2015 CPT Changes

2015 CPT Code Changes SIMPLIFIED

Eduardo Porras CPC, CPMAAHIMA Certified ICD10 Instructor


CPT Disclaimer

–Current Procedural Terminology (CPT) is copyright © 2015 American Medical Association. All rights reserved.

–This document will highlight the changes for CPT codes in 2015, but will not include ALL changes. Our goal is to help you understand new codes and the reasoning for some of the organizational changes to CPT.

–It is every individual’s responsibility to read and absorb the changes in the CPT manual every year.

–Although every reasonable effort has been made to assure the accuracy of the information within this document, the ultimate responsibility for the correct submission of claims and response to any remittance advice lies with the provider of services.

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2015 CPT Code Changes SIMPLIFIED3

Train coding and billing staff on changes

Highlight changes in the tabular section pertinent toyour specialty

Review and update superbills

Review PQRS changes

Review 2015 CPT code changes, using this guide

Review all changes to guidelines, notes, and instructions in your book

Code Changes – Action Items

2015 CPT Code Changes

Modifier Changes


Modifiers

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•Proper modifier usage can be one of the biggest hurdles to filing a clean claim. Medicare recently announced they’ve established four new modifiers – XE, XS, XP, and XU – that may be used instead of modifier 59:

–XE Separate encounter

–XS Separate structure

–XP Separate practitioner

–XU Unusual non overlapping service


Modifiers

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–XE Separate Encounter, A Service That Is Distinct Because It Occurred During A Separate Encounter

–XS Separate Structure, A Service That Is Distinct Because It Was Performed On A Separate Organ/Structure

–XP Separate Practitioner, A Service That Is Distinct Because It Was Performed By A Different Practitioner

–XU Unusual Non-Overlapping Service, The Use Of A Service That Is Distinct Because It Does Not Overlap Usual Components Of The Main Service


Modifiers

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Modifiers

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• Modifier 59 has not been deleted and will continue to be a valid modifier, according to Medicare.

• However modifier 59 should NOT be used when a more appropriate modifier, like a XE, XP, XS or XU modifier, is available. Certain codes that are prone to incorrect billing may also require one of the new modifiers.

• CMS is encouraging providers to adopt the modifiers quickly!

Evaluation and Management Changes


E/M Changes

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• 99481 and 99482 Deleted• Replaced with new combination code• 99184 Initiation of selective head or total body

hypothermia in the critically ill neonate, includes appropriate patient selection by review of clinical, imaging and laboratory data, confirmation of esophageal temperature probe location, evaluation of amplitude EEG, supervision of controlled hypothermia, and assessment of patient tolerance of cooling


Chronic Care Management Services

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• 99490 Chronic care management services, at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month, with the following required elements:– multiple (two or more) chronic conditions

expected to last at least 12 months, or until the death of the patient,

– chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline,

– comprehensive care plan established, implemented, revised, or monitored


Complex Chronic Care Management Services

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•99487 Revised to include the requirements for the code

–60 minutes of clinical staff time

–Moderate to high MOM

–Establishment or substantial revision of comprehensive care plan


Complex Chronic Care Management Services

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• 99488 Deleted• 99489 Revised to include the

requirements for the code– Each additional 30 minutes of clinical

staff time– Addon reported with 99487


Advanced Care Planning

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• Face to face encounter, not requiring the patient• Time based• No active medical management

• 99497 Advanced care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, facetoface with the patient, family member(s), and or surrogate– +•99498 each additional 30 minutes (List

separately in addition to code for primary procedure)

Musculoskeletal Procedure Code

Changes


Musculoskeletal: Arthrocentesis

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• 20600,20605, 20610 revised: without ultrasound guidance

• 20604 Arthrocentesis, aspiration and/or injection, small joint or bursa (eg, fingers, toes); with ultrasound guidance, with permanent recording and reporting

• 20606 Arthrocentesis, aspiration and/or injection, intermediate joint or bursa (eg, temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa); with ultrasound guidance, with permanent recording and reporting

• 20611 Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); with ultrasound guidance, with permanent recording and reporting


Musculoskeletal: Arthrocentesis

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• Steps for accurate coding– Determine the size of the joint– Review the description to determine if imaging is used– Report 20604, 20606, or 20611 if performed with

ultrasound guidance– If fluoroscopic, CT, or MRI guidance is used, report

20600, 26005, or 2061O for the surgical procedure and see 77002, 77012, and 77021 to report the imaging guidance separately


