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Reinforce your coding and billing efforts in 2027: Prepare to welcome nearly 300 new CPT codes across a wide range of services and body systems taking effect Jan. 1. The AMA’s CY 2027 CPT update also contains 74 revised codes and 80 deletions.
 
Many of the deleted codes are being replaced with new codes. See the body system round-ups below for further guidance. The CPT update also features a definition for prescription drug management in the level-based E/M services section and more guidance for chronic care management coding.
 
 
 
The latest issue of Part B News returns to a topic that is currently roiling the provider community: CMS' proposal to slash fees for modifier 25-appended claims by up to 50% for some services. The proposal, as recent analysis shows, has massive billing and payment implications.
 
Take note if your practice treats chronic pain caused by carpal tunnel syndrome, Morton’s neuroma, osteoarthritis of the knee, trigeminal neuralgia and more: Practices in 38 states need to prepare for new coverage guidelines for these and other conditions before the end of October.
 
In a preview of the 2027 CPT code set, the AMA announced 453 total editorial changes, including 299 new codes across medical, surgical and diagnostic services that will be debuting Jan. 1, 2027.
 
 
CMS wants to diminish payments for claims submitted with modifier 25 by 50% in some cases, and providers and others in the medical practice community are not pleased.
 
The fee cut, which "undermines patient-centered care," would be "disastrous," according to public comments shared with CMS in response to the proposed 2027 Medicare physician fee schedule.
 

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