How To Use CPT Code 20982

CPT code 20982 describes the use of radiofrequency ablation for the reduction or eradication of one or more bone tumors, including adjacent soft tissue when involved by tumor extension. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 20982?

CPT 20982 is a code used to describe the procedure of radiofrequency ablation for the reduction or eradication of one or more bone tumors, including adjacent soft tissue when involved by tumor extension. This procedure involves the use of heat energy applied percutaneously to destroy the tumors and the surrounding affected soft tissue. The provider may use imaging guidance to help identify and target the diseased tissue and to visualize and control the treatment of the tumor during the procedure.

2. Official Description

The official description of CPT code 20982 is: ‘Ablation therapy for reduction or eradication of one or more bone tumors (e.g., metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when performed radiofrequency.’

3. Procedure

During the procedure, the provider makes a percutaneous incision through the skin and introduces a radiofrequency ablation electrode needle into the bone tumor site. Using imaging guidance, the provider advances the electrode needle to the tumor site on the bone and confirms the position of the needle tip. An electrical current is then applied through the electrode needle connected to the radiofrequency ablation device. The duration of the current application depends on the size and complexity of the tumor, aiming to completely destroy it. The procedure also involves the destruction of the surrounding soft tissue impacted by the tumor. Once the tumor ablation is complete, the needle is withdrawn, and the incision is closed.

4. Qualifying circumstances

CPT code 20982 is used for patients with one or more bone tumors, including metastasis, that require reduction or eradication through radiofrequency ablation. The procedure is performed percutaneously, meaning it is done through the skin. The adjacent soft tissue must also be involved by tumor extension. The use of imaging guidance during the procedure is optional but may be utilized to aid in identifying and targeting the diseased tissue.

5. When to use CPT code 20982

CPT code 20982 should be used when a provider performs radiofrequency ablation for the reduction or eradication of one or more bone tumors, including adjacent soft tissue when involved by tumor extension. This code is appropriate when the procedure is done percutaneously and may or may not involve the use of imaging guidance. It is important to ensure that the documentation supports the use of this code and that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT code 20982, the provider must document the following information:

• Patient’s diagnosis and the need for radiofrequency ablation
• Details of the procedure, including the use of imaging guidance if applicable
• Date and duration of the procedure
• Specific tumors targeted and the extent of involvement of adjacent soft tissue
• Confirmation of the position of the needle tip at the tumor site
• Progress made during the procedure and any additional treatments planned
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT code 20982, ensure that the procedure meets the specific criteria outlined in the code description. The use of imaging guidance should be documented if applicable. It is important to review the payer’s guidelines and policies to ensure accurate and appropriate billing. Additionally, consider any modifiers that may be required or recommended for proper reimbursement.

8. Historical information

CPT code 20982 was added to the Current Procedural Terminology system on January 1, 2004. There have been no updates or changes to the code since its addition.

9. Similar codes to CPT 20982

There are several similar codes to CPT code 20982 that describe procedures for the treatment of bone tumors and related conditions. Some of these codes include:

• CPT 20983: Ablation therapy for reduction or eradication of one or more bone tumors (e.g., metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, cryotherapy
• CPT 20984: Ablation therapy for reduction or eradication of one or more bone tumors (e.g., metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, laser
• CPT 20985: Ablation therapy for reduction or eradication of one or more bone tumors (e.g., metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, microwave
• CPT 20986: Ablation therapy for reduction or eradication of one or more bone tumors (e.g., metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, chemical
• CPT 20987: Ablation therapy for reduction or eradication of one or more bone tumors (e.g., metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, other than cryotherapy, laser, microwave, or chemical

9. Examples

1. A patient with metastatic bone tumors undergoes radiofrequency ablation for the reduction of the tumors and the adjacent soft tissue.
2. A provider performs percutaneous radiofrequency ablation with imaging guidance to eradicate a bone tumor and the surrounding affected soft tissue.
3. A patient with multiple bone tumors receives radiofrequency ablation to reduce the size and eradicate the tumors, including the involved adjacent soft tissue.
4. A provider uses radiofrequency ablation to treat a bone tumor and the affected soft tissue, aiming to reduce or eradicate the tumor and improve the patient’s condition.
5. A patient with a metastatic bone tumor undergoes percutaneous radiofrequency ablation, including imaging guidance, to target and destroy the tumor and the surrounding soft tissue.
6. A provider performs radiofrequency ablation for the eradication of a bone tumor and the involved adjacent soft tissue, using heat energy applied percutaneously.
7. A patient with a bone tumor receives radiofrequency ablation to reduce or eradicate the tumor and the affected soft tissue, improving their overall health and well-being.