Ablation of Bone Tumors

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• 20982 is revised to include the adjacent soft tissue involved with the bone tumor

• 20983 Ablation therapy for reduction or eradication of 1 or more bone tumors (eg, metastasis) including adjacent soft tissue when involved by tumor extension, percutaneous, including imaging guidance when performed; cryoablation– Codes are selected based on technique for ablation:

radiofrequency or cryoablation– Reported once– Includes imaging guidance


Open Treatment of Rib Fractures

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• 21800, 21810, 0245T, 0246T, 0247T, 0248T Deleted

• 21811 Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,unilateral;13 ribs

• 21812 46 ribs• 21813 7 or more ribs

• Codes must be selected based on the number of ribs treated!


Percutaneous Vertebroplasty

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• 22520,22521, 22522 Deleted

• 22510 Percutaneous vertebroplasty (bone biopsy included when performed), 1 vertebral body, unilateral or bilateral injection, inclusive of all imaging guidance; cervicothoracic

• 22511 lumbosacral

– +•22512 each additional cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary procedure)


Percutaneous Vertebral Augmentation

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• 22523, 22524,22525 Deleted• 22513 Percutaneous vertebral augmentation,

including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic

• 22514 lumbar

+• 22515 each additional thoracic or lumbar vertebral body (List separately in addition to code for primary procedure)


Percutaneous Vertebral Augmentation

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• Coding Steps– Determine if the procedure is a

vertebroplasty or augmentation (Kyphoplasty)– Determine the region of the spine– Determine the number of vertebral– Do not report imaging guidance separately– Do not report bone biopsy on same body

separately


Total Disc Arthroplasty

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• 22856 revised to become parent code for 22858 +• 22858 Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); second level, cervical (List separately in addition to code for primary procedure)

0375T Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection), cervical, three or more levels)


Arthrodesis of Sacroiliac Joint

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• 27280 revised to indicate an open procedure• 27279 Arthrodesis, sacroiliac joint,

percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of transfixing device– Codes selected based on approach, open or

percutaneous or minimally invasive– Modifier 50 if performed bilaterally– Do not report image guidance separate

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRw&url=http://eorif.com/knee-arthrodesis-27580&ei=wF6kVOxRzKs2t7qEcA&bvm=bv.82001339,d.eXY&psig=AFQjCNEWNzIch5otza4UVaMhJITR0_LNfg&ust=1420144689581223


Knee Arthrography Injection

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• 27370 revised to indicate the injection is performed for contrast

• 29020,29025,29715 Deleted

Cardiovascular Procedure Code

Changes


Pacemaker or Implantable Defibrillator

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• Category III codes for subcutaneous implantable defibrillators (0319T,0320T,032lT, 0322T,0323T,0324T,0326T,0327T) are deleted and replaced with Category I codes– Revisions are made to all the existing

implantable cardioverterdefribrillator codes– Guidelines are added for proper use of the

new subcutaneous implantable defibrillator codes

– Table on page 187 (CPT Professional Edition) is revised to include the new codes



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• 33270 Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneous electrode, including defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters, when performed

• 33271 Insertion of subcutaneous implantable defibrillator electrode

• 33272 Removal of subcutaneous implantable defibrillator electrode

• 33273 Repositioning of previously implanted subcutaneous implantable defibrillator electrode



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• Insert subcutaneous defibrillator electrode without pulse generator 33271

• Initial pulse generator insertion or replacement plus insertion of subcutaneous defibrillator electrode 33270

• Removal of subcutaneous defibrillator lead only 33272

• Removal and replacement of implantable defibrillator pulse generator and subcutaneous electrode 33272,33241, 33270

• Removal pulse generator with replacement pulse generator only single lead system, includes transvenous or subcutaneous defibrillator lead 33262

• Removal of pulse generator only (without replacement) 33241


Cardiovascular

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• 33332 Deleted• Category Ill codes 0343T and 0344T are

deleted and replaced with new Category I codes• 33418 Transcatheter mitral valve

repair,percutaneous approach, including transseptal puncture when performed; initial prosthesis

+• 33419 additional prosthesis(es) during same session (List separately in addition to code for primary procedure)

• 0345T Transcatheter mitral valve repair percutaneous approach via the coronary sinus

2015 CPT Code Changes SIMPLIFIED31

• 33960, 33961, 36822 Deleted• New category and guidelines created• New codes– Initiation of the ECMO/ECLS– Daily management– Cannulation– Repositioning cannula(e)– Removing cannula(e)– Adding cannula(e)

