CPT 2014 Overview of GI Changes

Transcription

1 CPT 2014 Overview of GI Changes The following table is a listing of the new,, and deleted codes in the Esophagus/Endoscopy section effective January 1, The table lists the CPT code, a brief description of the included services for each code and other notable changes. Detailed information regarding these codes such as full descriptors, guidelines, parenthetical notes, rationales and clinical examples can be found in CPT Changes 2014: An Insider s View. This important resource provides a complete review of all 2014 CPT code additions, deletions and revisions that impact various clinical areas including the Cardiovascular System, Molecular Pathology, Complex Chronic Care Coordination Services, Transitional Care Management Services and Appendix C. You may learn more by visiting amastore.com. Key to symbols used: Code Code Add On Code Moderate Sedation # Out of Numerical Sequence Code Change Type CPT Code Procedure(s) Change Detail rigid transoral diagnostic brushing washing rigid transoral submucosal injection(s) rigid transoral biopsy rigid transoral For transnasal, use For transnasal, use foreign body rigid transoral balloon dilation

2 43196 rigid transoral guide wire insertion flexible transnasal diagnostic brushing washing flexible transnasal biopsy For rigid transoral, use For flexible transoral, use For rigid transoral, use For flexible transoral, use diagnostic brushing washing submucosal injection(s) biopsy varices injections band ligation For transnasal, use For transnasal, use

3 43206 optical endomicroscopy foreign body hot biopsy or cautery snare lesion # mucosal resection concept # stent placement concept Deleted Use balloon dilation # retrograde dilation concept # balloon dilation including imaging concept 3

4 43226 guide wire insertion control of bleeding Terminology reconciliation with Deleted Use ablation Includes balloon dilation, insertion of guide wire, and ablation 43220, 43226, ultrasound-guided needle aspiration diagnostic brushing washing Terminology reconciliation injection(s) Includes injection of varices, endoscopic mucosal resection, and control of bleeding described by 43243, 43254, for same lesion 4

5 ultrasound-guided needle aspiration biopsy pseudocyst drainage catheter(s)/stent(s) placement Includes placement of drain, stent, transmural needle aspiration and ultrasound described by 43242, 43259, tube or catheter insertion ultrasound-guided needle aspiration sclerosis of varices Includes submucosal injections and control of bleeding reported 43236, band ligation Includes endoscopic mucosal resection and control of bleeding described by 43254, for same lesion 5

6 43245 stricture dilation Includes tumor ablation, stent placement, guide wire passage and dilation 43266, gastrostomy tube placement foreign body guide wire insertion Includes stent placement, guide wire passage and dilation balloon dilation Includes tumor ablation, stent placement described by codes 43266, # balloon dilation Dilation includes imaging hot biopsy or bipolar cautery snare technique Includes endomucosal resection for same lesion 6

7 43252 optical endomicroscopy # ultrasound-guided injection Not separately reportable with ultrasound 43237, 43238, 43242, 43259, 76942, or with pseudocyst drainage # mucosal resection Includes injection (43236), banding (43243/43244), and snare polyp (43251) for the same lesion control of bleeding Includes injection and ligation, of varices 43243, for the same lesion Deleted Use # stent placement Includes pseudocyst drainage described by 43240, tube placement described by or dilations 43245, 43248, for same lesion thermal GERD treatment Deleted Use

8 # ablation Includes guide wire insertion and esophageal dilation codes 43248, for same lesion Includes pseudocyst drainage diagnostic brushing and washing Terminology reconciliation No Change Bundles stent placement 43274, stent exchange and dilation pressure measurement calculi/debri calculi destruction Includes stone destruction Includes of calculi/debris from duct(s) Deleted Use Deleted Use

9 # stent placement sphincterotomy Includes sphincterotomy destruction of debris 43275, 43276, in same duct Deleted See 43275, Deleted Use Deleted Use # foreign body/stent Includes stent and exchange # and exchange of stent sphincterotomy Includes stent, # sphincteroplasty sphincterotomy Includes stent placement 43274, stent exchange and ablation described by # ablation Includes guide wire passage, and dilation endoscopic papilla cannulation visualization of pancreatic/common bile duct(s) Terminology reconciliation 9

10 43450 esophagus dilation Moderate sedation now included Deleted Use Deleted See 43214,