Updated New CPT Codes For 2011
Evaluation and Management – 3 New CPT Codes 2011
CPT 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.
CPT 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
CPT 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 2011 (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 CPT Codes 2011
- 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 CPT Codes 2011
- 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
- 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
- 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 CPT Codes 2011
- 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 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 CPT Codes 2011
- 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 CPT Codes 2011
- 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
- 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
- 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
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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