates to the CPT® Manual: 2025 Edition The 2025 edition of the CPT® Manual confirms hundreds of code changes that take effect Jan. 1, 2025, including 270 new codes and 112 deleted codes. The 2025 Manual also revises nearly 40 codes. In this roundup of some of the significant changes to the 2025 CPT code […]
Annual CPT® Changes | Webinar
Recorded December 19th, 2024
Guest presenter Shannon McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O
Each year the American Medical Association releases updates to the CPT® Manual. This year’s release contains 420 updates including 270 new codes, 112 deletions and 38 revisions that will be effective 1-1-2025.
CMS’s Physician Fee Schedule Final Rule
Recorded December 10th, 2024
Guest presenter Claire Ernst, Director, Government Relations & Public Policy for Hooper, Lundy & Bookman, P.C.
The 2025 Physician Fee Schedule rule, released in early November, includes policy changes for physician practices effective January 1st. This year, CMS proposed over 20 new HCPCS codes including an inpatient add-on code for infectious disease treatment, additional caregiver training codes, digital mental health treatment (with device), interprofessional consults for behavioral health and ASCVD risk screening.
CMS Implemented G2211 in 2024
CMS releases G2211 FAQ: Finally! Eight months after implementing G2211 CMS has released a FAQ document answering questions they’ve received via email and during Open Door Forums. The link is below. Some of the document reiterates information from the Federal Register and MLN Matters article, and some is new. G2211 Visit complexity inherent to evaluation […]
What’s New in the Proposed Physician Fee Schedule Rule
This article describes the proposed HCPCS codes in the PFS with the proposed payment and highlights for each code set. Coding highlights from the 2025 PFS proposed rule Medicare releases proposed policy changes for medical services for the next year each July, accepts comments on the proposals for 60 days, and sends out the final […]
2025 CMS Proposed Physician Rule | Webinar
Recorded July 25th, 2024
CMS released its 2025 Proposed Physician Fee Schedule rule on July 10, and it’s packed with coding policy proposals. The conversion factor is always bad news. But, there is good news too.
Coding for Prolonged Services: CPT® and HCPCS Codes
Common rules: Prolonged services codes are add-on codes to the highest level E/M services in certain categories. In order to use prolonged care, the primary code must be selected based on time. This is in the CPT® and HCPCS definition of prolonged services. Prolonged services codes may only be added to the highest-level code in […]
G2211 Survey Results
Your comments tell the story Our survey asked if you are billing G2211 and getting paid for it. And, if so, which payers are paying. The disruption of the claims processing system in the U.S., that all but halted claims submission and payment for many groups ,also hindered data collection in our survey. But combined […]
Is ChatGPT Coming to Coding?
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 […]
Coding Matters™
Health care coding news matters to coders, billers administrators and practitioners in medical practices. Often, there’s new beyond new codes or new policies and keeping up-to-date with that news can inform decisions that practices make. CodingIntel’s Coding Matters® page will help you be in the know about government regulation, compliance actions, third-party policies and the […]
2023 CPT® E/M Changes
Ready to learn about the 2023 CPT® E/M changes? There is a significant update to the Evaluation and Management (E/M) section of the CPT® book. There are 25 codes that are going away. There are revisions to the introductory guidelines related to five different categories of codes. Prolonged services are getting yet another overhaul. This […]