Extracorporeal Membrane Oxygenation (ECMO) or Extracorporeal Life Support Services (ECLS)


ECMO/ECLS

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• 33946 Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, venovenous

• 33947 initiation, venoarterial• 33948 daily management, each day,

venovenous• 33949 daily management, each day,

venoarterial


ECMO/ECLS

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• 33955 insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age

• 33956 insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older

• 33957 reposition peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed)

• 33958 reposition peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (includes fluoroscopic guidance, when performed)


ECMO/ECLS

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• 33955 insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age

• 33956 insertion of central cannula(e) by sternotomy or thoracotomy, 6 years and older

• 33957 reposition peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed)

• 33958 reposition peripheral (arterial and/or venous) cannula(e), percutaneous, 6 years and older (includes fluoroscopic guidance, when performed)


ECMO/ECLS

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• 33959 reposition peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age (includes fluoroscopic guidance, when performed)

• 33962 reposition peripheral (arterial and/or venous) cannula(e), open,6 years and older (includes fluoroscopic guidance,when performed)

• 33963 reposition of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age (includes fluoroscopic guidance, when performed)

• 33964 reposition central cannula(e) by sternotomy or thoracotomy,6 years and older (includes fluoroscopic guidance, when performed)


ECMO/ECLS

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• 33965 removal of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age

• 33966 removal of peripheral (arterial and/or venous) cannula(e), percutaneous,6 years and older

• 33969 removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age

• 33984 removal of peripheral (arterial and/or venous) cannula(e), open, 6 years and older


ECMO/ECLS

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• 33985 removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age

• 33986 removal of central cannula(e) by sternotomy or thoracotomy,6 years and older

• +• 33987 Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure)

• 33988 Insertion of left heart vent by thoracic incision (eg,sternotomy, thoracotomy) for ECMO/ECLS

• 33989 Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS


Cardiovascular

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• 34839 Physician planning of a patient specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time

• 36469 Deleted


Transcatheter Procedures

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• 37215 Transcatheter placement of intravascular stent(s), cervical carotid artery, open or percutaneous, including angioplasty, when performed, and radiological supervision and interpretation; with distal embolic protection

• 37216 without distal embolic protection

• 37217 Transcatheter placement of an intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, open ipsilateral cervical carotid artery exposure, including angioplasty, when performed, and radiological supervision and interpretation

• 37218 Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiological supervision and interpretation


Endovascular Revascularization

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• 37236 Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery– +37237 each additional artery (List

separately in addition to code for primary procedure)


Echocardiography

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• 93355 Echocardiography, transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel(s) structural intervention(s) (eg,TAVR, transcathether pulmonary valve replacement, mitral valve repair, paravalvular regurgitation repair,left atrial appendage occlusion/closure,ventricular septal defect closure) (peri and intra procedural), real time image acquisition and documentation, guidance with quantitative measurements, probe manipulation, interpretation, and report, including diagnostic transesophageal echocardiography and, when performed, administration of ultrasound contrast, Doppler,color flow, and 3D


Noninvasive Physiologic Studies and Procedures

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• 93702 Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s)


Cerebrovascular Arterial Studies

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• 93895 Quantitative carotid intima media thickness and carotid atheroma evaluation, bilateral

Endoscopic Procedure Code Changes


Esophagoscopy

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• 43180 Esophagoscopy, rigid, transoral with diverticulectomy of hypopharynx or cervical esophagus (eg,Zenker's diverticulum), with cricopharyngeal myotomy, includes use of telescope or operating microscope and repair, when performed

• 43194 Esophagoscopy, rigid, transoral ;with removal of foreign body

• 43197 Esophagoscopy, flexible, transnasal ;diagnostic, including collection of specimen(s) by brushing or washingL when performed (separate procedure)

• 43215 Esophagoscopy, flexible, transnasal; with removal of foreign body(s)


Esophagoscopy

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• 43216 Esophagoscopy, flexible, transnasal ;with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery

• 43247 Esophagoscopy, flexible, transnasal;with removal of foreign body(s)

• 43250 Esophagoscopy, flexible, transnasal ;with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery

• 43350 Deleted


Intestines: Endoscopy, Small Intestine

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• 44360 Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, with or without including collection of specimen(s) by brushing or washing, when performed (separate procedure)

