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CPT codes for 2024 Updated

CPT codes for 2024

CPT codes for 2024

In the ever-evolving landscape of healthcare, it is crucial for medical professionals to stay informed about changes and updates that impact their practice. One such update that is set to take effect in 2024 is the implementation of new Current Procedural Terminology (CPT) codes. These codes play a vital role in documenting and billing medical procedures, ensuring accuracy and efficiency in the healthcare system. In this blog post, we will delve into the details of the updated CPT codes for 2024 and their implications for healthcare providers.

The American Medical Association unveiled today the 2024 Current Procedural Terminology (CPT) code set, which includes consolidated codes for reporting current COVID-19 immunizations, provisional codes for monovalent vaccines, and codes for Respiratory Syncytial Virus (RSV) vaccinations.

A news release from the American Medical Association reports that the 2024 code set has 230 additions, 49 deletions, and 70 revisions among its 11,163 codes.

Spanish language descriptors for medical procedures and services will also be included in the 2024 version. It is important to make medical procedures and services easy to understand for approximately 41 million Spanish-speaking individuals in the United States, so that language does not become a barrier and patients can actively participate in their own health care, according to Lori Prestesater, senior vice president of health solutions at the American Medical Association.

A new code (90480) allows for reporting the administration of any COVID-19 vaccine for any patient as part of the 2024 code set, which consolidates over 50 previous immunization reporting codes into 17. In addition, all codes previously approved for the administration of specific vaccines will be replaced by the latter.

Furthermore, it includes provisional codes (91318-91322) for monovalent Moderna and Pfizer COVID-19 vaccines for approval by the Food and Drug Administration.

A total of five new codes have been included in the 2024 code set (90380, 90381, 90683, 90679, and 90678) that correspond to product-specific RSV immunizations. As a result of the codes, the AMA will be able to track, report, and analyze the data more efficiently for planning and allocation purposes.

Some evaluation and management (E/M) reporting codes have been revised to clarify them, in response to requests from the Centers for Medicare and Medicaid Services. There have been the following revisions:

  • As part of the effort to align the format with other E/M codes, time ranges have been removed from outpatient visit codes (99202-99205, 99212-99215).
  • When a physician and a non-physician practitioner work together to provide all the services associated with a split/shared E/M visit, this is referred to as the “substantive portion”
  • This document explains how to report hospital inpatient or observation care services, as well as admissions and discharges, when a patient’s stay crosses over two calendar days.

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