A Peek at Anticipated 2017 CPT® Code Changes for Radiology
Here’s a look at the anticipated changes:
New Codes that bundle Mammography and CAD
For 2017, new codes are proposed that bundle CAD with mammography. The current CAD and mammography codes, such as 77051, 77052, 77055, 77056, and 77057 are proposed for deletion. In addition, HCPCS Level II G codes G0202, G0204 and G0206 might also get deleted.
New Fluoroscopic Codes [77002, 77003 revisions]
After reviewing the list of proposed global period assignments, the CMS proposed that fluoroscopic guidance codes 77002 (for needle placement) and 77003 (for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid)) should be assigned a ZZZ global value [Code related to another service and is always included in the global period of the other service].\
Ultrasound – screening study for abdominal aortic aneurysm (AAA)
A new CPT® Category I code is expected to replace Category III code G0389, Ultrasound B-scan and/or real time with image documentation; for abdominal aortic aneurysm (AAA) screening, which is proposed for deletion.
New Codes for Dialysis Circuit Access
There are new bundled codes proposed to report dialysis circuit angiography, angioplasty, stent placement, thrombectomy and embolization to address the work related to dialysis circuit diagnosis and interventions. Plus, codes 35471, 35472, 35475, 35476, 36147, 36148, 36870, and 75791 are proposed for deletion.
Open and Percutaneous Transluminal Angioplasty PTA
A number of codes are proposed for deletion, including percutaneous transluminal balloon angioplasty codes 35471, 35472, 35475, 35476; along with open transluminal balloon angioplasty codes 35450, 35452, 35458, 35460 and their related radiologic imaging services codes 75962, 75964, 75966, 75968, 75978. New codes will be created to capture all current uses of the codes marked for deletion.
Proposed Revisions and Deletions in Epidural Injections
A number of revision, deletion and renumbering of injection codes 62310, 62311, 62318, 62319 that exclude imaging, revision of fluoroscopic guidance instructions related to these injections, and addition of new codes to bundle imaging guidance.
New Codes for Mechanochemical (MOCA) Vein Ablation
New codes are proposed for the reporting of non-tumescent, mechanochemical treatment of extremity vein incompetence and revision of current codes 36476 and 37479 to describe the additional veins treated.
New Category III Codes
New Category III codes will be created to describe percutaneous cryoablation of phantom limb pain and tactile breast imaging by computer-aided sensors for use in the primary care setting as augmentation of the clinical breast exam. In addition, there are a number of Category III codes marked to be deleted, such as 0169T, 0282T, 0283T, 0284T, 0285T, 0286T, 0287T. Also, a number of Category III codes are marked for extension until the procedures/services have met the criteria for Category I status. The radiology codes to be extended include: 0159T, 0174T, 0175T, 0281T.
AudioEducator has lined up a series of training sessions with multi-specialty expert to help you keep abreast of the 2017 CPT® coding updates.