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At-a-Glance: 2022 Billing and Coding Updates for Medical Practices

In today’s ever-changing healthcare environment, it’s important to have resources to keep you up to date on issues affecting patient care and practice revenue. CAP is here to support all members with vital updates.

In January, CAP hosted a webinar with healthcare business operations and reimbursement management expert, Mary Jean Sage, addressing critical 2022 billing and coding updates.

On-Demand Webinar: Key Strategies for Ensuring a Profitable Independent Practice
During this one-hour program, practice management expert Debra Phairas discusses how various business models and operational enhancements can increase revenue to help your practice remain successful in today’s competitive marketplace.

The webinar covered changes impacting ICD10-CM, CPT, HCPCS, Medicare payment provisions, telehealth, and MIPS.

Did you know, there are 159 additions, 32 deletions, and 20 revisions in the ICD 10 coding book in 2022 and 405 editorial changes that incorporate a series of 15 vaccine-specific codes to efficiently report and track COVID-19 immunization and administrative services?

That’s why the importance of consistent, complete documentation in the medical record cannot be overemphasized. Without such documentation accurate coding cannot be achieved.

Here is a summary of a few key changes that medical practices should implement as soon as possible:

Care Management Updates

  • There are separate codes depending on who performed the service – physician or other qualified health professional (QHP) or clinical staff
  • Accurately document time (first 30 minutes vs. additional 30 minutes)

HCPCS Level II Changes (Purchase a New Book Annually)

  • 155 New Codes
  • 63 Revised Codes
  • 48 Deleted Codes
  • New Modifiers

Senate and House Bill - December 2021

  • Delays 2% cuts to Medicare through March 2022
  • Delay’s sequestration 4% cuts to 2023
  • 3.75% reduction in MPFS changed to a 0.75% reduction

In 2021, the AMA added the concept of shared services between a physician and qualified healthcare professional (QHP)

  • CMS uses the term non-physician practitioner (NPP)
  • Both QHP and NPP mean someone who has E/M in their scope of practice
  • Allows for E/M services to be jointly performed by a physician and NPP

For a comprehensive overview of all critical 2022 billing and coding changes, please view the webinar Critical 2022 Billing and Coding Updates for Your Medical Practice, now available for free on demand at

As a benefit of your membership, take advantage of CAP’s My Practice program for free practice management and business assistance. In addition to being available for general practice-related inquiries, My Practice can provide you with support for billing and coding inquiries and connect you with essential resources.  


Andie Tena is CAP’s Director of Practice Management Services. Questions or comments related to this column should be directed to