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 last year, 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, it is still not clear how best to capture and document this time. As we continue to develop resources for you, AAOS is hosting a webinar on Wednesday, February 15 at 7:15-8:15 p.m. to provide some guidance on how to start appropriately reporting work performed prior to surgery, using these and other codes. Register today

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