PCM Presurgical Optimization Coding References
AAHKS has worked with CMS and the AMA RUC for years to recognize the pre-optimization work and practice changes physicians undertake for better patient care. Late in 2022, the AMA CPT Assistant provided details on how arthroplasty surgeons may use principal care management codes for this work, including that “the principal care management (PCM) codes (99424-99427) are appropriate for reporting preprocedural optimization management services.” A subscription to AMA CPT Assistant is required to look up the codes or view the article (page 16 of the Nov. 2022 print version), which includes examples of use developed by AAHKS and AAOS leaders. While these codes are now available for use, in order to properly code them, please utilize the resources below.
- AAOS Webinar on Preprocedural Optimization Services
- AAOSNow Pre-Optimization Coding Article
- Presurgical Optimization Quick Reference Guide
Special thanks to Frank R. Voss, MD, former Chair of the AAHKS Practice Management Committee, for his hard work and dedication in creating the ICD-10 guides for AAHKS members.