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2011 CPT CODE CHANGES


Also see the list of new and Deleted CPT codes effective for the year 2012

Evaluation and Management – 3 New Codes

99224 - Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is stable, recovering, or improving. Physicians typically spend 15 minutes at the bedside and on the patient’s hospital floor or unit.

99225 - Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Physicians typically spend 25 minutes at the bedside and on the patient’s hospital floor or unit

99226 - Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coordination of care with other providers or agencies are provided consistent with the nature of the problem(s) and the patient’s and/or family’s needs. Usually, the patient is unstable or has developed a significant complication or a significant new problem. Physicians typically spend 35 minutes at the bedside and on the patient’s hospital floor or unit.

Integumentary System – 3 New & 2 Deleted codes

New CPT codes (Add-on Codes)

11045 - Debridement Subcutaneous Tissue, each additional 20 sq cm
11046 - Debridement Muscle/Fascia, each additional 20 sq cm
11047 - Debridement Bone, each additional 20 sq cm

Deleted codes

11040 & 11041 Debridement; skin; partial & full thickness

Musculoskeletal System – 5 New Codes

22551 - ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2
22552 - ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC
29914 - ARTHROSCOPY HIP W/FEMOROPLASTY
29915 - ARTHROSCOPY HIP W/ACETABULOPLASTY
29916 - ARTHROSCOPY HIP W/LABRAL REPAIR

Respiratory System – 4 New Codes

31295 - NSL/SINUS NDSC SURG W/DILAT MAXILLARY SINUS
31296 - NSL/SINUS NDSC SURG W/DILAT FRONTAL SINUS
31297 - NSL/SINUS NDSC SURG W/DILAT SPHENOID SINUS
31634 - BRONCHOSCOPY BALLOON OCCLUSION

Cardiovascular System – 20 New & 23 Deleted

New CPT codes

33620 - APPLICATION RIGHT & LEFT PULMONARY ARTERY BANDS
33621 - TTHRC CATHETER INSERT FOR STENT PLACEMENT
33622 - RECONSTRUCTION COMPLEX CARDIAC ANOMALY
37220 - REVASCULARIZATION ILIAC ARTERY ANGIOP 1ST VSL
37221 - REVSC OPN/PRQ ILIAC ART W/STNT PLMT & ANGIOP UNI
37222 - REVASCULARIZATION ILIAC ART ANGIOP EA IPSI VSL
37223 - REVSC OPN/PRQ ILIAC ART W/STNT & ANGIOP IPSI VSL
37224 - REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI
37225 - REVSC OPN/PRQ FEM/POP W/ATHRC/ANGIOP SM VSL
37226 - REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL
37227 - REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL
37228 - REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI
37229 - REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL
37230 - REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL
37231 - REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL
37232 - REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL
37233 - REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP UNI EA VSL
37234 - REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP UNI EA VSL
37235 - REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP EA VSL
38900 - INTRAOP SENTINEL LYMPH ID W/DYE NJX

Deleted Codes

35454 – 35474 Transluminal balloon angioplasty
35480 - 35495 Transluminal peripheral atherectomy
39520 - 39531 Repair, diaphragmatic hernia

Digestive System – 18 New & 4 Deleted

New CPT codes

43283 - LAPS ESOPHAGEAL LENGTHENING ADDL
43327 - ESOPG/GSTR FUNDOPLASTY W/LAPT
43328 - ESOPG/GSTR FUNDOPLASTY W/THORCOM
43332 - RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH
43333 - LAPT RPR PARAESOPH HIATAL HERNIA W/ MESH
43334 - RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH
43335 - RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH
43336 - RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH
43337 - RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH
43338 - ESOPHAGUS LENGTHENING
43753 - GASTRIC TUBE PLMT W/ASPIR & LAVAGE
43754 - GASTRIC TUBE DX PLMT W/ASPIR 1 SPECIMEN
43755 - GASTRIC TUBE DX PLMT W/ASPIR MULT SPECIMENS
43756 - DUODENAL TUBE DX PLMT W/IMG GID 1 SPECIMEN
43757 - DUODENAL TUBE DX PLMT W/IMG GID MULT SPECIMEN
49327 - LAPS W/INSERTION NTRSTL DEV W/IMG GID 1+
49412 - PLMT INTRSTL DEV OPN W/IMG GID 1+
49418 - INSJ INTRAPERITONEAL CATHETER W/IMG GID

