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Healthcare Coding and Documentation 2011 Update - Part 3

For the most current information, view the Healthcare Coding and Documentation 2012 Update 

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2011 CPT Code Changes  

Effective 1/1/11 - New Codes and Deleted Codes

  • Evaluation and Management – 3 New Codes
    • Code added and resequenced
      • Subsequent Observation Care, Low Severity - 99224
      • Subsequent Observation Care, Mod. Severity - 99225
      • Subsequent Observation Care, High Severity - 99226
       
     
  • Integumentary System – 3 New & 2 Deleted
    • Code added and resequenced – (Add-on Codes)
      • Debridement, each additional 20 sq cm
        • Subcutaneous Tissue - 11045
        • Muscle/Fascia - 11046
        • Bone – 11047
         
       
    • Deleted
      • Debridement; skin; partial & full thickness – 11040 & 11041
       
     
  • Musculoskeletal System – 5 New Codes
    • Neck & Spine Fusion, Additional – 22551
    • Add’l Neck & Spine Fusion (Add-On Code) - 22552
    • Code added and resequenced
      • Hip Arthroscopy with
        • Femoroplasty – 22914
        • Labral Repair – 22915
        • Acetabuloplasty - 22916
         
       
     
  • Respiratory System – 4 New Codes
    • Nasal Sinus Endoscopy with Dilation of:
      • Maxillary Sinus – 31295
      • Frontal Sinus – 31296
      • Sphenoid Sinus – 31297
       
    • Bronchoscopy with Balloon Occlusion - 31634
     
  • Cardiovascular System – 20 New & 23 Deleted
    • New Codes
      • Application of Pulmonary Artery Bands - 33620
      • Transthoracic Insertion of Catheter or Stent - 33621
      • Reconstruction Complex Cardiac Anomaly - 33622
      • Revascularization with Stent
        • Iliac, Femoral/Popliteal Artery, Tibial/Peroneal Artery 37220 - 37235
          • Intraoperative Identification of Sentinel Lymph Nodes - 38900
           
         
       
    • Deleted Codes
      • Transluminal balloon angioplasty - 35454 – 35474
      • Transluminal peripheral atherectomy – 35480 - 35495
      • Repair, diaphragmatic hernia – 39520 - 39531
       
     
  • Digestive System – 18 New & 4 Deleted
    • New
      • Laparoscopy, Esophageal Lengthening (Add-On) - 43283
      • Esophagogastric Fundoplasty - 43327 – 43328
      • Hiatal Hernia Repair - 43332 – 43338
      • Gastric Intubation & Aspiration, Necessitating Physician Skill - 43753
      • Gastric/Duodenal Intubation & Aspiration- 43754 - 43754
      • Laparoscopy Placement of Interstitial Device - 49327
      • Placement of Interstitial Device (Add-On) - 49412
      • Insertion of Tunneled Intraperitoneal Catheter – 49418
       
    • Deleted
      • Esophagogastric fundoplasty – 43324 & 43326
      • Biopsy of Stomach - 43600
       
     
  • Urinary System – 1 New Code
    • Transurethral Radiofrequency Treatment for Stress Incontinence - 53860
     
  • Female Genitourinary System – 1 New Code
    • Insertion of Vaginal Brachytherapy Device - 57156
     
  • Nervous System – 8 New & 2 Deleted
    • Stereotactic Computer Assisted Cranial Procedures – 61781 -61783
    • Posterior Tibial Neurostimulator - 64566
    • Cranial Nerve Neurostimulator Electrodes - 64568 – 64570
    • Chemodenervation of Parotid & Submandibular Glands - 64611
     
  • Eye and Ocular Adnexa – 4 New Codes
    • Placement of Amniotic Membrane on Ocular Surface – 65778 – 65779
    • Transluminal Dilation of Eye Canal - 66174 - 66175
     
  • Radiology – 5 New Codes
    • CT Angioplasty Abdomen/Pelvis
      • Without Contrast – 74176
      • With Contrast – 74177
      • Without Contrast 1+ Body Regions – 74178
       
    • Ultrasound Extremity Non-Vascular
      • Complete - 76881
      • Limited – 76882
       
     
  • Pathology & Laboratory–15 New & 13 Deleted
  • Medicine – 40 New & 41 Deleted
    • New Codes
      • Immunization Administration thru 18 years
        • First Vaccine/Toxoid – 90460
        • Each Additional – 90461
         
      • H1N1 Immunization Administration, including counseling - 90470
      • Meningococcal Vaccine, 2-15 months - 90644
      • Influenza Virus Vaccine
        • Intranasal – 90664
        • Intramuscular, Preservative Free – 90666
        • Intramuscular, Split Virus, Adjuvanted – 90667
        • Intramuscular, Split Virus – 90668
         
      • Therapeutic repetitive transcranial magnetic stimulation treatment; planning – 90867
        • Delivery and management, per session - 90868
         
      • Esophageal Motility (Add-On Code) – 91013
      • Sleep Study 95800 - 95801
       
    • Deleted Codes
      • Immunization Administration – 90465 – 90468
      • Esophageal/Gastric Intubation/Motility – 91000-91105
      • Telephonic Transmission of Post-Symptom EKG strips
        • 93012 & 93014
         
      • Holter Monitors
        • 93230 - 93233
        • 93235 - 93237
         
       
    • New & Deleted Heart Catheterization Codes
      • New
        • 93451 - 93464
        • 93563 - 93568
         
      • Deleted
        • 93501
        • 93508 - 93511
        • 93514
        • 93524
        • 93526 - 93529
        • 93539 - 93545
        • 93555 - 93556
         
       
     
  • Category II Codes (F Codes) – 31 New Codes
    • Major Depressive Disorder
    • Parkinson’s Disease
    • Epilepsy
    • Body Mass Index
    • Cervical Cancer Screening
    • BloodTyping
    • ClinicalTumor Staging
    • Anesthesia
    • Tobacco Use & Cessation Counseling
     
  • Category III Codes (T Codes)
    • 52 New Codes & 13 Deleted Codes
    • Cryopreservation Ovary Tissue / Oocyte – 0058T & 0059T
    • Audiometry and Speech Audiometry – 0208T – 0212T
    • Injection Paravertebral Facet Joint – 0213T – 0218T
    • Placement Posterior Intrafacet Implants – 0219T – 0222T
    • Transluminal Peripheral Atherectomy – 0234T – 0239T
    • Esophageal Motility – 0240T – 0242T
    • Measurement of Wheeze Rate for Bronchodilator
      • 0243T & 0244T
       
    • Open Treatment of Rib Fractures – 0245T – 0248T
    • Ligation Hemorrhoid with Ultrasound – 0249T
     
  • Category III Codes (T Codes) – 52 New Codes
    • 52 New Codes & 13 Deleted Codes
    • Bronchial Valve Procedures – 0250T – 0252T
    • Endovascular Repair – 0254T – 0256T
    • Aortic Heart Valve Replacement with and without Cardiac Bypass – 0258T & 0259T
    • Hypothermia, Neonate, 28 days or less – 0260T & 0261T
     

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Contact Information

Steven Bisciello, MBA 
Supervising Consultant, Healthcare Services Group  

EisnerAmper LLP is an independent member firm of PKF International Limited

 

The material contained in this presentation is for general information and should not be acted upon without prior professional consultation. 

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