On September 8, 2023, the American Medical Association (AMA) unveiled the highly-anticipated CPT 2024 code set, marking another significant milestone in the healthcare industry. One of the most noteworthy developments is the inclusion of Spanish language descriptors for over 11,000 medical procedures and services, enhancing accessibility and inclusivity for the Latinx community.

This groundbreaking change demonstrates a commitment to serving a diverse patient population and reflects the evolving healthcare landscape. Now, healthcare providers can effectively communicate critical information to Spanish-speaking patients, fostering better understanding and patient-centered care.

Join us as we explore the CPT 2024 updates, revisions, and fresh additions that will play a vital role in your practice, allowing you to provide the best care possible to your patients in the coming year.

CPT Code Updates for 2024

The CPT code set for 2024 has undergone a significant transformation this year, featuring a total of 349 editorial changes. We're talking about 230 new codes, 49 old codes getting the boot, and 70 revisions to existing ones. With this revamp, we're looking at a vast collection of 11,163 codes covering a comprehensive set of medical procedures and services. It's all part of an ongoing effort to stay in sync with the rapid advancements in the health sector.

What's New?

Starting on January 1, 2024, a variety of changes will come into effect within the CPT code set, primarily encompassing:

1. Spanish Language Inclusion

The AMA has made a noteworthy addition to the CPT® 2024 code set by introducing Spanish descriptors. These descriptors span across 11,000+ medical procedures and services. This move breaks down language barriers, creating a more inclusive healthcare space while promoting transparency. These user-friendly descriptors, which were already common in English, are now seamlessly available in Spanish, making it simpler for the Latinx community to navigate their healthcare and feel more engaged in the process.

2. Streamlined COVID-19 Immunization Reporting

In an effort to simplify the reporting of COVID-19 immunizations, significant changes have been made in the CPT immunization code set for 2024. Here are the key points:

• Over 50 existing codes have been consolidated to streamline the process of reporting COVID-19 immunizations.
• Introduction of temporary codes (91318–91322) — to distinguish monovalent vaccine products from Moderna and Pfizer against COVID-19. These temporary codes will come into effect once approved by the FDA.
• New code 90480 — to report any COVID-19 vaccine administration (it replaces all previously approved product-specific codes).

3. Modified RSV Immunization Codes

Numerous groundbreaking products have been developed to combat the Respiratory Syncytial Virus (RSV), a culprit behind acute respiratory infections in individuals.

To facilitate improved tracking, reporting, and analysis of RSV immunizations, the CPT code set now includes five new codes: 90380, 90381, 90683, 90679, and 90678. These additions aim to optimize resource allocation through data-driven planning.

4. Revised E/M Codes

The CPT Editorial Panel has updated the CPT 2024 code set to enhance the clarity of reporting E/M services in response to CMS inquiries. Here's what's been done:

• Eliminated time ranges from office or other outpatient visit codes (99202–99205, 99212–99215) and made their format consistent with other E/M codes.
• Set a clear definition for "substantive portion" in split/shared E/M visits. This helps when both a physician and a non-physician practitioner work together on a visit.
• Introduced guidelines for using codes 99234–99236 to report hospital inpatient or observation care services, admission, and discharge services when a patient's stay spans two calendar dates.

5. Revised Category III Codes

Category III CPT codes, which are utilized to monitor and document emerging technologies, services, and procedures within the healthcare sector, will be subject to the following changes:

• Introduction of new codes (0811T–0815T, 0820T–0858T, 0864T-0866T)
• Revisions to existing codes (0517T-0520T)
• Updated guidelines and notes for various emerging technologies

Note that these codes are temporary, so some insurers may not accept them.

Navigating the CPT 2024 Updates

To ensure a seamless transition to the newly modified CPT code set, here are valuable resources you can utilize:

• Comprehensive Guide — Access AMA's coding books and products, including "CPT Changes 2024: An Insider's View," "CPT 2024 Professional Edition" codebook, and "CPT 2024 Standard Data File" (accessible via the AMA Intelligent Platform).
• Virtual Symposium — Gain valuable insights into the CPT 2024 code set updates by participating virtually in the CPT & RBRVS 2024 Annual Symposium, scheduled for November 15–17, 2023. Visit the AMA website for details, including meeting agendas and registration information.
• Educational Hub — Check out the dedicated CPT education section on the AMA Ed Hub™, offering learning modules on CPT coding fundamentals and various related topics. You can also access the CPT Network for answers to CPT coding.

2024 CPT Code Set: Making the Transition Seamless

Navigating the intricacies of the new 2024 CPT code set doesn't have to be a daunting task. With Glenwood's updated software, you have a reliable partner to ensure your transition to the latest codes is as smooth as possible.

Regardless of your medical specialty, whether primary care, dermatology, psychiatry, or any other medical specialty, GlaceRCM and GlaceEMR can be tailored to your needs. With Glenwood by your side, you can confidently embrace the changes brought by the CPT code set, knowing you have the support and tools needed for success. Contact us today to upgrade your coding and billing experience and make the transition seamless. Your journey to effective medical practice management starts here.