Evaluation and Management Coding updates for 2022.

CPT® 2022 includes 249 new codes, 93 revised codes, and 63 deleted codes. All sections of CPT® received changes in codes and guidelines.

The most significant changes are to evaluation and management (E/M), here is an overview of the changes by section.

Evaluation and Management

In CPT®2022, the code descriptor for 99211 is revised to remove “Usually, the presenting problem(s) are minimal.” This editorial revision was made to be consistent with the changes to the office/other outpatient services in 2021, where the nature of the presenting problem was removed from all the code descriptors for 99202-99215 in 2021.

New guidelines are added for care management services, including chronic care management (CCM), complex chronic care management (CCCM), and a new subsection for principal care management (PCM). New PCM codes

99424-99427 replace the HCPCS Level II codes that the Centers for Medicare & Medicaid Services created for these services last year (G2064 and G2065).

CCM and CCCM require the care of two or more conditions. This left a gap in coding options when care management is performed for a single condition. The PCM codes are time-based and are reported once per calendar month. Codes 99424 and +99425 are reported based on time when the services are performed by a physician or other qualified healthcare professional (QHP). Codes 99426 and +99427 are also reported based on time when performed by clinical staff.

Also in CPT® 2022, there is a new table for all care management codes to assist in coding accuracy. The table includes the code, type of care management, who performed the services, time, and limitations on units for each calendar month.