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The AMA’s CPT Editorial Panel approved sweeping changes to documentation and code selection guidelines for evaluation and management codes. If finalized, the changes will shift the way practices select codes for both office and facility visits as soon as January 2021.

Many practices are breathing a sigh of relief after CMS decided to hold off on critical payments changes for E/M services. But don’t get too comfortable just yet.
You’ll find new guidance that will help practices document services, code correctly and combat denials in your 2019 CPT manual. The electronic version of the 2019 CPT manual is available and DecisionHealth has reviewed the book to create this overview of some of the revisions and additions in next year's manual.
Four new CPT Category III codes will be available for use beginning July 1, including a new code for endovenous revascularization and stent placement in the femoral-popliteal artery, two new eye imaging tests and bone density measurement that uses pulse-echo ultrasound.

If the Government Accountability Office (GAO) has its way, Medicare's recent prior authorization programs will get a new lease on life and even expand to other items and services.


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