Transcription of 2020 Coding Changes for Long Term EEG/VEEG Services
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2020 Coding Changes for Long Term EEG/VEEG Services
2020 Coding Changes for Long Term EEG/VEEG ServicesPRESENTED BY:NATHAN B FOUNTAIN, MDGREGORY L BARKLEY, MDMARC R NUWER, MD, PHDSUSAN T HERMAN, MDNAEC/AES SessionDecember 9, 2019 History and Coding Revision ProcessNATHAN B FOUNTAIN, MDMEDICAL DIRECTOR, DREIFUSS COMPREHENSIVE EPILEPSY CENTERPAST PRESIDENT, NAEC Learning Objectives of SessionTo understand the history of the long term EEG monitoring Coding structure and its impact on epilepsy care and the reason behind and process for the Coding Changes that will become effective January 1, 2020To know the definitions and usage of the new codes and their potential impact on patient careOverview History of how Medicare drove Coding Changes for Long Term EEG Coding The AMA process for revising CPT Codes and their relative values Explanation of new Coding structure and Medicare values and payment Case studies how to use the new codes in typical patient case studies Next Steps in Coding and PracticeAbbreviations Organizations: AMA, AAN, NAEC, ACNS CMS Centers for Medicare and Medicaid Services CPT - Current Procedural Terminology RUC AMA RVS Update Committee PC Professional Component TC Technical Component HOPPS Hospital Outpatient Prospective Payment System APC Ambulatory Payment Classification DRG Diagnosis-Related GroupVEEG, Code 95951, Identified by CMS as High Volume for Medicare In No
Example of RVUs for Existing VEEG Code • 95951: global • 95951 – 26: professional component • 95951 – TC: technical component • Total RVUs multiplied by a geographically-adjusted conversion factor to determine payment Code
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