{"id":10035,"date":"2019-11-14T15:53:25","date_gmt":"2019-11-14T10:23:25","guid":{"rendered":"https:\/\/www.medicalbillersandcoders.com\/blog\/?p=10035"},"modified":"2021-01-04T11:07:08","modified_gmt":"2021-01-04T05:37:08","slug":"cms-proposes-hcpcs-g-codes-for-podiatric-em-visit-payment-scheme","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/cms-proposes-hcpcs-g-codes-for-podiatric-em-visit-payment-scheme\/","title":{"rendered":"CMS Proposes HCPCS G-codes for Podiatric E\/M Visit Payment Scheme"},"content":{"rendered":"

In July 2018, CMS has proposed a major reworking of its evaluation and management (E\/M) visit payment scheme to reflect more accurately the resources used in different types of care. They have proposed to create two HCPCS G-codes, HCPCS codes GPD0X (Podiatry services, medical examination, and evaluation with initiation of diagnostic and treatment program, new patient) and GPD1X (Podiatry services, medical examination, and evaluation with initiation of diagnostic and treatment program, established patient), to describe podiatric evaluation and management services.<\/p>\n

CMS has proposed a work RVU of 1.36, a physician time of 28.19 minutes, and direct costs summing to $21.29 for HCPCS code GPD0X, and a work RVU of 0.85, physician<\/a> time of 21.73 minutes, and direct costs summing to $15.87 for HCPCS code GPD1X. These values are based on the average rate for CPT codes 99201-99203 and CPT codes 99211-99212 respectively, weighted by podiatric volume. The update is described in CMS\u2019 Notice of Proposed Rulemaking, titled \u201cRevisions to Payment Policies under the Physician Fee Schedule and Other Revisions to Part B for CY 2019,\u201d which will be published in the Federal Register on July 27, 2018. Major takeaways are listed as follows:<\/p>\n