• 44363 Small intestinal endoscopy, enteroscopy

beyond second portion of duodenum, not including ileum; with removal of foreign body(s)


Intestines: Endoscopy, Stomal

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• The category is divided into two separate subcategories– Small intestine endoscopy– Stomal endoscopy

• New section guidelines are added• Clarification for proper use of modifier

52 and 53



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• 44380 Ileoscopy, through stoma; diagnostic, with or without including collection of specimen(s) by brushing or washing. when performed (separate procedure)

• 44381 with transendoscopic balloon dilation • 44383 Deleted• 44384 with placement of endoscopic stent

(includes pre and postdilation and guide wire passage, when performed)

• 44385 Endoscopic evaluation of small intestinal• 44386 with biopsy, single or multiple



50

• 44388 Colonoscopy through stoma; diagnostic, with or without including collection of specimen(s) by brushing or washing, when performed (separate procedure)

• 44390 with removal of foreign body(s)• 44391 with control of bleeding, any method• 44392 with removal of tumor(s),polyp(s), or

other lesion(s) by hot biopsy forceps or bipolar cautery



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• 44393 and 44397 Deleted• 44401 with ablation of tumor(s),polyp(s),or

other lesion(s) (includes pre and postdilation and guide wire passage, when performed)

• 44402 with endoscopic stent placement (including pre and postdilation and guide wire passage, when performed)

• 44403 with endoscopic mucosal resection• 44404 with directed submucosal injection(s),

any substance



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• 44405 with transendoscopic balloon dilation• 44406 with endoscopic ultrasound examination,

limited to the sigmoid, descending, transverse,or ascending colon and cecum and adjacent structures

• 44407 with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures

• 44408 with decompression (for pathologic distention) (eg,volvulus, megacolon), including placement of decompression tube, when performed


Endoscopy

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• 45330 Sigmoidoscopy, flexible; diagnostic, with or without including collection of specimen(s) by brushing or washing, when performed (separate procedure)

• 45332 with removal of foreign body• 45333 with removal of tumor(s), polyp(s), or other

lesion(s) by hot biopsy forceps or bipolar cautery• 45334 with control of bleeding (eg, injection, bipolar

cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator) any method

• 45337 with decompression (for pathologic distention) (eg. volvulus megacolon), including placement of decompression tube, any method when performed


Endoscopy

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• 45339, 45345 Deleted• 45346 with ablation of tumor(s), polyp(s), or

other lesion(s) (includes pre and post dilation and guide wire passage, when performed)

• 45340 with dilation by transendoscopic balloon,1 or more strictures dilation

• 45347 with placement of endoscopic stent (includes pre and post dilation and guide wire passage, when performed)

• 45349 with endoscopic mucosal resection• 45350 with band ligation(s) (eg, hemorrhoids)


Endoscopy

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• Colonoscopy decision tree added to assist with proper coding

• 45355, 45383, 45387 Deleted• 45378 Colonoscopy, flexible; diagnostic, with or

without including collection of specimen(s) by brushing or washing, (separate procedure)

• 45379 Colonoscopy, flexible, proximal to splenic flexure; with removal of foreign body(s)


Endoscopy

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• 45380 with biopsy, single or multiple• 45381with directed submucosal injection(s), any

substance• 45382 with control of bleeding (eg, injection, bipolar

cautery, unipolar cautery, laser, heater probe, stapler, plasma coagulator)any method

• 45388 with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre and postdilation and guide wire passage, when performed)

• 45384 with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps or bipolar cautery

• 45385 with removal of tumor(s), polyp(s), or other lesion(s) by snare technique


Endoscopy

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• 45386 with dilation by transendoscopi c balloon,1 or Fflore strictures dilation

• 45389 with endoscopic stent placement (includes pre and post dilation and guide wire passage, when performed)

• 45391 with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures

• 45392 with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse or ascending colon and cecum, and adjacent structures


Endoscopy

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• 45390 with endoscopic mucosal resection

• 45393 with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube,when performed

• 45398 with band ligation(s) (eg, hemorrhoids)


Anus : Endoscopy

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• 46600 Anoscopy; diagnostic, ·1ith or without including collection of specimen(s) by brushing or washing, when performed (separate procedure)

• 0226T and 0227T deleted and replaced• 46601 Anoscopy; diagnostic, with high

resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when performed

• 46607 Anoscopy; with high resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple


Liver

60

• 47383 Ablation,1 or more liver tumor(s), percutaneous, cryoablation


Urinary

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• 52441 Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; single implant

