Hey, primary care! This one’s for you too.
Primary care doctors probably didn’t pay attention when the news broke that CMS is requiring reporting post op visits using code 99024 in nine states. After all, primary care isn’t doing major surgical procedures. However, the list includes minor procedures performed frequently in primary care and urgent care settings.
Which codes require post op reporting?
These are the codes that I expect will be performed and reported by primary care providers and in urgent care settings. A complete list can be downloaded from this CMS page:
Codes that require post op reporting,
Description – see CPT book
Drainage of skin abscess (simple or single)
Drainage of skin abscess (complicated or multiple)
Incision and removal of foreign body
Incision and removal of hematoma, seroma or fluid collection
Puncture aspiration of abscess, hematoma, bulla or cyst
Excision of benign lesions
Excision of malignant lesions
There are some closed fracture care codes, with or without manipulation on the list, as well.
Who needs to report these post op services?
- Physicians and non-physician practitioners who are in a group of 10 or more practitioners, of any specialty.
In these states:
- Florida, Kentucky, Louisiana, Nevada, New Jersey, North Dakota, Ohio, Oregon, Rhode Island
When does the CMS post op reporting requirement start?
Mandatory starting July 1, 2017
UPDATE: CMS recently released a FAQ document about reporting post op visits. You can find it here.
What CPT code should be reported?
99024 for each and every post op visit.
Reviewed, Betsy Nicoletti 10/12/2018For more about 99024 coding guidelines or CPT coding tips, articles and resources for Primary Care providers, please join CodingIntel today.