Podiatry Coding & Billing Alert

Code 99211 will be revised in 2022.

When CPT^® 2022 becomes effective on Jan. 1, 2022, you will not see any new podiatry-specific codes. However, you will get several new evaluation and management (E/M) additions and revisions.

Keep your podiatry claims in tip-top shape by staying on top of the following E/M updates you will see next year.

Read on to learn more.

Discover New Chronic Care, Principal Care Management Codes

You will receive a new chronic care management (CCM) code in 2022: +99437 (Chronic care management services with the following required elements:

• multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient,
• chronic conditions that place the patient at significant risk of death, acute exacerbation/ decompensation, or functional decline …)

Additionally, you will gain several new principal care management service codes. They are as follows:

• 99424 (Principal care management services, for a single high-risk disease, with the following required elements:
  • one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/ decompensation, functional decline, or death,
  • the condition requires development, monitoring, or revision of disease-specific care plan … first 30 minutes provided personally by a physician or other qualified health care professional, per calendar month.)
• +99425 (Principal care management services, for a single high-risk disease, with the following required elements:
  • one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/ decompensation, functional decline, or death,
  • the condition requires development, monitoring, or revision of disease-specific care plan … each additional 30 minutes provided personally by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure))
• 99426 (Principal care management services, for a single high-risk disease, with the following required elements:
  • one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/ decompensation, functional decline, or death,
  • the condition requires development, monitoring, or revision of disease-specific care plan …first 30 minutes of clinical staff time directed by physician or other qualified health care professional, per calendar month.)
• +99427 (Principal care management services, for a single high-risk disease, with the following required elements:
  • one complex chronic condition expected to last at least 3 months, and that places the patient at significant risk of hospitalization, acute exacerbation/ decompensation, functional decline, or death,
  • the condition requires development, monitoring, or revision of disease-specific care plan … each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (List separately in addition to code for primary procedure))

Don’t miss: Code +99425 is an add-on code you can use with primary code 99424. Also, code +99427 is an add-on code you can use with primary code 99426.