On Demand: 2024 CPT Coding Changes and MPFS Final Rule Impacts to Cardiovascular Services-Q&A

Q&A

Pdf Summary

During a Q&A session on the 2024 CPT coding changes and MPFS Final Rule, several questions were addressed. <br /><br />Regarding incident to billing, if a patient asks for clearance for knee surgery unrelated to their plan of care, it is no longer considered incident to and must be billed separately or seen by a physician. <br /><br />When both an NP and MD document two out of three components of MDM, it is important to clearly indicate who performed the medical decision-making and support the definition of the substantive portion. <br /><br />For split/shared services, the definition is determined by CMS to support the definition of the substantive portion. <br /><br />The new FFR code 75580 will likely replace all T codes for this service and may have a TC/PC component, but limited information on reimbursement is currently available. <br /><br />There are some clinical trials listed in the national registry for the new leadless PM services. <br /><br />When a CT surgeon performs an EpiAortic u/s, they need to document the vessel patency and any aortic findings to ensure clarity that they are not checking venous grafts or blood flow within those grafts. <br /><br />POS 02 indicates that the service was provided via telehealth, and it is recommended to check with payers on their specific telehealth service policies. <br /><br />If an APP acts as a scribe, they are considered a "living recorder" and cannot independently perform any part of the service or make decisions. <br /><br />These are just a few highlights from the Q&A session on the coding changes and MPFS Final Rule for CV services.

Keywords

2024 CPT coding changes

MPFS Final Rule

incident to billing

knee surgery

medical decision-making

split/shared services

FFR code 75580

leadless PM services

EpiAortic u/s

telehealth service