Deleted Codes

43324 - Esophagogastric fundoplasty (eg, Nissen, Belsey IV, Hill procedures)
43325 - Esophagogastric fundoplasty; with fundic patch (Thal-Nissen procedure)
43600 - Biopsy of stomach; by capsule, tube, peroral (1 or more specimens)
49420 - Insertion of intraperitoneal cannula or catheter for drainage or dialysis; temporary

Urinary System – 1 New Code

53860 - Transurethral Radiofrequency Treatment for Stress Incontinence

Female Genitourinary System – 1 New Code

57156 - Insertion of Vaginal Brachytherapy Device

Nervous System – 8 New & 2 Deleted codes

New CPT Codes

61781 - Stereotactic Computer Assisted PX IDRL CRNL
61782 - Stereotactic Computer Assisted PX XDRL CRNL
61783 - Stereotactic Computer Assisted PX SPINAL
64566 - POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE
64568 - INC IMPLTJ CRNL NRV NSTIM ELTRDS & PULSE GENER
64569 - REVISION/REPLMT NSTIM CRNL ELTRDS
64570 - REMOVAL CRNL NRV NSTIM ELTRDS & PULSE GENERATOR
64611 - CHEMODENERV PAROTID & SUBMANDIBL SALIVARY GLANDS BI

Deleted CPT codes

61795 - Stereotactic computer-assisted volumetric (navigational) procedure, intracranial, extracranial, or spinal (List separately in addition to code for primary procedure)
64573 - Incision for implantation of neurostimulator electrodes; cranial nerve

Eye and Ocular Adnexa – 4 New Codes

65778 - PLACE AMNIOTIC MEMB OCULAR SURFACE SELF RETAIN
65779 - PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED
66174 - TRLUML DILAT AQUEOUS CANAL W/O DEV/STNT
66175 - TRLUML DILAT AQUEOUS CANAL W/DEV/STNT

Radiology – 5 New Codes

74176 - CT ABD & PELVIS W/O CONTRAST
74177 - CT ABD & PELVIS W/CONTRAST
74178 - CT ABD & PELVIS W/O CONTRST 1+ BODY REGNS
76881 - US EXTREMITY NON-VASC REAL-TIME IMG COMPL
76882 - US EXTREMITY NON-VASC REAL-TIME IMG LMTD

Pathology & Laboratory–15 New & 13 Deleted codes

New CPT codes

80104 - DRUG SCRN QUAL 1+ CLASS NONCHROMOTOGRAPHIC EA
82930 - GASTRIC ACID ANALYIS W/PH EA SPECIMEN
83861 - MICROFLUID ANALYSIS TEAR OSMOLARITY
84112 - PLACENTAL ALPHA MICROGLOBULIN C/V QUAL
85598 - PHOSPHOLIPID NEUTRALIZATION HEXAGONAL
86481 - TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP
86902 - BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EA
87501 - INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE
87502 - INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES
87503 - NFCT AGENT DNA/RNA INFLUENZA 1+ TYPES EA ADDL
87906 - NFCT GEXYP DNA/RNA HIV 1 OTHER REGION
88120 - CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL
88121 - CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA
88177 - CYTP C/V AUTO THIN LYR PREPJ ADEQUACY EA EVAL
88363 - EXAM & SELECT ARCHIVE TISSUE MOLECULAR ANALYSIS
88749 - UNLISTED IN VIVO LAB SERVICE

Deleted codes

82926 - Gastric acid, free and total, each specimen
82928 - Gastric acid, free or total, each specimen
86903 - Blood typing; antigen screening for compatible blood unit using reagent serum, per unit screened
89100 - Duodenal intubation and aspiration; single specimen (eg, simple bile study or afferent loop culture) plus appropriate test procedure
89105 - Duodenal intubation and aspiration; collection of multiple fractional specimens with pancreatic or gallbladder stimulation, single or double lumen tube
89130 - Gastric intubation and aspiration, diagnostic, each specimen, for chemical analyses or cytopathology;
89132 - Gastric intubation and aspiration, diagnostic, each specimen, for chemical analyses or cytopathology; after stimulation
89135 - Gastric intubation, aspiration, and fractional collections (eg, gastric secretory study); 1 hour
89136 - Gastric intubation, aspiration, and fractional collections (eg, gastric secretory study); 2 hours
89140 - Gastric intubation, aspiration, and fractional collections (eg, gastric secretory study); 2 hours including gastric stimulation (eg, histalog, pentagastrin)
89141 - Gastric intubation, aspiration, and fractional collections (eg, gastric secretory study); 3 hours, including gastric stimulation
89225 - Starch granules, feces
89235 - Water load test

