2014 CPT Coding Updates. Presented by: Angie Audler, MBA, RHIT, CCS, CPC, AHIMA Approved ICD10CM/PCS Trainer

Transcription

1 2014 CPT Coding Updates Presented by: Angie Audler, MBA, RHIT, CCS, CPC, AHIMA Approved ICD10CM/PCS Trainer

2 2014 CPT Updates 175 new codes 47 deleted codes 107 revised codes Guideline changes

3 No modifier updates Modifiers

4 Deletions Category III 12 deletions Integumentary 6 deletions Musculoskeletal 2 deletions Cardiovascular 7 deletions Digestive 18 deletions Nervous 2 deletions Radiology 2 deletion Medicine 1 deletion

5 Code Description Changes when performed Further clarification (eg. Usage stages, examples specific type of tumor) Guideline changes

6 E/M New Codes (Interprofessional Telephone Internet Consultations) New Codes (Induced Hypothermia) Guideline revisions for Pediatric Care Transport ( ) Complex Chronic Care Coordination ( ) Transitional Care Management ( )

7 E/M Interprofessional telephone/internet assessment and management service provided by a consultative physician including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 5-10 minutes of medical consultative discussion and review Interprofessional telephone/internet assessment and management service provided by a consultative physician including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; minutes of medical consultative discussion and review Interprofessional telephone/internet assessment and management service provided by a consultative physician including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; minutes of medical consultative discussion and review

8 E/M Interprofessional telephone/internet assessment and management service provided by a consultative physician including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 31 minutes or more of medical consultative discussion and review Total body systemic hypothermia in a critically ill neonate per day (List separately in addition to code for primary procedure) Selective head hypothermia in a critically ill neonate per day (List separately in addition to code for primary procedure)

9 E/M Interprofessional Telephone/Internet Consultations Guideline Assign code based on time (including time reviewing records) More than 50% of the total time must be spent exclusive to the medical consultative verbal/internet discussion Patient may be new or established If established patient, the condition must be new or an exacerbation of an existing condition

10 E/M Documentation must include verbal or written request, the reason for the request and the verbal/internet discussion Consulting provider cannot report if the patient had a face-to-face encounter within the past 14 days or if the verbal/internet consulting service leads to a face-to-face encounter within 14 days

11 E/M can only be reported once in a 7 day period Only the consulting provider may report

12 No Additions Anesthesia

13 Integumentary New Code: -Imagining included. Do not report imaging separately Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst), soft tissue (eg, extremity, abdominal wall, neck), percutaneous -Report 1 unit for each separate catheter -Includes moderate/conscious sedation

14 Integumentary New Burn Classification Chart (Lund-Browder) ( ) Lund-Browder classification takes into consideration the total body surface area (TBSA) of patients of different ages Table includes TBSA by anatomic site and patient age

15 Integumentary Breast Biopsy deleted (needle core biopsy w/imaging guidance) New combination codes ( ) Codes are determined by imaging type Includes imaging guidance, placement of needle localization device and imaging of biopsy specimen, when performed If more than one lesion is biopsied using different types of imaging, report a primary code for each type

16 Integumentary Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including stereotactic guidance Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including stereotactic guidance (List separately in addition to code for primary procedure)

17 Integumentary Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including ultrasound guidance Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)

18 Integumentary Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; first lesion, including magnetic resonance guidance Biopsy, breast, with placement of breast localization device(s) (eg, clip, metallic pellet), when performed, and imaging of the biopsy specimen, when performed, percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)

19 Integumentary Breast localization Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including mammographic guidance Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including mammographic guidance (List separately in addition to code for primary procedure) w/o Biopsy New Combination Codes ( ) Code assignment determined by imaging type If the placement of localization device is performed during the same surgical session as a breast biopsy of the same lesion, report instead

20 Integumentary Breast localization w/o Biopsy Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including stereotactic guidance Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including stereotactic guidance (List separately in addition to code for primary procedure)

21 Integumentary Breast localization w/o Biopsy Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including ultrasound guidance Placement of breast localization device(s) (eg, clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including ultrasound guidance (List separately in addition to code for primary procedure)

22 Integumentary Breast localization w/o Biopsy Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; first lesion, including magnetic resonance guidance Placement of breast localization device(s) (eg clip, metallic pellet, wire/needle, radioactive seeds), percutaneous; each additional lesion, including magnetic resonance guidance (List separately in addition to code for primary procedure)

