How To Use CPT Code 0559T

CPT 0559T describes the creation of a 3D-printed anatomic model of an individually prepared and processed component of an anatomical structure. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 0559T?

CPT 0559T can be used to describe the production of a 3D-printed anatomic model of a specific component of an anatomical structure. This code is used when the provider individually prepares and processes the model from one or more data sets. The 3D-printed model can be made up of bones, arteries, veins, nerves, muscles, tendons and ligaments, joints, visceral organs, brain, and other structures. Each model can be printed in unique colors and/or materials.

2. Official Description

The official description of CPT code 0559T is: ‘Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure.’

3. Procedure

1. The provider assesses the image data set(s) and identifies the specific component of the anatomical structure that needs to be 3D-printed.
2. The provider individually prepares and processes the component using the image data set(s).
3. The 3D-printed anatomic model is created, representing the selected component of the anatomical structure.
4. The model can be printed in unique colors and/or materials to accurately represent the anatomical structure.

4. Qualifying circumstances

CPT 0559T is used for the creation of a 3D-printed anatomic model of an individually prepared and processed component of an anatomical structure. This code can be used for various components, including bones, arteries, veins, nerves, muscles, tendons and ligaments, joints, visceral organs, brain, and other structures. The model can be printed in unique colors and/or materials to accurately represent the anatomical structure.

5. When to use CPT code 0559T

CPT code 0559T should be used when a provider individually prepares and processes a 3D-printed anatomic model of a specific component of an anatomical structure. This code is used for the first model created from the image data set(s). If additional individually prepared and processed components of the same anatomical structure are created, report code 0560T in addition to code 0559T.

6. Documentation requirements

To support a claim for CPT code 0559T, the provider must document the following information:

• Image data set(s) used for the creation of the 3D-printed anatomic model
• Specific component of the anatomical structure that was individually prepared and processed
• Date of the creation of the model
• Materials and colors used for the 3D printing, if applicable
• Signature of the provider who prepared and processed the model

7. Billing guidelines

When billing for CPT code 0559T, ensure that the provider individually prepared and processed the 3D-printed anatomic model of the specific component of the anatomical structure. Do not report this code in conjunction with codes 76376 or 76377. It is important to check with the payer regarding coverage for this procedure, as it may be considered investigational or not yet approved by the FDA.

8. Historical information

CPT code 0559T was added to the Current Procedural Terminology system for the creation of 3D-printed anatomic models on January 1, 2017. There have been no updates to the code since its addition.

9. Examples

1. A provider creates a 3D-printed anatomic model of a specific bone component from image data set(s) for surgical planning.
2. A provider prepares and processes a 3D-printed anatomic model of a specific artery component to aid in the understanding of vascular anatomy.
3. A provider individually creates a 3D-printed anatomic model of a specific nerve component to assist in the education of medical students.
4. A provider produces a 3D-printed anatomic model of a specific muscle component for use in a research study on muscle function.
5. A provider prepares and processes a 3D-printed anatomic model of a specific joint component to aid in the development of a new orthopedic implant.
6. A provider creates a 3D-printed anatomic model of a specific visceral organ component for patient education on organ anatomy and function.
7. A provider individually prepares and processes a 3D-printed anatomic model of a specific brain component for use in neurosurgical planning.
8. A provider produces a 3D-printed anatomic model of a specific tendon and ligament component to aid in the rehabilitation of a sports injury.
9. A provider prepares and processes a 3D-printed anatomic model of a specific structure component for use in a museum exhibit on human anatomy.
10. A provider individually creates a 3D-printed anatomic model of a specific component for use in a forensic investigation.