Medicine – 39 New & 41 Deleted codes


New CPT codes

90460 - IMADM THROUGH 18YR ANY ROUTE 1ST VAC/TOXOID
90461 - IMADM THROUGH 18YR ANY ROUTE EA ADDL VAC/TOXOID
90644 - MENINGOCOCCAL & HIB CONJ VACCINE 4 DOSE IM
90664 - INFLUENZA VAC PANDEMIC FORMULA LIVE INTRANASAL
90666 - INFLUENZA VACCINE PANDEMIC SPLT PRSRV FREE IM
90667 - INFLUENZA VACCINE PANDEMIC SPLT ADJUVANT IM
90668 - INFLUENZA VACCINE PANDEMIC SPLT IM
90867 - TRANSCRANIAL MAG STIMJ TX PLANNING
90868 - TRANSCRANIAL MAG STIMJ TX DLVR & MGMT
91013 - ESOPHGL MOTILITY STD W/I&R STIM/PERFUSION
91117 - COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R
92132 - CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I&R UNI/BI
92133 - COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE
92134 - COMPUTERIZED OPHTHALMIC IMAGING RETINA
92227 - REMOTE IMG DX RETINL DIS W/ALYS & REPORT UNI/BI
92228 - REMOTE IMG MGT RETINL DIS W/I&R UNI/BI
93451 - RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT
93452 - L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I
93453 - R & L HRT CATH W/NJX L VENTRICULOG IMG S&I
93454 - CATH PLMT & NJX CORONARY ART ANGIO IMG S&I
93455 - CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I
93456 - CATH PLMT R HRT & ARTS W/NJX & ANGIO IMG S&I
93457 - CATH PLMT R HRT/ARTS/GRFTS W/NJX&ANGIO IMG S&I
93458 - CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I
93459 - CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I
93460 - R & L HRT CATH WINJX HRT ART& L VENTR IMG S&I
93461 - R&L HRT CATH W/INJEC HRT ART/GRFT&L VENT IMG S&I
93462 - LEFT HEART CATH BY TRANSEPTAL PUNCTURE
93463 - MEDICATION ADMIN & HEMODYNAMIC MEASURMENT
93464 - PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASURE
93563 - NJX SEL HRT ART CONGENITAL HRT CATH W/S&I
93564 - NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S&I
93565 - NJX SEL L VENT/ATRIAL ANGIO HRT CATH W/S&I
93566 - NJX SEL R VENT/ATRIAL ANGIO HRT CATH W/S&I
93567 - NJX SUPRAVALV AORTOG HRT CATH W/S&I
93568 - NJX PULMONARY ANGIO HRT CATH W/S&I
95800 - SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME
95801 - SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL
96446 - CHEMOTX ADMN PRTL CAVITY PORT/CATH

Deleted Codes

Immunization Administration

90465 - Immune admin 1 inj,

90466 - Immune admin addl inj,
90467 - Immune admin o or n, 1 inj,
90468 - Immune admin o/n, addl inj,

91000 Esophageal intubation

Manometry

91011 - Esophagus motility study w mechoyl
91012 - Esophagus motility study w acid perfusion studies 91052 - Gastric analysis test

91055 - Gastric intubation for smear
91105 - Gastric intubation treatment
91123 - Irrigate fecal impaction
92135 - Ophth dx imaging post seg

Electrocardiographic services

93012 - Transmission of ecg
93014 - Report on transmitted ecg

Ambulatory ECG Monitoring

CPT codes 93230 - 93237

Heart Catheterization and Injection procedure Codes

93501 - Right heart catheterization
93508 - Cath placement, angiography
93510 - Left heart catheterization; percutaneous
93511 - Left heart catheterization; by cutdown
93514 - Left heart catheterization by ventricular puncture

Combined Heart Catheterization

CPT codes 93524 - 93529

Injection procedures

CPT codes 93539 - 93545

Imaging Supervision

CPT codes 93555 - 93556

Chemotherapy Administration

96445 - Chemotherapy administration into peritoneal cavity, requiring and including peritoneocentesis

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