Upcoming CPT Code Changes for Primary Care
December 21, 2017 | Featured Articles
Jenna Mirchin, CPC, CPMA, CGSC"/>
The new year always brings about change, and from a coding standpoint 2018 looks to be no different! The 2018 AMA CPT Codebook will have several new CPT codes that will be beneficial to Primary Care providers. Here’s what you need to know:
VACCINE CODE ADDITIONS
|
CODE |
DESCRIPTION |
|
90750 (New code, but effective since July 2017) |
Zoster (shingles) vaccine (HZV), recombinant, sub-unit, adjuvanted, for intramuscular injection |
|
90682 (New code) |
Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use |
|
90756 (New code) |
Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular use |
PULMONARY PROCEDURES
|
CODE |
DESCRIPTION |
|
94617 (New code) |
Exercise test for bronchospasm, including pre- and post-spirometry, electrocardiographic recording(s), and pulse oximetry |
|
94618 (New code, replacing deleted 94620) |
Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry and oxygen titration, when performed |
EVALUATION AND MANAGEMENT CODES (REPLACING ‘G CODES’)
|
CODE |
DESCRIPTION |
|
Cognitive Assessment and Care Plan Services |
|
|
99483 Cognitive-Assessment Services: report 99483 in place of G0505 |
Assessment of and care planning for a patient (new or established) with cognitive impairment, requiring an independent historian, in the office or other outpatient, home or domiciliary or rest home (certain elements required) |
|
General Behavioral Health Integration Care Management |
|
|
99484 Care Management-Focused Behavioral Health Integration (BHI): report 99484 in place of G0507 |
Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month (with certain required elements). |
|
Psychiatric Collaborative Care Management Services |
|
|
99492 Collaborative Care Management (CoCM) services: report 99492, 99493 and 99494 in place of G0502, G0503 and G0504. |
Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional (with certain required elements). |
|
99493 |
Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities (with certain criteria) |
|
99494 |
Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional |
Consultation codes continue to be included in the 2018 CPT Manual, but note that United Healthcare, one of the few commercial Payers that continued to pay these codes after CMS jettisoned the codes several years ago, has stopped paying for consult codes effective Oct. 1, 2017.
