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 codes for EVALUATION AND MANAGEMENT

The two new advanced care planning codes (CPT 99497 and CPT 99498) are used to report the face-to-face service between a physician or other qualified healthcare professional (QHCP) and a patient, family member, or surrogate in counseling and discussing advance directives, with or without completing relevant legal forms. As you can see, a face-to-face visit is required but…

History and Development of CPT (2021)

Looking for the history of CPT? CPT consists of an acronym of Current Procedural Terminology involves a group of services or procedures performed by physicians and non-physicians were first developed by American Medical Association in the year 1966. The first edition consists of two to four numeric characters. Initially the purpose of the CPT development…

CPT new codes for TIER 2 MOLECULAR PATHOLOGY PROCEDURES

The following molecular pathology procedure (Tier 2) codes are used to report procedures not listed in the Tier 1 molecular pathology codes. They are arranged by level of technical resources and interpretive work by the physician or other qualified health care professional. The individual analyses listed under each code (i.e., level of procedure) utilize the…

CPT codes 93784, 93786, 93788, 93790 (2021)

Effective April 1, 2002, a National Coverage Decision was made to allow for Medicare coverage of ABPM for those beneficiaries with suspected “white coat hypertension” (WCH). ABPM involves the use of a non-invasive device, which is used to measure blood pressure in 24-hour cycles. These 24-hour measurements are stored in the device and are later…

Reimbursement for Bone Marrow Aspiration and Biopsy (2021)

When bone marrow aspiration is performed alone, the appropriate code to report is CPT code 38220. When a bone marrow biopsy is performed, the appropriate code is CPT code 38221 (bone marrow biopsy). This code cannot be reported with CPT code 20220 (bone biopsy). CPT codes 38220 and CPT 38221 may only be reported together…

Will Medicare pay for Telehealth services?

Does Medicare pay for 99441 Telehealth Services? Medicare will pay for Telephonic services under following criteria 1. If the beneficiaries are presented from an originating site located either in a rural HPSA (health professional shortage areas) or in a county outside of an MSA (metropolitan statistical area). 2. Entities participating in a Federal telemedicine demonstration…

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