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

Medicare Coverage for Transcatheter Aortic Valve Replacement (TAVR)

Transcatheter aortic valve replacement (TAVR – also known as TAVI or transcatheter aortic valve implantation) is a new technology for use in treating aortic stenosis. A bioprosthetic valve is inserted percutaneously using a catheter and implanted in the orifice of the native aortic valve. CPT Codes to report Transcatheter Aortic Valve Replacement (TAVR) 0256T – Implantation…

CPT 99468 – 99476 (Inpatient Neonatal & Paediatric Critical Care)

The descriptions of the CPT codes for inpatient neonatal and paediatric critical care services can be found below. CPT Code 99468 CPT 99468 Description: CPT 99468 can be reported when the provider manages and evaluates, in a neonatal critical care setting, the initial care of an infant newborn who is younger than 28 days. CPT…

99395 CPT Code (2022) – Description, Guidelines, Reimbursement, Modifiers & Examples

99395 CPT Code billing is made simple with our guidelines. Preventive medicine programs are accessible to those who do not require emergency medical assistance and have a regular medical assessment as a prudent precaution. Preventive medicine reevaluation and management services include well-baby consultations, well-woman consultations, and traditional, thorough physical examinations. These appointments are distinctive from…

CPT 99457 & 99458 (Remote Physiologic Monitoring & Management)

CPT 99457 Description: CPT 99457 may be reported for the first twenty minutes of a qualified healthcare provider (physician, clinical staff or other) time spent providing this service. The provider monitors a patient’s remote physiologic recordings and/or programmed alerts and interacts with the patient or caregiver to adjust treatment based on the recordings. CPT 99458…

CPT 97001 – CPT 97004 (Physical & Occupational Therapy)

The initial evaluation identifies the problem or difficulty the patient is having which helps determine the appropriate therapy necessary to treat the patient. An evaluation is a comprehensive service requiring professional skills to make clinical judgments about conditions for which services are indicated. If a new diagnosis/problem is encountered, then an additional evaluation may be…

(2022) CPT 99366 – CPT 99368 (Medical Team Conferences)

CPT Code For Medical Team Conference, Direct (Face-to-Face) Contact With Patient and/or Family CPT 99366 Description: CPT 99366 can be used when a treatment plan is discussed in a meeting by a medical team about a patient is that needs the attention from a medical specialty (more than one). CPT Codes For Medical Team Conference,…

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