Each year brings updates to procedural billing codes, and staying current avoids claim denials and payment delays. Here’s a summary of the key changes practices should be aware of.
What changed
Several evaluation and management codes were restructured to better reflect time spent on complex cases, along with new codes for remote patient monitoring services.
Why it matters for your claims
Submitting with outdated codes is one of the most common reasons claims get rejected. Front-desk and billing staff should update their reference sheets before the next billing cycle.
Action items
- Update your practice management software code sets
- Retrain billing staff on the revised categories
- Audit a sample of recent claims for compliance
A small amount of prep now saves significant back-and-forth with payers later.
