We have got some significant changes for you to go through for the upcoming year. In this article, we’ll discuss the key important highlights of this release coming in 2024!! Boost your firm's skills and revenue cycle with updated insights for the new year.
Let’s begin the new year with up-to-date information that can help benefit you as a medical billing or coding firm elevate your practice management skills and make your revenue cycle improved.!
2024 CPT update: 349 changes, including 230 new codes, 49 deletions, and 70 revisions. CPT now has 11,163 codes covering medical procedures & services, growing with innovation.
2024 CPT introduces Spanish descriptors for medical procedures and services.
"2024 CPT adds Spanish to help 41M US Hispanics access medical procedures."
Lori Prestesater, AMA senior vice president of health solutions said in the release.
2024 CPT revises evaluation and management (E/M) sections to reduce provider documentation burden. In addition, a new E/M subsection with new guidelines for split or shared services will be created. New codes align with current E/M office/outpatient services structure.
The following updates will include:
The following E/M codes will be revised in the CPT 2024 code set:
Shared E/M between multiple clinicians managing a patient simultaneously. In 2022-23, clinicians could choose between history, exam, MDM, or time for E/M coding. From 2024, split/shared services based on time >50%.
Code descriptor revisions are about time.
CMS inquiries led to CPT 2024 updates for E/M service reporting clarity. The revisions include:
Nursing facility visit codes revised with 5-minute addition:
G2211 G2211 Visit complexity is crucial for managing serious or complex medical conditions. (Add-on code for office/outpatient E/M visit, new or established)
G2211 is purposed to have the most interesting development
This add-on code acknowledges resource costs for primary & longitudinal care E/M visits. Add-on code for outpatient/office visits, recognizing costs for complex care coordination.
New E/M codes align with current structure, add virtual check-in for visit necessity.
From 2024, CMS pays home telehealth at non-facility PFS rate, aligning with CAA 2023 for access.
CPT/RUC Telemedicine Workgroup guides E/M coding for audio-visual & audio-only telemedicine visits. New E/M subsection with telemedicine guidelines added to CPT 2024.
Place of Service Codes for Medicare Telehealth Services. From 2024, POS 10 (Telehealth in Patient's Home) claims paid at non-facility PFS rate. POS 2 (Telehealth not in Patient's Home) claims paid at PFS facility rate for non-home sites.
The codes below will be deleted from the CPT 2024 code set:
99459 captures practice expenses for female pelvic exam during Office visit. As an add-on code, it should be reported only for the same date of service with the codes listed above.
CMS issued final rule on Nov 2, 2023 with PFS policy changes effective Jan 1, 2024. CY 2024 PFS rule supports healthcare equity for better access, quality, affordability, & innovation.
By factors specified in law, overall payment rates under the PFS will be reduced by 1.25% in CY 2024 compared to CY 2023. CMS is also finalizing significant increases in payment for primary care and other kinds of direct patient care.
The final CY 2024 PFS conversion factor is $32.74, a decrease of $1.15 (or 3.4%) from the current CY 2023 conversion factor of $33.89.
AltuMED is a Medical Billing Services and Solutions company, with more than 13 years of expertise in the industry. Our coding experts are well-versed and leave no room for error. Partner with us to avoid any coding inaccuracies.
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