Cardiovascular Coding Toolkit: Prepare for 2020 Now!

News | Published: Monday, December 9, 2019


2020 is just around the corner and there are numerous coding changes that will go into effect when the 2020 Physician Fee Schedule final rule goes into effect Jan. 1. Brush up on changes and take advantage of MedAxiom resources to ensure you and your practice are set up for success next year.

Estimate RVUs With New Physician Fee Schedule Calculator         

MedAxiom’s 2020 Coding Resources 

Work, practice expense and liability relative value unites (RVUs) are updated annually through Medicare physician fee schedule rulemaking. The American College of Cardiology’s Physician Fee Schedule Calculator allows clinicians and practice managers to estimate the practice impact of changes included in the final 2020 Medicare Physician Fee Schedule and related addenda. Over time, the goal of the tool Is to help facilitate a thorough understanding of impacts from one year to the next. Download the tool.

Notable 2020 Cardiovascular Coding Changes:

  • After proposed changes to evaluation and management (E/M) payment were both altered and/or delayed until 2021 in the 2019 final rule last November, in the 2020 Physician Fee Schedule final rule, CMS finalized revisions to E/M documentation and payment policies.
    • Walking back a prior plan to pay a blended rate for level 2-4 visits, CMS has adopted revised E/M code definitions developed by the AMA CPT Editorial Panel starting Jan. 1, 2021. Members from across the House of Medicine worked together throughout the process to address concerns about documentation burden in a manner that was less disruptive and correctly discerned differences in levels of E/M services.
    • The revised coding definitions are paired with a decision to pay for each level of service rather than use a blended rate.
    • Incorporating recommendations from the AMA RUC, CMS adopted revised work and practice expense (PE) inputs for E/M services.
  • CMS made updates to work and/or PE values for codes describing transcatheter aortic valve replacement, remote loop recorder interrogation and remote cardiac monitor interrogation, noncoronary intravascular ultrasound, and abdominal aortography. More detail will be available after CMS posts supporting data tables.
  • Work and or PE values for new/revised codes describing self-measured blood pressure monitoring, ambulatory blood pressure monitoring, remote physiologic monitoring, pericardiocentesis and pericardial drainage, myocardial strain imaging, and myocardial PET, were included in the final rule.