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99342 CPT Code: 2026 Billing Guide for New Patient Home Visits

CPT 99342 is a new patient home visit at low MDM or 30+ minutes. Get the 2026 $78.83 Medicare rate, POS rules, G2211, and what replaced 99343.

The 99342 CPT code reports an evaluation and management (E/M) visit for a new patient in their home or residence. A visit qualifies with low medical decision making (MDM) or at least 30 minutes of total practitioner time on the date of service. The code is active in 2026, and Medicare pays $78.83 at the […]

CPT code 23472: 2026 billing guide for total and reverse shoulder arthroplasty

CPT code 23472 total shoulder arthroplasty billing 2026 hero banner: one code covering both anatomic and reverse total shoulder with no reverse-specific code or modifier, payers checking the diagnosis and operative note against the implant design, a reverse billed with osteoarthritis alone and no cuff findings drawing review, the biceps tenodesis 23430 conflict between CPT Assistant and Aetna, 23470 hemiarthroplasty versus 23472 decided by whether a glenoid component was placed, and the 2026 Medicare national physician payment of $1,300.30, from ClaimMax RCM.

CPT code 23472 reports a total shoulder arthroplasty, where the surgeon replaces both the glenoid and the proximal humerus with prosthetic components in one session. The same code covers anatomic and reverse total shoulder arthroplasty. In 2026, Medicare’s national physician payment is $1,300.30 (38.93 total RVUs), and the code carries a 90-day global period. One […]