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2019 proposed Medicare Physician Fee Schedule

  1. #1
    Default 2019 proposed Medicare Physician Fee Schedule
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    Has anyone found a thorough explanation of the add on code GPC1X (visit complexity inherent to E/M)?

    Thanks

  2. #2
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    Medical Billing
    this decision health article talks about it more. place holder for add on code for PCP to attach to E&M.

    "As proposed, the dummy code reads as follows: GPC1X (Visit complexity inherent to E/M associated with primary medical care services that serve as the continuing focal point for all needed health care services [Add-on code, list separately in addition to an established patient evaluation and management visit]). The code would be assigned 0.07 work RVUs. “This proposed valuation accounts for the additional work resource costs associated with furnishing primary care that distinguishes E/M primary care visits from other types of E/M visits and maintains work budget neutrality across the office/outpatient E/M code set,” CMS says."
    A separate code is proposed for subset of specialists to give a bump.

    https://pbn.decisionhealth.com/Blogs...aspx?id=200733
    CRC (2018), CPC-P-A (2016), COC-A (2016), CPC-A (2015), PAHM (2010)
    Contract/Fee Specialist - Remote

    20 years health insurance experience: Audit, Claims, Customer Service, Payment Policy, Provider Relations, and Reimbursement

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