tci ED Coding & Reimbursement Alert - 2020 Issue Q1

You Be the Coder: Will You See Higher Pay for ED E/M Visits?

Question: A few months ago, you published an article noting that CMS was considering raising the relative value units for the ED E/M codes. When will they make a final decision? Supercoder Subscriber Answer: CMS released its 2020 Medicare Physician Fee Schedule Final Rule on November 15, which confirmed the following updates to the work RVUs of the first four emergency department E/M codes (99281-99284). That change, coupled with an increase in the conversion factor to 36.0896 will create the following payment amount changes to your ED E/M codes effective January 1: You’ll note that although the...

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