Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
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tci E/M Coding Alert - 2014 Issue 11
Pediatric Critical Care: Implement the Updated 99466-99467 Reporting Guidelines
The ‘by land, air, or water’ place of service code is necessary for a complete claim.
Previously, the descriptor of the CPT® codes 99466-+99467 (Critical care face-to-face services, during an inter-facility transport of critically ill or critically injured pediatric patient, 24 months of age or younger…) left room for misinterpretation that the reportable services had to be face-to-face with the patient, not other healthcare professionals. But that has changed.
Continue reading to familiarize yourself with the 2014 updates to the guidelines that make it easier for you to know when you can — and can’t...
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