Home » 2011 CPT CODE CHANGES

2011 CPT CODE CHANGES

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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