File Description
"This table illustrates the valuations associated with the CY 2019 proposed coding and payment changes for the Evaluation and Management (E/M) office/outpatient visit codes (CPT codes 99201-99215). As described in the CY 2019 proposed rule, we are proposing a single payment rate for new and established patient E/M visit levels 2-5. We are also proposing a number of payment  accuracy adjustments, including separate coding and payment for podiatry visits, primary care visits, and complex visits, the application of an MPPR to visits billed on the same day as a procedure, and a technical fix to the PE/HR calculation. This table also includes the valuation assumptions for two alternatives considered as described in the CY 2019 proposed rule: a single payment rate for new and established patient E/M visit levels 2-5 without any payment accuracy adjustments and a single payment rate for new and established patient E/M visit levels 2-4 without any payment accuracy adjustments. We have also included the CY 2018 valuation information for CPT codes 99201-99215. "
