CPT and Coding Resources

Long-Term EEG Coding Resources

• Long-term EEG Monitoring Coding FAQs
• Read a summary of changes to Long-term EEG Monitoring Services
• Review code descriptions and definitions for Long-term EEG Monitoring Services
• View final 2020 Medicare values for Long-term EEG Monitoring Physician Services
• Review Long-term EEG Case Studies to help you code correctly in 2020
• Member template letter: payer outreach on long term EEG monitoring

Coding and Reimbursement Articles

The AAN's Role in Advancing Coding and Reimbursement For Neurology 

Understanding How You Get Paid: Part 1

Understanding How You Get Paid: Part 2

Understanding How You Get Paid: Part 3

Understanding How You Get Paid: Part 4

AMA CPT & RUC Process

Learn more about how the AAN participates in the American Medical Association's (AMA) CPT code development and valuation recommendation process. 

• Read about the CPT coding process in the AAN's CPT Process Manual and the American Medical Association's (AMA) CPT Editorial Summaries of Panel Actions.

AMA Relative Value Scale Update Committee (RUC) Survey Process

• The AMA/Specialty Society Relative Value Scale Update Committee (RUC) recommends values for services to CMS.
• CMS evaluates RUC recommendations to further reduce payments as policy dictates. Successful representation at RUC is critical but not sufficient to guarantee acceptable payment policy.
• The AAN surveys new or revised CPT codes and presents recommendations to the RUC. Neurologist participation in these surveys is vitally important as they have a minimum participation threshold for the data to be statistically valid. 
• View a brief YouTube video to learn more about the AMA RUC Process.

CPT Care management Service codes

Ensure you are capturing all the necessary components and meeting the billing requirements for correct reporting of the following care management services:

• Chronic Care Management (CCM)
• Transitional Care Management (TCM)
• Cognitive Impairment Assessment and Care Planning
• Advance Care Planning

Resources: 

• Medicare CCM Guide
• Care Management Services Coding Table 
• CCM Requirement Checklist
• CCM FAQ Document
• Medicare TCM Fact Sheet
  

Additional Coding Resources

• Coding Guidance: JZ/ JW Modifiers
• New Physician Specialty Code for Epileptologists

*The billing and coding information provided by the American Academy of Neurology and its affiliates (collectively, “Academy”) are assessments of clinical information provided as an educational service. The information (1) is not clinical advice; (2) does not account for how private payers cover and reimburse procedures or services*; (3) is not continually updated and may not reflect the most current clinical information (new clinical information may emerge between the time information is developed and when it is published or read); and (4) is not a substitute for the independent professional judgment of the treating provider, who is responsible for correctly coding procedures and services.

Using this information is voluntary. The Academy is providing the information on an “as is” basis and makes no warranty, expressed or implied, regarding the information. The Academy specifically disclaims any warranties of merchantability or fitness for a particular use or purpose. The Academy assumes no responsibility for any injury or damage to persons or property arising out of or related to any use of this information or for any errors or omissions.

*The Academy recommends always checking private payer policies before rendering procedures or services