2009 CPT Code Changes

136 New Codes
92 Deleted Codes
126 Revised Codes

The 2009 CPT Code Book added new/revised text, including:

New procedures with coding/billing guidelines
Category III Codes
Anesthesia
Cardiovascular
Musculoskeletal
Evaluation & Management

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    Healthcare Coding and Documentation 2009 Update

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    Presented by
    Amper’s Healthcare Services Group

    2009 CPT Code Changes

    CPT Changes Effective 1/1/09

    136 New Codes
    92 Deleted Codes
    126 Revised Codes

    The 2009 CPT Code Book has added a LARGE amount of new and revised text which includes:
    • Detailed text explaining new procedures with coding/billing guidelines
      • Highlighted in green throughout the CPT book
        • Description of procedures
        • Correct code to bill based on description
        • Modifier usage
        • Notations indicating deleted code and the new code to be reported
    • Category III Codes – 8 New Codes; 22 Deleted
    • Anesthesia – 2 New Codes
    • Musculoskeletal – 6 New Codes; 2 Deleted Codes
      • Application of multiplane (pins or wires in more than one plane), unilateral, external fixation with stereotactic computer assisted adjustment – CPT codes 20696 & 20697
      • Total disc arthroscopy (artificial disc) – CPT code 22856
      • Revision including replacement of total disc arthroplasty
        • CPT code 22861
      • Removal of total disc arthroplasty – CPT 22864
      • Decompression fasciotomies – CPT codes27027 & 27057
      • DELETED
        • Computer-assisted surgical navigational procedure for musculoskeletal procedures – CPT 20986 & 20987
    • Cardiovascular – 4 New Codes
      • Bypass Graft
        • With Vein; hepatorenal – 35535
        • With Vein; tibial-tibial; peroneal-tibial or tibial/peroneal; trunk-tibial – 35570
        • With Other Than Vein; ilio-mesenteric – 35633
        • With Other Than Vein; iliorenal – 35634
    • Digestive – 11 New Codes; 3 Deleted Codes
      • Destruction of Internal Hemorrhoids – 46930
        • Deleted 46934 - 46935
      • New Laparoscopy Codes 49652 - 49657
    • Urinary System – 5 Deleted Codes
      • Transurethral Resection of Prostate
        • CPT codes 52606, 52612, 52614, 52620 & 53853
    • Male Genital System – 1 New Code
    • Nervous System – 10 New; 1 Deleted
      • Detailed text & coding guidelines for:
        • Stereotactic Radiosurgery (Cranial)
          • New Codes 61796 – 61800
        • Stereotactic Radiosurgery (Spinal)
          • New Codes 63620 & 63621
    • Eye & Ocular Adnexa – 2 New Codes
    • Radiology –
      • Radiation Oncology – 6 Deleted Codes
        • CPT Codes 77781 – 77784
      • Nuclear Medicine – 4 New Codes
        • New Code 78808
          • Injection Procedure for Radiopharmaceutical Localization by Non-Imaging Probe Study (i.e. parathyroid adenoma)
        • Deleted Codes 78890 & 78891
          • Previously described the components of computer processing required for nuclear medicine procedures
          • Now included directly in the 78000 codes
    • Pathology & Lab – 7 New Codes; 1 Deleted
    • Medicine – Infusion – 15 New; 15 Deleted
      • Deleted Intravenous Infusion Codes
        • CPT Codes 90760 – 90779
      • New Headings
        • Hydration – Detailed text
          • New Intravenous Infusion Codes
            • CPT Codes 96360 – 96361
        • Therapeutic, Prophylactic & Diagnostic Injections and Infusions (Excludes Chemotherapy & Other Highly Complex Drug or Highly Complex Biologic Agent Administration)
          • Detailed Text explaining services
            • CPT Codes
            • 96365 - 96379
    • Medicine – Dialysis – 20 New; 8 Deleted
      • Dialysis
        • Deleted Codes 90918 – 90925
      • New Heading
        • End-Stage Renal Disease Services
          • Detailed text and coding guidelines
          • New Codes
            • CPT Codes 90951 – 90970 – categorized by:
            • Patient’s Age
            • Face-to-Face Physician Visits
            • Place of Service
            • Monthly vs. Less Than a Full Month Services
    • Gastroenterology – 1 Deleted Code
    • Medicine –
      • Cardiovascular Device Monitoring – Implantable & Wearable Devices – 26 New Codes
        • VERY Detailed Text and Guidelines for:
          • Attended Surveillance
          • Device – Single, Dual or Multiple Lead
          • Electrocardiographic Rhythm Derived
          • Implantable Cardiovascular Monitor (ICM)
          • Implantable Cardioverter-Defibrillator (ICD)
          • Implantable Loop Recorder (ILR)
          • Interrogation Device Evaluation (in person)
            • Pacemaker
            • Implantable cardioverter-defibrillator
            • Implantable cardiovascular monitor
            • Implantable loop recorder
          • Pacemaker
          • Peri-Procedural Device Evaluation & Programming
          • Physiologic Cardiovascular Data Elements
          • Programming Device Evaluation
        • New Codes – CPT 93228 – 93299
      • Echocardiography
        • Very Detailed Text and Guidelines
          • New Code – 93306
      • Transesophageal Echocardiography (TEE)
        • New Codes 93351 – 93352
      • Non-Invasive Vascular Diagnostic Studies
        • 12 Deleted Codes
          • 93727; 93731- 93736; 93741 – 93744 & 93760 – 93762
    • Evaluation & Management
      • Critical Care Services –
        • Detailed Text & Guidelines
      • Deleted Pediatric Critical Care (CC) Codes –
        • 99289 & 99290
      • Deleted Pediatric CC Codes – 99293 & 99294
        • Initial & Subsequent Inpatient (IP) CC
          • Patient 29 Days through 24 months
      • Deleted Neonatal CC Codes – 99295 – 99296;
        • NEW CODES 99466 - 99467
      • Deleted Neonatal Intensive Care – 99298 – 99300
      • Deleted Newborn (NB) Care
        • History & Exam – 99431 & 99435
        • Normal NB Care - 99432 –
          • NEW INITIAL CARE CODES – 99460,99461 & 99464
        • Subsequent Hospital NB Care – 99433 – NEW SUBSEQUENT CODE 99462
        • ATTENDANCE AT DELIVERY – 99436 - NEW Code 99464
          • Highly utilized code now deleted
        • Newborn Resuscitation – 99440 – NEW CODE 99465
      • Inpatient (IP) Neonatal Critical Care
        • New Codes (28 days of age or less)
          • Initial – 99468; Subsequent 99469
      • IP Pediatric Critical Care
        • New Codes (Through 24 Months of Age)
          • Initial – 99471; Subsequent 99472
      • IP Pediatric Care
        • New Codes (2 years through 5 years of age)
          • Initial - 99275; Subsequent 99476
      • Subsequent Intensive Care Per Day – New
        • Body Weight Less Than 1500 grams – 99478
        • Body Weight of 1500 - 2500 grams – 99479
        • Body Weight of 2501 – 5000 grams - 99490

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


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