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CPT Code Changes for 2010

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(1)

Change

CPT

Description

New 14302

Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure)

New 14350 Filleted finger or toe flap, including preparation of recipient site

New 21011 Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm New 21012 Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater New 21013

Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm

New 21014

Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater

Revised 21015

Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; less than 2 cm

New 21016

Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or greater

New 21552 Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater New 21554

Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater

Revised 21555 Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm Revised 21556

Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm

Revised 21557

Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; less than 5 cm

New 21558

Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or greater

Revised 21930 Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm New 21931 Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater

New 21932 Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm New 21933 Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater Revised 21935

Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; less than 5 cm

New 21936

Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or greater

Revised 22520 Percutaneous vertebroplasty, 1 vertebral body, unilateral or bilateral injection; thoracic Revised 22521 Percutaneous vertebroplasty, 1 vertebral body, unilateral or bilateral injection; lumbar Revised 22900 Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm New 22901

Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater

(2)

New 22903 Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater New 22904

Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm

New 22905

Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or greater

New 23071 Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater Revised 23075 Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm

Revised 23076 Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm Revised 23077

Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; less than 5 cm

New 23078

Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or greater

Revised 23200 Radical resection of tumor; clavicle Revised 23210 Radical resection of tumor; scapula

Revised 23220 Radical resection of tumor, proximal humerus

New 24071 Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater New 24073

Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or greater

Revised 24075 Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Revised 24076

Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm

Revised 24077

Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; less than 5 cm

New 24079

Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or greater

Revised 24150 Radical resection of tumor, shaft or distal humerus

New 25071 Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater New 25073

Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or greater

Revised 25075 Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm Revised 25076

Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm

Revised 25077

Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; less than 3 cm

New 25078

Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or greater

Revised 25170 Radical resection of tumor, radius or ulna New 26111

Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or greater

New 26113

Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or greater

(3)

Change

CPT

Description

Revised 26115

Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm

Revised 26116

Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm

Revised 26117

Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; less than 3 cm

New 26118

Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or greater

Revised 26250 Radical resection of tumor, metacarpal

Revised 26260 Radical resection of tumor, proximal or middle phalanx of finger Revised 26262 Radical resection of tumor, distal phalanx of finger

New 27043 Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater New 27045

Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater

Revised 27047 Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm Revised 27048

Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm

Revised 27049

Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; less than 5 cm

Revised 27075 Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis Revised 27076

Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum

Revised 27077 Radical resection of tumor; innominate bone, total

Revised 27078 Radical resection of tumor; ischial tuberosity and greater trochanter of femur Revised 27327 Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm Revised 27328

Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm

Revised 27329

Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; less than 5 cm

New 27337 Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater New 27339

Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or greater

New 27364

Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or greater

Revised 27365 Radical resection of tumor, femur or knee Revised 27615

Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle area; less than 5 cm

New 27616

Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle area; 5 cm or greater

Revised 27618 Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm Revised 27619

Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm

(4)

New 27632 Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater New 27634

Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or greater

Revised 27640

Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia

Revised 27641

Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula

Revised 27645 Radical resection of tumor; tibia Revised 27646 Radical resection of tumor; fibula

Revised 27647 Radical resection of tumor; talus or calcaneus

New 28039 Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater

New 28041 Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater Revised 28043 Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm

Revised 28045 Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm Revised 28046

Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; less than 3 cm

New 28047

Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or greater

Revised 28171 Radical resection of tumor; tarsal (except talus or calcaneus) Revised 28173 Radical resection of tumor; metatarsal

New 29581 Application of multi-layer venous wound compression system, below knee Revised 30801

Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial Revised 30802

Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal)

New 31626

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of fiducial markers, single or multiple

New 31627

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with computer-assisted, image-guided navigation (List separately in addition to code for primary procedure[s])

Revised 31641

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy)

Revised 31643

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with placement of catheter(s) for intracavitary radioelement application

Revised 31645

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, initial (eg, drainage of lung abscess) Revised 31646

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with therapeutic aspiration of tracheobronchial tree, subsequent

(5)

Change

CPT

Description

Revised 31656

Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with injection of contrast material for segmental bronchography (fiberscope only)

New 32552 Removal of indwelling tunneled pleural catheter with cuff New 32553

Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple

Revised 32560

Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax)

New 32561

Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day

New 32562

Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day

Revised 33216

Insertion of a single transvenous electrode, permanent pacemaker or cardioverter-defibrillator

Revised 33217 Insertion of 2 transvenous electrodes, permanent pacemaker or cardioverter-defibrillator Revised 33223 Revision of skin pocket for cardioverter-defibrillator

New 33782

Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation

New 33783

Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia

New 33981

Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump

New 33982

Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary bypass

New 33983

Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass

New 36147

Introduction of needle and/or catheter, arteriovenous shunt created for dialysis (graft/fistula); initial access with complete radiological evaluation of dialysis access, including fluoroscopy, image documentation and report (includes access of shunt, injection[s] of contrast, and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava) New 36148

