Medical Economics March 24, 2022
Lisa Eramo, MA

Four new codes have been put in place in 2022.

Effective in 2022, Medicare began accepting four new current procedural terminology (CPT) codes for principal care management (PCM) and discontinued two Healthcare Common Procedure Coding System G codes. Experts say the new codes, which are paid at a higher rate than the G codes, afford physicians the opportunity to improve outcomes while simultaneously generating additional revenue.

What are the codes?

What is PCM?

PCM is similar to chronic care management (CCM) in that both services are for patients who require ongoing clinical monitoring and care coordination. However, unlike its CCM counterpart, PCM only requires patients to have one complex chronic condition; CCM requires three or more.

For example, PCM could...

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Topics: HIM (Health Inf Mgmt), Physician, Provider, RCM (Revenue Cycle Mgmt), Technology
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