These services will be mentioned but will not be discussed in detail here, as they warrant their own article. The change in terminology identifies that but does not change their usage.
One procedure code has been added to the list of procedures that include conscious sedation. Code describes vertebroplasty performed on an additional level. The initial level codes already include conscious sedation, so this change should not have any impact. Chest Procedures The codes describing pneumocentesis and thoracentesis , , and were removed this year and replaced by the following new codes:.
The code for chest drainage with a catheter was changed to an open procedure designation. This code will no longer be appropriate for percutaneous procedures performed with imaging guidance. Code or will be used for percutaneous placement of an indwelling pleural drainage tube. Pain Procedures The description for code has been changed to indicate this inclusion of fluoroscopic guidance, so it now reads as Percutaneous implantation of neurostimulator electrode array; sacral nerve transforaminal placement including image guidance, if performed.
Imaging guidance always has been a bundled component of neurostimulator implantation; this just formalizes the policy. There is one new code: , Chemodenervation of muscle s ; muscle s innervated by facial, trigeminal, cervical spinal, and accessory nerves, bilateral eg, for chronic migraine. Bronchography The two codes describing unilateral and bilateral radiologic supervision and interpretation for bronchography have been deleted and are not being replaced.
Similar to thoracic and lumbar spine procedures, cervical spine X-rays will be reported by the number of views instead of the type of views.
There has been no change in the recommendation to use code for one view of any section of the spine. Nuclear Medicine Three new codes have replaced the four existing codes that describe thyroid imaging.
There will be only one code for uptake, one code for imaging, and one code for the combination of the two. It will no longer matter whether one uptake is performed or multiple; the code will be the same. Two new codes have been established for reporting parathyroid SPECT, and the description for the existing code for parathyroid imaging has been changed to identify it as being performed with only planar imaging.
Interventional Radiology The most extensive CPT coding changes for involved interventional radiology. All codes describing cervicocerebral imaging have been deleted and replaced with codes that bundle the different ways these procedures may be performed. One code will be used to report procedures previously reported with numerous codes.
The codes describing thrombolysis, including the catheter exchange, have been deleted and replaced with comprehensive codes based on each day of treatment. And the codes describing intravascular foreign body retrieval have been deleted and replaced with a single code that includes the radiologic supervision and interpretation.
The new codes are all in the 30, series of CPT. The trend is to bundle procedures into one code when services are typically performed together. For hospital billing, the CMS already has bundled payments for multiple services performed together, such as imaging guidance for biopsies and cyst aspirations. Creating codes that combine the two is a logical next step. The change in terminology identifies that but does not change their usage.
One procedure code has been added to the list of procedures that include conscious sedation. Code describes vertebroplasty performed on an additional level. The initial level codes already include conscious sedation, so this change should not have any impact. Chest Procedures The codes describing pneumocentesis and thoracentesis , , and were removed this year and replaced by the following new codes:.
The code for chest drainage with a catheter was changed to an open procedure designation. This code will no longer be appropriate for percutaneous procedures performed with imaging guidance. Code or will be used for percutaneous placement of an indwelling pleural drainage tube. Pain Procedures The description for code has been changed to indicate this inclusion of fluoroscopic guidance, so it now reads as Percutaneous implantation of neurostimulator electrode array; sacral nerve transforaminal placement including image guidance, if performed.
Imaging guidance always has been a bundled component of neurostimulator implantation; this just formalizes the policy. There is one new code: , Chemodenervation of muscle s ; muscle s innervated by facial, trigeminal, cervical spinal, and accessory nerves, bilateral eg, for chronic migraine. Bronchography The two codes describing unilateral and bilateral radiologic supervision and interpretation for bronchography have been deleted and are not being replaced.
Similar to thoracic and lumbar spine procedures, cervical spine X-rays will be reported by the number of views instead of the type of views. There has been no change in the recommendation to use code for one view of any section of the spine. Nuclear Medicine Three new codes have replaced the four existing codes that describe thyroid imaging. There will be only one code for uptake, one code for imaging, and one code for the combination of the two.
It will no longer matter whether one uptake is performed or multiple; the code will be the same. Two new codes have been established for reporting parathyroid SPECT, and the description for the existing code for parathyroid imaging has been changed to identify it as being performed with only planar imaging. Interventional Radiology The most extensive CPT coding changes for involved interventional radiology. All codes describing cervicocerebral imaging have been deleted and replaced with codes that bundle the different ways these procedures may be performed.
One code will be used to report procedures previously reported with numerous codes. The codes describing thrombolysis, including the catheter exchange, have been deleted and replaced with comprehensive codes based on each day of treatment. And the codes describing intravascular foreign body retrieval have been deleted and replaced with a single code that includes the radiologic supervision and interpretation.
The new codes are all in the 30, series of CPT. The trend is to bundle procedures into one code when services are typically performed together. For hospital billing, the CMS already has bundled payments for multiple services performed together, such as imaging guidance for biopsies and cyst aspirations.
Creating codes that combine the two is a logical next step. Expect to see more codes that encompass procedures that are currently reported separately.
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