Nervous System CPT Updates

New CPT codes

CPT Code 62369 Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill

CPT 62370 Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill (requiring physician’s skill)

CPT 64633 Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint

CPT 64634 Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint

CPT 64635 Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint

CPT 64636 Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint

Deleted CPT codes

CPT 64560 Percutaneous implantation of neurostimulator electrodes; autonomic nerve

CPT 64577 Incision for implantation of neurostimulator electrodes; autonomic nerve

CPT 64622 Destruction by neurolytic agent, paravertebral facet joint nerve; lumbar or sacral, single level

CPT 64623 Destruction by neurolytic agent, paravertebral facet joint nerve; lumbar or sacral, each additional level (List separately in addition to code for primary procedure)

CPT 64626 Destruction by neurolytic agent, paravertebral facet joint nerve; cervical or thoracic, single level

CPT 64627 Destruction by neurolytic agent, paravertebral facet joint nerve; cervical or thoracic, each additional level (List separately in addition to code for primary procedure)

Auditory System – Deleted CPT code

CPT 69802 Labyrinthotomy, with or without cryosurgery including other nonexcisional destructive procedures or perfusion of vestibuloactive drugs (single or multiple perfusions); with mastoidectomy

CPT Code 72040 Description, Guidelines, Reimbursement, Modifiers & Example (2022)

CPT code 72040 bills for the service when the Physician performs a radiologic examination of the cervical spine with two or three views. CPT Code 72040 Description The following are the reason why the Physician performs cervical spine X-ray: Pain in the neck, arms, and shoulders. Tingling or numbness Cervical vertebrae fracture or dislocation identification…

CPT Code 90999 (2021)

Recently, Novitas reviewed services reporting Isolated Ultrafiltration for Management of Fluid Overload in Cardiac Disease. Following the review, it was determined that HCPCS code 90999, Unlisted Dialysis Procedure, Inpatient or Outpatient is the most accurate HCPCS code to report for this service. Effective for dates of service on or after August 14, 2014, claims for…

Incorrect denial of claims for procedure code 95910

First Coast Service Options Inc. (First Coast) has discovered that claims containing Current Procedural Terminology (CPT®) 95910 CPT code that were billed with either modifier 26 or TC may have denied in error. The specific message code being received is “Procedure modifier was invalid on the date of service.” This processing issue was corrected March…

2018 Deleted CPT Codes

This article contains a list with CPT codes that were deleted in 2018. Underneath the descriptions of the deleted CPT codes. CPT 0051T Description of CPT 0051T: Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy. CPT 0052T Description of CPT 0052T: Replacement or repair of thoracic unit of a total replacement…

CPT Codes Inclusive With Same Day Critical Care Codes (99291 – 99292)

The following services when performed on the day a physician bills for critical care are included in the critical care service and should not be reported separately: • The interpretation of cardiac output measurements (CPT 93561, 93562); • Chest x-rays, professional component (CPT 71010, 71015, 71020); • Blood draw for specimen (CPT 36415);• Blood gases,…

Claims With HCPCS A9552 Reported For Oncologic Conditions

Claims for Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for solid tumors submitted between October 6 and November 30, 2014 will be held to ensure that Medicare systems can accurately calculate payments. Specifically, these are claims containing Healthcare Common Procedure Coding System (HCPCS) A9552 for all oncologic conditions. No provider action is required.

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