By Liz Wilson,RT, CCS, RHIT, CEMC, CPMA
Director of Coding and Auditing
The American Medical Association (AMA) has revamped its Current Procedural Terminology (CPT) codes for 2013. These changes are effective as of January 1st. The key to reducing claim denials is to examine your chargemaster. The deletions and additions of CPT codes will require that your practice closely re-examine your providers’ encounters/superbills. Even the new language in some of these new codes requires particular documentation to support billing for each service. It’s imperative that your group review the changes to ensure a prosperous New Year!
The most critical changes were the ones that affect each provider, regardless of specialty or place of service—the Evaluation and Management codes (E/M). Among the many different types of changes, CPT 2013 revised the description of 82 of its E/M codes within the range 99201-99467. The majority of the revisions are advantageous in the description of each code by now specifying that these E/M services are no longer limited to use by a physician. The descriptors that once read “physicians” now read as “qualified health care professionals”. Continue reading