23 Musculoskeletal Deleted -Do not report for the removal of shoulder prosthesis; This code is for removal of foreign body (other than prosthesis) and are for removal of prosthesis Removal of foreign body, shoulder; deep (subfascial or intramuscular) Removal of prosthesis, includes debridement and synovectomy when performed; humeral or glenoid component Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total shoulder)

24 Musculoskeletal Description Changes and implant removal now includes debridement and synovectomy when performed

25 Respiratory No new codes Pneumonostomy with percutaneous drainage of abscess or cyst was deleted (instructed to see 49405)

26 Cardiovascular New Code (33366) Replaces 0318T Used for patient with severe symptomatic aortic stenosis (narrowing of the aortic valve opening) who are not candidates for traditional open chest surgery or are high-risk surgical candidates Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg, left thoracotomy)

27 Cardiovascular New Codes ( and ) Fenestrated Endovascular Repair of the Visceral and Infrarenal Aorta include: Introduction of guide wires and catheters Angioplasty of the target zone where endograft (bare metal or covered stent) is deployed Fluoroscopic guidance and radiologic S&I

28 Cardiovascular New Codes ( and ) Fenestrated Endovascular Repair of the Visceral and Infrarenal Aorta also include: Angiographic diagnostic imaging of the aorta and branches Intraproccedural arterial angiography

29 Cardiovascular Services that may be reported separately with the Fenestrated Endovascular Repair of the Visceral and Infrarenal Aorta are: Exposure to the access vessels Extensive repair of an artery Other interventional procedures that are not involved with the fenestrated visceral aortic endograft

30 Cardiovascular Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery) Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])

31 Cardiovascular Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) Endovascular repair of visceral aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])

32 Cardiovascular Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including one visceral artery endoprosthesis (superior mesenteric, celiac or renal artery) Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including two visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])

33 Cardiovascular Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including three visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s]) Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg, aneurysm, pseudoaneurysm, dissection, penetrating ulcer, intramural hematoma, or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation, including target zone angioplasty, when performed; including four or more visceral artery endoprostheses (superior mesenteric, celiac and/or renal artery[s])

34 Cardiovascular New Codes for Transcatheter Placement of Intravascular stent(s)

35 Cardiovascular Transcatheter placement of an intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, via open ipsilateral cervical carotid artery exposure, including angioplasty, when performed, and radiological supervision and interpretation Transcatheter placement of an intravascular stent(s) (except lower extremity, 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

36 Cardiovascular Transcatheter placement of an intravascular stent(s) (except lower extremity, 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; each additional artery (List separately in addition to code for primary procedure)

37 Cardiovascular Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; initial vein Transcatheter placement of an intravascular stent(s), open or percutaneous, including radiological supervision and interpretation and including angioplasty within the same vessel, when performed; each additional vein (List separately in addition to code for primary procedure)

38 Cardiovascular New Codes for Vascular Embolization and Occlusion

39 Cardiovascular Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; venous, other than hemorrhage (eg, congenital or acquired venous malformations, venous and capillary hemangiomas, varices, varicoceles) Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; arterial, other than hemorrhage or tumor (eg, congenital or acquired arterial malformations, arteriovenous malformations, arteriovenous fistulas, aneurysms, pseudoaneurysms)

40 Cardiovascular Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for tumors, organ ischemia, or infarction Vascular embolization or occlusion, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation

41 Digestive Esophagoscopy, rigid, transoral; diagnostic, including collection of specimen(s) by brushing or washing when performed (separate procedure) Esophagoscopy, rigid, transoral; with directed submucosal injection(s), any substance Esophagoscopy, rigid, transoral; with biopsy, single or multiple Esophagoscopy, rigid, transoral; with removal of foreign body Esophagoscopy, rigid, transoral; with balloon dilation (less than 30 mm diameter) Esophagoscopy, rigid, transoral; with insertion of guide wire followed by dilation over guide wire

42 Digestive Section revision and new codes for Esophagoscopy

43 Digestive Esophagoscopy, flexible, transnasal; diagnostic, includes collection of specimen(s) by brushing or washing when performed (separate procedure) Esophagoscopy, flexible, transnasal; with biopsy, single or multiple