• +•52442 Cystourethroscopy, with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure)


Myelography

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• 62284 Injection procedure for myelography and/or computed tomography, lumbar (other than C1C2 and posterior fossa)

• 62302 Myelography via lumbar injecti on, including radiological supervision and interpretation; cervical

• 62303 Myelography via lumbar injection, including radiological supervision and interpretation; thoracic

• 62304 Myelography via lumbar injection, including radiological supervision and interpretation; Iumbosacral

• 62305 Myelography via lumbar injection, including radiological supervision and interpretation;2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical)


Transversus Abdominis Plane (TAP) Block

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• 64486 Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)

• 64487 by continuous infusion(s) (includes imaging guidance, when performed)

• 64488 Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)

• 64489 by continuous infusions (includes imaging guidance, when performed)


Eye and Ocular Adnexa

64

• 66179 Aqueous shunt to extraocular equatorial plate reservoir, external approach; without graft

• 66180 Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft

• 66184 Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft

• 66185 Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft

• 67399 Unlisted procedure, extraocular muscle

Radiology Code Changes


Radiology

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• 76641 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; complete

• 76642 Ultrasound, breast, unilateral, real time with image documentation, including axilla when performed; limited

• Codes are reported once per breast, per session


Radiology

67

• 77061 Digital breast tomosynthesis; unilateral

• 77062 Digital breast tomosynthesis; bilateral

• + 77063 Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)

• Report 77063 with 77057 for screening mammogram


Bone/Joint Studies

68

• 77082 Deleted• 77085 Dualenergy Xray absorptiometry (DXA),

bone density study,1 or more sites; axial skeleton (eg, hips, pelvis, spine), including vertebral fracture assessment

• 77086 Vertebral fracture assessment via dualenergy Xray absorptiometry (DXA)

Radiation Oncology Code Changes


Radiation Oncology

70

• New combination codes report teletherapy isodose with basic dosimetry calculation(s) and brachytherapy isodose planning with basic dosimetry calculation(s)

• 77305, 77310,77315, 77326,77327, 77328 Deleted

• 77306 Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest), includes basic dosimetry calculation(s)

• 77307 complex (multiple treatment areas, tangential ports,the use of wedges, blocking, rotational beam, or special beam considerations), includes basic dosimetry calculation(s)


Radiation Treatment Delivery

71

• Major revisions• New introductory guidelines• 77403,77404,77406,77408,77409,77411,774

13,77414,7741 6,77418,77421 Deleted• 77401 Radiation treatment delivery, superficial

and/or ortho voltage, per day;• 77402 Radiation treatment delivery,single

treatment area, single port or parallel opposed ports,simple blocks or no blocks> 1 MeV; up to 5 MeV simple

• 77407 up to S MeV intermediate• 77412 complex


Radiation Treatment Delivery

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• 77385 Intensity modulated radiation treatment delivery (IMRT), includes guidance and tracking, when performed; simple

• 77386 complex• 77387 Guidance for localization of target

volume for delivery of radiation treatment delivery, includes intrafractio11 tracking, when performed

Vaccine Code Changes


Vaccines

74

• 90651 Human Papillomavirus vaccine types 6,11,16,18, 31,33, 45, 52, 58, non avalent (HPV), 3 dose schedule, for intramuscular use

• 90654 Influenza virus vaccine, trivalent OIV3l. split virus, preservative free, for intradermal use;

• 90630 Influenza virus vaccine, quadrivalent (llV4), split virus, preservative free, for intradermal use

• 90721 Diphtheria, tetanus toxoids, and acellular pertussis vaccine and Hemophilus influenza B vaccine (DtaP llib)(OTaP/Hib), for intramuscular use

• 90723 Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine, inactivated (DtaP Heps IPV) (DTaPHepBIPV), for intramuscular use

• 90734 Meningococcal conjugate vaccine, serogroups A, C,Y and W135 (tetra alent), guadrivalent, for intramuscular use

ICD10 Regulatory Compliance into Strategic Advantage

Thank You

If you would like more information on this topic or other ways to increase your

reimbursements, contact us directly.

• Call us: 1877AVISENA • E-Mail: [email protected]• Visit us at www.avisena.com

Eduardo Porras CPC, CPMADirector of OperationsAvisena, IncDirect: (786) [email protected]

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mailto:[email protected]

http://www.avisena.com/

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2015 CPT Changes

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