2008 CPT Code Changes

CPT Changes Effective 1/1/08
135 New Codes
47 Deleted Codes

• Anesthesia
• Musculoskeletal
• Respiratory
• Cardiovascular
• Digestive System

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    Coding and Documentation 2008 Update

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    Amper’s Healthcare Services Group


    2008 CPT Code Changes
    CPT Changes Effective 1/1/08
    135 New Codes
    47 Deleted Codes
    • Anesthesia– 2 New Codes; 1 Deleted Code
    • Musculoskeletal– 25 New Codes; 5 Deleted Codes
      • Computer-assisted surgical navigational procedure for musculoskeletal procedures (20985 – 20987)
      • Manipulation of temporomandibular joint(s), therapeutic, requiring an anesthesia service (21073)
      • Osteotomy of Spine (22207 – 22208)
      • Tenotomy – Elbow (24357 – 24359)
      • Closed / Open Treatments of Fractures
        • Femoral
        • Posterior Malleolus Fracture
      • Arthroscopy – Shoulder (29828)
      • Arthroscopy – Subtalar Joint (29828 – 29907)
      • Deleted Codes 24350 – 24356 Fasciotomy Codes
    • Respiratory – 5 New Codes; 5 Deleted Codes
      • Thoracentesis, puncture of pleural cavity for aspiration, initial or subsequent
        • New Code 32421; Deleted Code 32000
      • Thoracentesis with insertion of tube, includes water seal
        • New Code 32422; Deleted Code 32002
      • Insertion of indwelling tunneled pleural catheter with cuff
        • New Code 32550; Deleted Code 32019
      • Tube thoracostomy, includes water seal
        • New Code 32551; Deleted Code 32020
      • Chemical Pleurodesis
        • New Code 32560; Deleted Code 32005
    • Cardiovascular – 9 New Codes; 2 Deleted Codes
      • Operative tissue ablation & reconstruction of atria (33257 – 33259)
      • Ascending aorta graft – 33864
      • Bypass graft, with vein; brachial-ulnar or radial – 35523
      • Collection of blood specimen from a completely implantable venous access device
        • New Code 36591; Deleted Code 36540
      • Collection of blood specimen using established central or peripheral catheter, venous, NOS 36592
      • Declotting of thrombolytic agent of implanted vascular access device or catheter.
        • New Code 36593; Deleted Code 36550
    • Digestive System – 13 New Codes; 4 Deleted
      • Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas (49203 – 49205)
        • Deleted Codes 49200 - 49201
      • Insertions; Conversions; Replacements of:
        • Gastrostomy Tube
        • Duodenostomy or Jejunostomy Tube
        • Cecostomy or Other Colonic Tube
          • Codes 49440 - 49452
    • Urinary System – 7 New Codes; 4 Deleted Codes
      • Removal (via snare/capture) & replacement of internally dwelling ureteral stent via transurethral approach, without use of cystoscopy, including radiologiological supervision & interpretation (S&I) – 50385
        • Same – removal only – 50386
      • Ablation, renal tumor(s); unilateral - 50593
      • Aspiration of bladder; by needle
        • New Code 51100; Deleted Code 51000
      • Aspiration of bladder; by trocar or intracatheter
        • New Code 51101; Deleted Code 51005
      • Aspiration of bladder; with insertion of suprapubic catheter
        • New Code 51102; Deleted Code 51102
    • Female Genitourinary System – 7 New Codes
      • Paravaginal defect repair (57285 & 57423)
      • Laparoscopy, surgical with total hysterectomy (58570 – 58573)
    • Endocrine System – 1 New Code; 1 Deleted Code
      • Aspiration and/or injection, thyroid cyst
        • New Code 60300; Deleted Code 60001
    • Eye & Ocular Adnexa – 6 New Codes; 1 Deleted Code
      • Vitrectomy Codes
        • New 67041 – 67043; Deleted 67038
      • Repair of complex retinal detachment – 67113
      • Treatment of extensive or progressive retinopathy - 67229
    • Radiology – 8 New Codes; 7 Deleted Codes
      • Last year – 46 New; 41 Deleted
      • Cardiac magnetic resonance imaging
        • New Codes 75557 - 75564
        • Deleted Codes 75552 - 75556
    • Pathology & Lab – 11 New Codes; 1 Deleted Code
      • Basic metabolic panel (calcium ionized) - 80047
    • Medicine – 36 New Codes; 5 Deleted
      • Immune globulin, human, for use in subcutaneous infusions, 100 mg each – 90284
      • Immunizations/Vaccines
        • Human Papillomavirus (HPV) – 90650
        • Influenza 90661 – 90663
        • Rotavirus – 90681
        • Diptheria, tetanus, acellular pertussis vaccine & poliovirus vaccine – ages 4-6 (IM) – 90696
      • Injections & Infusions – (90769 – 90776)
      • Non-Invasive Vascular Diagnostic Studies (93982)
      • Neurology & Neuromuscular Procedures (95980 – 95982)
      • Central Nervous System Assessments/Tests (96125)
      • Special Services, Procedures & Reports
        • Telephone assessment & management service provided by a qualified nonphysician health care professional (98966 – 98968)
        • Online assessment & management service provided by a qualified nonphysician health care professional – 98969
      • Other Services/Procedures
        • Ocular photoscreening with interpretation & report, bilateral – 99174
        • Medical team conference
          • New Codes 99366 – 99368
          • Deleted Codes 99361 - 99362
        • Smoking & tobacco use cessation counseling visit (99406 – 99407)
        • Alcohol and/or substance abuse structured screening (99408 – 99409)
        • Telephone evaluation & management (E&M) service provided by a physician
          • New Codes 99441 – 99433; Deleted 99371 - 99373
        • Online E&M service provided by a physician – 99444
        • Initial hospital care, per day, for the E&M of the neonate, 28 days of age or less, who requires intensive observation, frequent interventions, & other intensive care services – 99477
        • Medication therapy management service(s) – (99605 – 99607)
      • Category III Codes – 5 New Codes; 11 Deleted Codes
        • Low-frequency, non-contact, non-thermal ultrasound (wound assessment) – 0183T
        • Excision of rectal tumor, transanal endoscopic microsurgical approach – 0184T
        • Multivariate analysis of patient specific findings with quantifiable computer probability assessment – 0185T
        • Suprachoroidal delivery of pharmacologic agent – 0186T
        • Scanning computerized ophthalmic diagnostic imaging – 0187T
        • All deleted codes from 2007 have become CPT codes in 2008

    The material contained in this presentation is for general information and should not be acted upon without prior professional consultation.


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