44 Digestive Esophagoscopy, flexible, transoral; with endoscopic mucosal resection Esophagoscopy, flexible, transoral; with placement of endoscopic stent (includes preand post-dilation and guide wire passage, when performed) Esophagoscopy, flexible, transoral; with dilation of esophagus, by balloon or dilator, retrograde (includes fluoroscopic guidance, when performed) Esophagoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed)

45 Digestive Revision of Upper Gastrointestinal Endoscopy terminology to Esophagogastroduodenoscopy

46 Digestive Esophagoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)

47 Digestive Esophagogastroduodenoscopy, flexible, transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance, when performed) Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasoundguided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis)

48 Digestive Esophagogastroduodenoscopy, flexible, transoral; with endoscopic mucosal resection Esophagogastroduodenoscopy, flexible, transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) Esophagogastroduodenoscopy, flexible, transoral; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and postdilation and guide wire passage, when performed)

49 Digestive Endoscopic retrograde cholangiopancreatography (ERCP); with transendoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty), including sphincterotomy, when performed, each duct Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s), polyp(s), or other lesion(s), including pre- and post-dilation and guide wire passage, when performed

50 Digestive New Codes for Endoscopic Retrograde Cholangiopancreatography (ERCP)

51 Digestive Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct, including pre- and postdilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s), biliary or pancreatic duct, including pre- and postdilation and guide wire passage, when performed, including sphincterotomy, when performed, each stent exchanged

52 Digestive New Codes for Image guided fluid collection drainage by catheter ( )

53 Digestive Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); visceral (eg, kidney, liver, spleen, lung/mediastinum), percutaneous Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, percutaneous Image-guided fluid collection drainage by catheter (eg, abscess, hematoma, seroma, lymphocele, cyst); peritoneal or retroperitoneal, transvaginal or transrectal

54 Urinary Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg, Gibbons or double-j type)

55 No New Codes Male Genital System

56 No New Codes Female Genital System

57 Maternity Care and Delivery No New Codes

58 Nervous Chemodenervation of muscle(s); neck muscle(s), excluding muscles of the larynx, unilateral (eg, for cervical dystonia, spasmodic torticollis) Chemodenervation of muscle(s); larynx, unilateral, percutaneous (eg, for spasmodic dysphonia), includes guidance by needle electromyography, when performed Chemodenervation of one extremity; 1-4 muscle(s)

59 Nervous New codes for chemodenervation ,

60 Nervous Chemodenervation of one extremity; each additional extremity, 1-4 muscle(s) (List separately in addition to code for primary procedure) Chemodenervation of one extremity; 5 or more muscle(s) Chemodenervation of one extremity; each additional extremity, 5 or more muscle(s) (List separately in addition to code for primary procedure)

61 Nervous Chemodenervation of trunk muscle(s); 1-5 muscle(s) Chemodenervation of trunk muscle(s); 6 or more muscle(s)

62 Eye and Ocular Adnexa Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach

63 Auditory System No new codes Code description change: Removal of Impacted cerumen now includes requiring instrumentation, unilateral -not for lavage - may use modifier 50 for bilateral procedures

64 Radiology Respiratory motion management simulation (List separately in addition to code for primary procedure)

65 Pathology & Laboratory Caffeine Clozapine Everolimus Gabapentin Lamotrigine Levetiracetam

66 Pathology & Laboratory Mycophenolate (mycophenolic acid) Oxcarbazepine Tiagabine Zonisamide

67 Pathology & Laboratory DMD (dystrophin) (eg, Duchenne/Becker muscular dystrophy) deletion analysis, and duplication analysis, if performed MGMT (O-6-methylguanine-DNA methyltransferase) (eg, glioblastoma multiforme), methylation analysis Oncology (tissue of origin), microarray gene expression profiling of > 2000 genes, utilizing formalin-fixed paraffin-embedded tissue, algorithm reported as tissue similarity scores

68 Pathology & Laboratory Molecular Pathology - 1 new code (81287) -3 revised Tier 1 codes (81371, 81376, 81382) -All nine Tier 2 codes contain revised descriptors ( )

69 Pathology & Lab Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence analysis of selected regions using maternal plasma, algorithm reported as a risk score for each trisomy Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis, amplified probe technique Immunohistochemistry or immunocytochemistry, each separately identifiable antibody per block, cytologic preparation, or hematologic smear; each additional separately identifiable antibody per slide (List separately in addition to code for primary procedure)

