Month: January 2022

Information Blocking and Test Results

The Information Blocking Rule permits clinicians to withhold certain electronic health information from a patient’s MyChart if the clinician determines that doing so will substantially reduce a risk to the life or physical safety of the patient or another person (i.e., an “unreasonable risk of harm”).

If you withhold a test result from MyChart based on an unreasonable risk of harm, you must promptly release the result after you discuss it with the patient. Once the patient knows the result, there is no longer justification for withholding it based on an unreasonable risk of harm.

Reminder: Concern that a particular test result will be upsetting or confusing to a patient is not sufficient justification for withholding a test result from MyChart.

Please see these guidelines for more information, or if you have any questions please contact the Office of Healthcare Compliance and Privacy.

2022 CPT Code Changes and Coding Updates

Effective January 1, 2022 the American Medical Association (AMA) made a total of 405 changes to the Current Procedural Terminology (CPT) code set. The codes are used to report medical, surgical, and diagnostic procedures to insurers. This uniform code set provides standardized communication of services performed and determines reimbursement to providers. Below is a breakdown of additions, revisions and deletions. The code sets highlighted are those with the most changes.

2022 Code Set Changes Added Deleted Revised
Evaluation and Management 5 0 10
Anesthesia 6 2 0
Surgery 30 13 25
Radiology Procedures 4 3 1
Pathology and Laboratory Procedures 4 3 1
Medicine Service and Procedures 36 11 4
Category II Codes 0 0 1
Category III Codes 72 26 2
Proprietary Laboratory Analyses (PLA) Codes 62 5 2
Total 249 63 93
MSN Healthcare Solutions. 2022. 2022 CPT Updates: New Codes – MSN Healthcare Solutions. [online] Available at: https://msnllc.com/2022-cpt-updates-new-codes/.

New Subsection of CPT Codes for Principal Care Management

Chronic Care Management (CCM) and Complex Chronic Care Management (CCCM) require the management of two or more conditions. This left a gap in coding when care management is performed for a single condition. Newly introduced Principal Care Management (PCM) codes are time-based and can be reported once per calendar month.

99424; (Principal care management services, for a single high-risk disease) A physician or other qualified healthcare professional performs management and care plan services for a patient with a complex chronic condition, expected to last three months, which places the patient at significant risk of hospitalization, acute exacerbation, decompensation, functional decline, or death. Use this code for the first 30 minutes of physician/qualified healthcare professional time.

+99425; each additional 30 minutes of physician or other qualified healthcare professional time beyond the first 30 minutes.

Please contact the Office of Healthcare Compliance and Privacy with any questions or concerns.