AHA Coding Clinic® for HCPCS - 2022 Quarter 4; In This Issue
Mpox (formerly monkeypox) with new CPT Category I codes
On Aug. 4, 2022, the U.S. Department of Health & Human Services declared the increased spread of the monkeypox virus in the United States a Public Health Emergency (PHE). Monkeypox is an orthopoxvirus, which is a member of the Poxiviridae family of viruses, the same family of viruses responsible for smallpox and cowpox. The monkeypox virus can be further divided into newly named variants Clade I, (formerly Congo Basin) and Clade II (formerly West African). The most common and less severe variant, Clade II - which can be further subdivided into Clades IIa and IIb, are responsible for...
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Article Overview
This article explains the public health context behind mpox, the name change from monkeypox to mpox, and the introduction of new CPT Category I codes associated with vaccination and laboratory testing. It is relevant to coding professionals, billing staff, and healthcare organizations that track preventive services, diagnostic testing, and vaccine reporting updates.
Why This Topic Matters
The article helps readers stay current on a recent infectious disease terminology change and related CPT updates that affect reporting workflows for vaccination and lab services.
Article Sections
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Background on monkeypox/mpox
Provides an overview of the virus, outbreak context, transmission, symptoms, and the public health response discussed in the article.
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New CPT Category I codes
Summarizes the new CPT codes associated with mpox-related vaccination and laboratory testing and notes the related effective-date information.
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New Monkeypox-related CPT codes
Presents a table of the newly identified CPT codes with associated implementation details such as patient age, manufacturer, and brand name fields.
What You Will Learn
- How the article frames the mpox outbreak and terminology update
- Which broad categories of CPT changes were introduced
- What types of services are represented by the new vaccination and laboratory testing codes
- Which organizations and dates are associated with the update
Who Should Read This
- Medical coders
- Billers and revenue cycle staff
- Compliance staff
- Clinical practice administrators
- Infectious disease and public health stakeholders
Codes Discussed
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