70 Medicine Section Influenza virus vaccine, trivalent, derived from recombinant DNA (RIV3), hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular use Influenza virus vaccine, quadrivalent, split virus, preservative free, when administered to children 6-35 months of age, for intramuscular use Influenza virus vaccine, quadrivalent, split virus, preservative free, when administered to individuals 3 years of age and older, for intramuscular use Influenza virus vaccine, quadrivalent, split virus, when administered to children 6-35 months of age, for intramuscular use Influenza virus vaccine, quadrivalent, split virus, when administered to individuals 3 years of age and older, for intramuscular use

71 Medicine Evaluation of speech fluency (eg, stuttering, cluttering) Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)

72 Medicine Behavioral and qualitative analysis of voice and resonance

73 Medicine Percutaneous transcatheter closure of patent ductus arteriosus Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performed Mechanical chest wall oscillation to facilitate lung function, per session

74 Medicine Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per day

75 Medicine Interprofessional telephone/internet assessment and management service provided by a consultative physician including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 5-10 minutes of medical consultative discussion and review Interprofessional telephone/internet assessment and management service provided by a consultative physician including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; minutes of medical consultative discussion and review

76 Medicine Interprofessional telephone/internet assessment and management service provided by a consultative physician including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; minutes of medical consultative discussion and review Interprofessional telephone/internet assessment and management service provided by a consultative physician including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 31 minutes or more of medical consultative discussion and review

77 Medicine Total body systemic hypothermia in a critically ill neonate per day (List separately in addition to code for primary procedure) Selective head hypothermia in a critically ill neonate per day (List separately in addition to code for primary procedure)

78 36 New Codes Category II

79 Category III Deleted Category III codes have new CPT replacement codes Two codes for 2013 have been assigned to unlisted procedure codes in 2014 (0124T changed to 63899; 0185T changed to 99199)

80 0319T 0320T 0321T 0322T 0323T 0324T 0325T Category III Insertion or replacement of subcutaneous implantable defibrillator system with subcutaneous electrode Insertion of subcutaneous defibrillator electrode Insertion of subcutaneous implantable defibrillator pulse generator only with existing subcutaneous electrode Removal of subcutaneous implantable defibrillator pulse generator only Removal of subcutaneous implantable defibrillator pulse generator with replacement of subcutaneous implantable defibrillator pulse generator only Removal of subcutaneous defibrillator electrode Repositioning of subcutaneous implantable defibrillator electrode and/or pulse generator

81 Category III 0326T 0327T 0328T Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters) Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter, implantable subcutaneous lead defibrillator system Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, implantable subcutaneous lead defibrillator system

82 Category III 0329T 0330T Monitoring of intraocular pressure for 24 hours or longer, unilateral or bilateral, with interpretation and report Tear film imaging, unilateral or bilateral, with interpretation and report

83 Category III 0331T 0332T Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment; Myocardial sympathetic innervation imaging, planar qualitative and quantitative assessment; with tomographic SPECT

84 Category III 0333T Visual evoked potential, screening of visual acuity, automated

85 Category III 0336T 0337T 0338T 0339T Laparoscopy, surgical, ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency Endothelial function assessment, using peripheral vascular response to reactive hyperemia, non-invasive (eg, brachial artery ultrasound, peripheral artery tonometry), unilateral or bilateral Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural roadmapping and radiological supervision and interpretation, including pressure gradient measurements, flush aortogram and diagnostic renal angiography when performed; unilateral Transcatheter renal sympathetic denervation, percutaneous approach including arterial puncture, selective catheter placement(s) renal artery(ies), fluoroscopy, contrast injection(s), intraprocedural roadmapping and radiological supervision and interpretation, including pressure gradient measurements, flush aortogram and diagnostic renal angiography when performed; bilateral

86 Category III 0334T 0335T Sacroiliac joint stabilization for arthrodesis, percutaneous or minimally invasive (indirect visualization), includes obtaining and applying autograft or allograft (structural or morselized), when performed, includes image guidance when performed (eg, CT or fluoroscopic) Extra-osseous subtalar joint implant for talotarsal stabilization

87 Questions? Thank you! If I can be of further assistance, please contact me at: Angie Audler, MBA, RHIT, CCS, CPC, AHIMA Approved ICD10CM/PCS Trainer VP Coding Education & Revenue Integrity MedKoder, LLC Medical Coding With Financial Peace 200 Greenleaves Blvd, Suite 7 Mandeville, LA Phone: (504) aaudler@medkoder.com