Surgery: Urinary System Codes for percutaneous nephrolithotomy or pyelolithotomy (50080 and 50081) are revised to clarify which services are included when performing the procedure, so they can be properly valued. Code 50080 is reported for a simple procedure that involves stones up to 2.0 cm. Stones greater than 2.0 cm, branching stones, stones in multiple […]
Remote therapeutic monitoring (98975-98978, 98980 and 98981). CPT has revised the description for remote therapeutic monitoring code 98975 to accommodate the addition of a new CPT code, 98978, specifically for monitoring for cognitive behavioral therapy. (The description’s parenthetical section now includes only “therapy adherence” and “therapy response.” References to respiratory and musculoskeletal systems have been removed.) […]
Behavioral Health Services In light of the current needs among Medicare beneficiaries for improved access to behavioral health services, CMS has considered regulatory revisions that may help to reduce existing barriers and make greater use of the services of behavioral health professionals, such as licensed professional counselors (LPCs) and Licensed Marriage and Family Therapists (LMFTs). […]
Ob-Gyn Coding Alert There are three new codes in the integumentary system section that could affect your practice, plus one deletion and one revision. New mesh code: 15778 (Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie, external genitalia, perineum, abdominal wall) due to soft tissue infection or trauma). Two new […]
New Prostatectomy Code First, CPT adds a new code for laparoscopic prostatectomy that joins the existing surgical codes addressing the prostate. When a physician uses robotic assistance to remove the prostate, use 55867 (Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy), includes robotic assistance, when […]
Surgery: Eye and Ocular Adnexa CPT 2023 changes Transluminal dilation of aqueous outflow canal codes 66174 and 66175 are revised to include canaloplasty, as an example. 66174 – Transluminal dilation of aqueous outflow canal; without retention of device or stent Do not report 66174 in conjunction with 65820 66175 – Transluminal dilation of aqueous outflow canal; with retention of […]
Changes in Category III codes Total disc arthroplasty code moves from Category III to Category 1 status. Code 0163T (Total disc arthroplasty [artificial disc], anterior approach, including discectomy to prepare interspace [other than for decompression], each additional interspace, lumbar) has been deleted for 2023. In its place, the AMA debuts a new add-on code, 22860, to report for anterior implant […]
Chronic Pain Management and Treatment Services CMS has finalized new HCPCS codes, G3002 and G3003, and valuation for chronic pain management and treatment services (CPM) for CY 2023. They believe the CPM HCPCS codes will improve payment accuracy for these services, prompt more practitioners to welcome Medicare beneficiaries with chronic pain into their practices, and […]
Chronic Pain Management and Treatment Services CMS has finalized new HCPCS codes, G3002 and G3003, and valuation for chronic pain management and treatment services (CPM) for CY 2023. They believe the CPM HCPCS codes will improve payment accuracy for these services, prompt more practitioners to welcome Medicare beneficiaries with chronic pain into their practices, and […]
Surgery: Respiratory System A new code for the repair of a nasal valve collapse, 30469, is added to report the use of low-energy, temperature-controlled subcutaneous/submucosal remodeling. 30469 – repair of nasal valve collapse with low energy, temperature-controlled (i.e., radiofrequency) subcutaneous/submucosal remodeling) is a Medi-Cal benefit. No TAR is required Remote therapeutic monitoring (98975-98978, 98980 and 98981). […]
