Telephone / Internet consultation - 99446-99449
New CPT –
Section (4 New Codes)
- A
specialist consults with a patient’s primary physician to offer opinion or
advice
- Typically provided in complex and/or
urgent situations where a timely face-to-face service with the consultant may
not be feasible
- Include a review of the patient’s
medical records, test results, etc
- Does not meet face-to-face with the
patient.
- Time-based services
- Don’t report if consultant has seen the
patient in F-F encounter with 14 days
New code for
Category III codes
+ 99481 -
Treated for hypothermia causing systemic breakdown (total body)– Neonate
+ 99482 -
Treated for hypothermia by selectively cooling the head- Neonate
Corresponding
Cat III codes were deleted – 0260T & 02601T
Chemodenervation
Neck/Extremity/Trunk
muscles were extended based on no of extremity and muscles
Deleted -2 CPTs
(64613/64614) – Neck and Extremity
New codes-
8 CPTs
(64616-17, 64642-64647)
Neck muscles - Neck muscles excluding larynx
-
Larynx
with guided Needle EMG when performed
Extremity muscles -
One extremity 1-4 muscles
-
Each
additional extremity 1-4 muscles
-
One
extremity 5 or more muscles
-
Each
additional extremity 5 or more muscles
-
Trunk 1-5 muscles
-
Trunk 6 or more muscles
New code- 1
52356 –
Cystourethroscopy with pyeloscopy and lithotripsy with stent placement
Deleted code-1
50021– Drainage of
perirenal or renal abscess; percutaneous
Cross walk code – New code- 49405- Drainage by catheter; visceral, percutaneous
(eg, abscess, hematoma,
seroma, lymphocele, cyst)
(eg, kidney, liver, spleen,
lung/mediastinum)
There is only one
revised codes
2013: 69210 –
Removal impacted cerumen (separate procedure), 1 or both ears
2014: Removal of impacted cerumen requiring
instrumentation; Unilateral
Revised codes- 2
2013:
65778-Placement of
amniotic membrane on the ocular surface for wound healing; self-retaining
65779-Placement of
amniotic membrane on the ocular surface for wound healing; single layer, sutured
2014:
For both CPT
phrase “for wound healing” was removed
CPT 65778: phrase “self retaining” was replaced with “without
sutures”
“self retaining” – refers to a process in
which the membrane could sit on the eye for several days while the eye healed.
2014 CPT clarifies it occurs when no suture applied
Breast bx and
Clip placement
Deleted Codes
19102/03 ( 2 Codes ) – Bx Breast – with Image guide
New codes
Bx with clip placement; with image guidance when
performed
19081-86 ( 6
New codes )
Clip placement and
Imaging of bx specimen – when perfomed
Steriotactic
guided Bx First lesion
Each
additional lesion
Ultrasound guided
Bx First lesion
Each
additional lesion
MR guided Bx First lesion
Each
additional lesion
Clip placement without Bx; with image guidance when
performed
19281-19288 ( 8
New codes)
Mammographic
guided clip placement First lesion
Each
additional lesion
Steriotactic
guided clip placement First
lesion
Each
additional lesion
Ultrasound guided
clip placement First
lesion
Each
additional lesion
MR guided clip
placement First
lesion
Each
additional lesion
Repair
Deleted – All other CPT codes for repair were
almost more than 1 CM and this is the one which was left.
Usually it is done
by adhesives or steri-strips
13150 -
Nose/eyelids/ears/Lips – less than 1 CM
Complex repair
Revised- 15777- Implantation of biologic implant ,
soft tissue reinforcement
Eg breast , trunck
is changed to ie breast , trunck
Deleted
code (1) 92506 - Evaluation of speech, language,
voice, communication, and/or auditory processing
CPT 2014 deleted
92506 because the single code made it difficult for the AMA's Relative
Update Committee (RUC) to assign professional work values that reflect the
diverse types of work that go into evaluations for speech, language, fluency,
and voice disorders.
And it
was expanded with four new CPT with more specific professional work.
