One of the benefits of working at PCC is that I am surrounded by nice and smart people (which, oddly, I never hear anyone else mentioning...weird). As a practical benefit, it means that if I don't know something, I usually just need to ask a question aloud and someone will come to my rescue. Or, in this instance, I can just send a note to Jan Blanchard, our nationally recognized resident coding expert, and she'll pour me a gallon of CPT response. I was working on the impact of the 2020 RVU changes for pediatricians and I realized the conversation isn't entirely complete without a review of what CPTs have been added, subtracted, or redefined.
I found Jan's answers so helpful that I've recorded them here.
Me: Jan, I followed your presentation about the 2020 changes and I don't know if you realize it, but I'm a little ADD. Is this the year phone calls get RVUs? Or did it already happen? Can you start with your executive summary for what's happening in 2020?
Jan: For Peds in 2020 the important changes are around E&M and the Health Behavior Assessment and Intervention codes.
Me: Can you give me an example of how and when these new codes should be used?
|98966||Qualified Healthcare Provider, Phone Call: 5-10 min||0.40|
|98967||Qualified Healthcare Provider, Phone Call: 11-20 min||0.78|
|98968||Qualified Healthcare Provider, Phone Call: 21+ min||1.14|
|Qualified Healthcare Provider, On-line Digital E&M svc: 5-10 min||0.0|
|98971||Qualified Healthcare Provider, On-line Digital E&M svc: 11-20 min||0.0|
|98972||Qualified Healthcare Provider, On-line Digital E&M svc: 21+ min||0.0|
MD Online E&M: 5-10 min
|99422||MD Online E&M: 11-20 min||0.86|
|99423||MD Online E&M: 21-30 min||1.39|
|99441||Physician or Qualified Healthcare Provider, Phone E&M: 5-10 min
|99442||Physician or Qualified Healthcare Provider, Phone E&M: 11-20 min||0.78|
|99443||Physician or Qualified Healthcare Provider, Phone E&M: 21+ min||1.14|
Me: So, you're saying that before 2020, these health intervention codes could have been coded properly in a telemedicine context, but not any longer?
Jan: Yes, it seems sad but true.