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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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

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