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.
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