2022 CPT Code Set Changes

2022 CPT Code Set Changes

The American Medical Association (AMA) issued changes to the Current Procedural Terminology (CPT) code set for 2022. Few changes may apply to administration of the COVID-19 vaccine. These codes include new medical coding and documentation standards for COVID-19 vaccinations.

“Data-driven planning and resource allocation is vital for effective immunization programs that will bring the coronavirus pandemic to an end,” said AMA President Gerald E. Harmon, M.D. “Correlating each coronavirus vaccine and dosing schedule with its own unique CPT code has provided necessary analytical advantages to help track, allocate and optimize resources for immunization programs across the United States.”

Other changes to the CPT code set

The COVID-19 vaccine and administration codes are among 405 editorial changes in the 2022 CPT code set, including 249 new codes, 63 deletions and 93 revisions. The CPT code set continues to see growth in new and novel areas of medicine with 43% of editorial changes tied to new technology services described in Category III CPT Codes and the continued expansion of the Proprietary Laboratory Analyses (PLA) section of the CPT code set.

“The CPT code set continues to see growth in new and novel areas of medicine with 43 [percent] of editorial changes tied to new technology services described in Category III CPT codes and the continued expansion of the Proprietary Laboratory Analyses (PLA) section of the CPT code set,” AMA stated in the announcement.

Five new codes

Five new codes – CPT 98975, CPT 98976, CPT 98977, CPT 98980, CPT 98981 – will be available to report therapeutic remote monitoring, reflecting the increase in digital care services amid the pandemic. “These codes expand on the remote physiologic monitoring codes that were created in 2020,” AMA wrote in a Sept. 7 news release, referring to CPT codes 99453, 99454, 99457 and 99458.

New codes also apply to principal care management, a Medicare program that took effect in 2020. Reimbursement is available under that policy for care management of patients with a single chronic condition, whereas previously such services were reimbursed only for patients with multiple chronic conditions.

The complete 2022 code set descriptors can be imported to a provider’s software solution via downloadable CPT data file.

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