Healthcare 2009 CPT Code Changes

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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