New voices, prospect sought as CPT’s editorial panel expands

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The CPT Editorial Board, which is responsible for maintaining “the language of medicine”, also known as Current Procedural Terminology (CPT®) code game, will add new voices and perspectives of people mastering the expanding vocabulary of medicine.

Specifically, the CPT’s Editorial Board, which meets several times a year and ensures that the CPT’s codes reflect the latest medical care provided to patients, is reduced from 17 to 21 members.

The expansion aims to increase the expertise available to the CPT’s editorial board as coding content progresses to reflect the emergence of digital health, precision diagnostic medicine and augmented intelligence.

New posts on the CPT’s Editorial Panel will be open to:

  • Two physicians appointed by a medical specialty company.
  • A candidate from an umbrella organization that represents private health care insurers or a medical specialty company.
  • Member of a general organization.

To qualify as a member of the general organization, the person must be:

  • Is part of an organization that has historically participated in the CPT’s code change request, formal review or deliberation process of the CPT’s drafting board and previously had no ability to nominate members, such as a group that is not a medical specialty company or an umbrella organization that represents private health insurers.
  • A physician who is familiar with the nomenclature and coding of medical or healthcare procedures and is committed to maintaining the defined CPT code in accordance with the highest professional standards.

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Opportunity for new voices

“The Panel does not fill the knowledge gap, but provides an opportunity to bring new voices to the CPT’s Editorial Panel,” said Jay Ahlman, Vice President of Coding and Reimbursement Policy and Strategy of WADA.

“The headquarters of the payor’s umbrella organization provides an opportunity for an organization like the Council for Affordable Quality Healthcare to appoint someone,” Ahlman said. “The new headquarters of the general organization offers those who represent the innovators and others who were engaged in the process but who were unable to convince a panel member to nominate someone for consideration. “

All new members of the CPT’s editorial panel must be MD or DO, Ahlman said.

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New members will be observers at the February 2022 panel meeting and will be able to vote starting at the May 2022 meeting. To stagger terms, two of the four members will be randomly selected to begin their terms with a two-year term. . The other two will have an initial term of four years.

Of the current 17 panelists, two are represented by the panel chair and vice chair, 10 are physicians nominated by national specialty medical societies and approved by the WADA Board of Directors, one each is represented by the Blue Cross and Blue Shield Association, America’s Health Insurance Plans, and the American Hospital Association, and the remaining two seats are reserved for members of the CPT Health Care Professionals Advisory Committee (HCPAC). The Centers for Medicare and Medicaid Services have two people who act as the liaison between the Panel and the Agency.

During the COVID-19 pandemic, the CPT’s editorial board responded to requests from the Centers for Disease Control and Prevention and CMS to develop CPT codes that allowed them to track COVID-19 vaccines and vaccine delivery . In addition, the specificity of the codes allows the reuse of data to support the monitoring of research on “long-haul” patients.

Other notable recent additions to the CPT lexicon include codes for physicians adopting a collaborative care model, remote therapeutic monitoring, and remote physiological monitoring.

The next meeting (PDF) of the CPT’s Editorial Board will be virtual and is scheduled for September 30 to October 30. 2.

The CPT’s Editorial Board supports diversity, equity and inclusion in its members and policies. WADA encourages highly motivated and qualified candidates from all walks of life who meet the defined criteria for membership in the CPT’s Editorial Board to apply for these positions. All applicants are subject to the approval of the WADA Board of Directors.

Learn more about the implementation of CPT Assessment and Management Reviews (E / M) and Recent Technical Corrections (PDF).

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