Introduction of needle and/or catheter, arteriovenous shunt created for dialysis

(graft/fistula); additional access for therapeutic intervention (List separately in addition to code for primary procedure)

Revised 36481 Percutaneous portal vein catheterization by any method

Revised 37183

Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recanulization/dilatation, stent placement and all associated imaging guidance and documentation)

Revised 37760

Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg

New 37761

Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg

(6)

Revised 42894

Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastamosis

New 43281

Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh

New 43282

Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh

Revised 43761

Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition

New 43775

Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy)

New 45171

Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness)

New 45172 Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Revised 46200 Fissurectomy, including sphincterotomy, when performed

Revised 46220 Excision of single external papilla or tag, anus

Revised 46221 Hemorrhoidectomy, internal, by rubber band ligation(s) Revised 46230 Excision of multiple external papillae or tags, anus Revised 46250 Hemorrhoidectomy, external, 2 or more columns/groups Revised 46255 Hemorrhoidectomy, internal and external, single column/group; Revised 46258

Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed

Revised 46260 Hemorrhoidectomy, internal and external, 2 or more columns/groups; Revised 46262

Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed

Revised 46275 Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Revised 46280

Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed

Revised 46320 Excision of thrombosed hemorrhoid, external

New 46707 Repair of anorectal fistula with plug (eg, porcine small intestine submucosa [SIS]) Revised 46945

Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group

Revised 46946

Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups

Revised 47382 Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency Revised 47525 Change of percutaneous biliary drainage catheter

New 49411

Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple

Revised 50200 Renal biopsy; percutaneous, by trocar or needle

Revised 51726 Complex cystometrogram (ie, calibrated electronic equipment); New 51727

Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique

New 51728

Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique

(7)

Change

CPT

Description

New 51729

Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile), any technique

Revised 51797

Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure)

Revised 52282 Cystourethroscopy, with insertion of permanent urethral stent

New 53855 Insertion of a temporary prostatic urethral stent, including urethral measurement Revised 55873 Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Revised 55876

Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, prostate, single or multiple

New 57426 Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Revised 59897 Unlisted fetal invasive procedure, including ultrasound guidance, when performed New 63661

Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed

New 63662

Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed

New 63663

Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed

New 63664

Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed

New 64490

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level

New 64491

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure)

New 64492

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any additional level(s) (List separately in addition to code for primary procedure) New 64493

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level

New 64494

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)

(8)

New 64495

Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary procedure)

Revised 72291

Radiological supervision and interpretation, percutaneous vertebroplasty, vertebral

augmentation, or sacral augmentation (sacroplasty), including cavity creation, per vertebral body or sacrum; under fluoroscopic guidance

Revised 72292

Radiological supervision and interpretation, percutaneous vertebroplasty, vertebral

augmentation, or sacral augmentation (sacroplasty), including cavity creation, per vertebral body or sacrum; under CT guidance

New 74261

Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material

New 74262

Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed

New 74263 Computed tomographic (CT) colonography, screening, including image postprocessing New 75565

Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure)

New 75571

Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium

New 75572

Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed)

New 75573

Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of LV cardiac function, RV structure and function and evaluation of venous structures, if performed)

New 75574

Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed)

New 75791

Angiography, arteriovenous shunt (eg, dialysis patient fistula/graft), complete evaluation of dialysis access, including fluoroscopy, image documentation and report (includes injections of contrast and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava), radiological supervision and interpretation

Revised 77003

Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural, transforaminal epidural,

subarachnoid, or sacroiliac joint), including neurolytic agent destruction New 77338

Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan

(9)

Change

CPT

Description

New 77371

Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based

New 78451

Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)

New 78452

Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection

New 78453

Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic)

New 78454

Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection

Revised 80055

Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901)

Revised 82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed Revised 82652 Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Revised 82784 Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each Revised 82785 Gammaglobulin (immunoglobulin); IgE

Revised 82787 Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each Revised 83516

Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method

Revised 83518

Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip)

Revised 83519

Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA)

Revised 83520

Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified

New 83987 pH; exhaled breath condensate New 84145 Procalcitonin (PCT)

New 84431 Thromboxane metabolite(s), including thromboxane if performed, urine New 86305 Human epididymis protein 4 (HE4)

(10)

New 86352

Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP)

Revised 86592 Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) Revised 86593 Syphilis test, non-treponemal antibody; quantitative

New 86780 Antibody; Treponema pallidum New 86825

Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution

New 86826

Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary

procedure) Revised 87149

Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed

New 87150

Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed

New 87153

Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rRNA gene)

New 87493

Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique

Revised 88312

Special stains; Group I for microorganisms (eg, Gridley, acid fast, methenamine silver), including interpretation and report, each

