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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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
   

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