CPT code modifications

It’s time to adopt the CPT code modifications for the year. The code development process will last for most of the year, with the final version being delivered in September. Because the modifications take place in January of each New Year, and 2022 has a lot of them, this gives electronic systems time to integrate them.


There seem to be 249 new codes, 63 deletions, and 93 modifications in total. Although your medical billing system should already have the coding alterations set up, medical practitioners and billing professionals should be aware of them because input revisions are frequently required to ensure the relevant codes are applied.


COVID-19 Vaccination Already Has More Codes

The coronavirus SARS-CoV-2 remains to be a primary focus for novel coding. A series of 15 codes related to vaccines are included in the code set for 2022. Not only are these codes used to assign payment for services and vaccines, but they also serve as a tool to report and track vaccinations.


The American Medical Association (AMA) is in the authority of the codes, but in this case, it worked with the Centers for Disease Control and Prevention (CDC) to design vaccine coding to monitor which vaccines were given and to help with scheduling, reporting, tracking, and analysis.


COVID-19 Vaccine Coding Is Comprehensive

Although a booster is usually the third dose of vaccination, there are distinct requirements for the availability and timing of each dose, so it’s critical to keep track of which is being given. This is an excellent example of how coding is applied to reporting and tracking.


The main administration for Pfizer’s vaccine, for example, is two doses given 21 days apart. Immunocompromised people, on the other hand, should get a “second dosage” (third dose) at least 28 days later.


Adults were given “booster” doses once it was discovered that the advantages of the COVID-19 mRNA vaccinations decrease over time. The booster should be administered at least six months after the last dose of the vaccine, thus it might be the third or fourth dose, based on whether the person received an additional dose during their initial series.


Modifications for Digital Medicine in 2022

The COVID-19 epidemic prompted an urgent need to extend digital medicine, allowing individuals to see doctors without risking infection or transferring the virus to healthcare workers. Beyond the epidemic, online access to medical aid has many advantages, and its use is growing.


New standards and explanations are being written to cover this new arena for service delivery however, it can be difficult to know what is and is not permitted. The CPT code set for 2022 includes new codes as well as an appendix that details the American Medical Association’s taxonomy for digital medical services.


Many CPT Codes Have Changed

There are variations for many different specializations in addition to the COVID-19 and digital medicine codes. The American Medical Association (AMA) reported 43 percent of the changes were “related to new technological services listed in Category III CPT Codes and the progressive development of the Proprietary Laboratory Analyses (PLA) section” when the newest code set was introduced in September.


The annual editing process is designed to ensure that the coding system stays up with the modern healthcare system, which includes digital health, precision medicine, and augmented intelligence, according to the American Medical Association. This year’s adjustments included primary care management for patients with complicated chronic diseases, as well as a variety of surgical procedures.



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