Revised 88313

Special stains; Group II, all other (eg, iron, trichrome), except immunocytochemistry and immunoperoxidase stains, including interpretation and report, each

Revised 88314

Special stains; histochemical staining with frozen section(s), including interpretation and report (List separately in addition to code for primary procedure)

New 88387

Macroscopic examination, dissection, and preparation of tissue for non-microscopic

analytical studies (eg, nucleic acid-based molecular studies); each tissue preparation (eg, a single lymph node)

New 88388

Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies); in conjunction with a touch imprint, intraoperative consultation, or frozen section, each tissue preparation (eg, a single lymph node) (List separately in addition to code for primary procedure)

New 88738 Hemoglobin (Hgb), quantitative, transcutaneous New 89398 Unlisted reproductive medicine laboratory procedure Revised 90378

Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each

Revised 90669 Pneumococcal conjugate vaccine, 7 valent, for intramuscular use New 90670 Pneumococcal conjugate vaccine, 13 valent, for intramuscular use Revised 90738 Japanese encephalitis virus vaccine, inactivated, for intramuscular use

New 92540

Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic nystagmus test, bidirectional foveal and peripheral stimulation, with recording, and oscillating tracking test, with recording

(11)

Change

CPT

Description

New 92570

Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing

Revised 93279

Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; single lead pacemaker system

Revised 93280

Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; dual lead pacemaker system

Revised 93281

Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; multiple lead pacemaker system

Revised 93282

Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; single lead implantable cardioverter-defibrillator system

Revised 93283

Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; dual lead implantable cardioverter-defibrillator system

Revised 93284

Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; multiple lead implantable

cardioverter-defibrillator system

Revised 93285

Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with physician analysis, review and report; implantable loop recorder system

Revised 93286

Peri-procedural device evaluation (in person) and programming of device system

parameters before or after a surgery, procedure, or test with physician analysis, review and report; single, dual, or multiple lead pacemaker system

Revised 93287

Peri-procedural device evaluation (in person) and programming of device system

parameters before or after a surgery, procedure, or test with physician analysis, review and report; single, dual, or multiple lead implantable cardioverter-defibrillator system

Revised 93701 Bioimpedance-derived physiologic cardiovascular analysis

New 93750

Interrogation of ventricular assist device (VAD), in person, with physician analysis of device parameters (eg, drivelines, alarms, power surges), review of device function (eg, flow and volume status, septum status, recovery), with programming, if performed, and report New 94011

Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age

New 94012

Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age

(12)

New 94013

Measurement of lung volumes (ie, functional residual capacity [FRC], forced vital capacity [FVC], and expiratory reserve volume [ERV]) in an infant or child through 2 years of age Revised 95806

Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)

New 95905

Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report

Revised 96570

Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronchoscopy procedures of lung and gastrointestinal tract)

Revised 96571

Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscopy or bronchoscopy procedures of lung and gastrointestinal tract)

Deletions

Deleted 23222 Radical resection of bone tumor; proximal humerus with prosthetic replacement Deleted 24153 Radical resection for tumor; radial head or neck with autograft

Deleted 26255 Radical resection, metacarpal with autograft

Deleted 26261 Radical resection, proximalor middle phalanx of finger with autograft Deleted 27079

Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur, with skin flaps

Deleted 36145 Introduction of needle or intracatheter; arteriovenous shunt created for dialysis Deleted 36834 Plastic repair of arteriovenous aneurysm

Deleted 45170 Excision of rectal tumor, transanal approach Deleted 46210 Cryptectomy; single

Deleted 46211 ; multiple

Deleted 51772 Urethral pressure profile studies (UPP), any technique

Deleted 51795 Voiding pressure studies (VP) bladder voiding pressure, any technique Deleted 63660

Revision or removal of spinal neurostimulator electrode percutaneous array or plate/paddles

Deleted 64470

Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; cervical or thoracic, single level

Deleted 64472 add-on

Deleted 64475 ; lumbar or sacral Deleted 64476 ; add-on

Deleted 75558

Cardiac MRI for morphology and function without contrast material; with flow/velocity quantification

(13)

Change

CPT

Description

Deleted 75562

Cardiac MRI for morphology and function without contrast material followed by contrast studies; with flow/velocity quantification

Deleted 75564 ; with flow/velocity quantification and stress

Deleted 75790 Angiography, arteriovenous shunt, radiological supervision and interpretation Deleted 78460 Myocardial perfusion imaging, single study

Deleted 78461 ; multiple studies Deleted 78464 ; SPECT; single study Deleted 78465 ; SPECT; multiple studies Deleted 82307 Chemistry test, Calciferol

Deleted 86781 Qualitative immunoassay, Treponema palladium, confirmatory test Deleted 90379 Immune globulins, Respiratory synctial virus

References

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