New
codes -4 (92521-92524)
Evaluation of speech fluency (eg,
stuttering, cluttering)
Evaluation of speech sound production (eg,
articulation, phonological process, apraxia, dysarthria);
Evaluation of speech sound production; with
evaluation of language comprehension and expression
Behavioral and qualitative analysis of
voice and resonance
Percutaneous approach cardiac procedure
Two New
CPTs
93582-
Percutaneous transcatheter closure of PDA
93583-
Percutaneous transcatheter septal reduction therapy with Temp pacemaker
insertion when performed
(Shrinking a lower heart
chamber defect)
Others
94669 –
Mechanical chest wall oscillation to facilitate lung function
(Physician
may select this procedure when manipulation of chest wall (Cffing,vibiration,
tapping,pounding,etc…) is not bringing out good result )
97610 –
Ultrasound wound assessment (Replacement for the temp Cat III code 0183T)
Revised
codes
Cardiac Ablations – Revised codes
93653
–Ablation therapy for supra ventricular tachycardia
93654 –
Ablation therapy for ventricular tachycardia
There is
a change the code description – RV/RA/HIS bundle recording are not required to
meet the code selection & it was changed with a word “when necessary”
Anogenital exam - Child
99170- Anogenital
exam with colposcopic magnification in childhood for suspected trauma
CPT 2014
added two clarifications:
1. The exam must occur, not under colposcopy
2. The code includes recording of the images
when performed
Revision:
Anogenital exam in childhood for suspected trauma; image recording when
performed
Breath Analysis
91065-
Breath hydrogen test (for detection of lactase deficiency, bacterial
overgrowth,)
Revised as Breath hydrogen or methane test
The
bacteria produce hydrogen when they are exposed to unabsorbed food. Excessive
amounts of hydrogen also may be produced in a condition called bacterial overgrowth.
Bacterial overgrowth occurs when the bacteria in the colon move back into the
small intestine. The bacteria are exposed to food in the small intestine that
has not been fully digested and absorbed. Regardless of the condition causing
the excessive production of hydrogen, the end result is the same.
Some of
the hydrogen produced by the bacteria is absorbed into the blood flowing
through the wall of the intestine and colon. The blood travels to the lungs
where the hydrogen is released and exhaled in the breath where it can be
measured.
At the
start of the test, a sample breath is taken. The individual blows into and
fills a balloon with a breath of air. The concentration of hydrogen from the
sample breath is removed from the balloon and measured.
Foreign Body removal – Shoulder
FB removal
deep/complicated codes deleted and differentiated with foreign body and
prosthetic components
Deleted codes –
2 (23331-23332)
Removal of FB
shoulder deep and complicated
New codes -3
(23333-23335)
FB removal
shoulder Deep
Prosthetic removal
Humeral or Glenoid component
Prosthetic removal
Humeral and Glenoid component
Revised codes
(24 CPTs)
Radical resection of tumor soft tissue
All CPT code’s
description were replaced with a word “Sarcoma” instead of “Malignant”
Sarcomas are
malignant tumor originating from soft tissues such as muscles/blood vessels/
nerves/tendon…
Implant removal – Elbow (2 CPTs) 24160/24164
Implant removal – Prosthetic removal
Elbow joint - Humeral and ulnar components
-Added “including debridement and
synovectomy
There is only one
deleted code and no revised or new codes
32201 –
Pneumonostomy; with percutaneous drainage of abscess or cyst
Cross walk code – New code- 49405- Drainage by catheter; visceral, percutaneous
(eg, abscess, hematoma,
seroma, lymphocele, cyst)
(eg, kidney, liver, spleen,
lung/mediastinum)
Maternity care & Delivery
There is only one
deleted code and no revised or new codes
58823 – Drainage
percutaneous pelvic abscess; Transvaginal/rectal
Cross walk code – New code- 49407- Drainage
by catheter; percutaneous; peritoneal/retroperitoneal; transvaginal/rectal
(eg, abscess, hematoma, seroma, lymphocele,
cyst)
