Errata and Technical Corrections CPT 2014 Date: November 26, 2013

Transcription

1 rrata and Technical Corrections CPT 2014 Date: November 26, 2013 The information that follows is sourced to either a publication errata or a technical correction by the CPT ditorial Panel. An errata (denoted as ) for the current edition of the CPT code set will publish information that was approved by the CPT ditorial Panel and inadvertently excluded from the current code set. Technical corrections (denoted as T) are clarifications of original Panel intent for the current code structure. All items below are errata if they are not designated as a technical correction in the right hand column. The order of the entries on this document is by code order. Additionally, each entry shows the date of publication to this document. The links immediately following are provided as a guide to the most recently added items. The effective date for each item is January 1, Updates to this document are made as issues surface requiring clarification. Users are encouraged to sign up on the CPT listserv to receive notification as updates are posted to the AMA website. Most recent entries added to rrata and Technical Corrections - CPT 2014 Revise the eg in code Revise codes 64644, 64645, and st Updated:

2 rrata and Technical Corrections Front Matter Introduction Instructions for Use of the CPT Codebook Throughout the CPT code set the use of terms such as physician, qualified health care professional, or individual is not intended to indicate that other entities may not report the service. In selected instances, specific instructions may define a service as limited to professionals or limited to other entities (eg, hospital or home health agency). Revise the instructions for use of the CPT codebook guidelines to include missing content define a service as limited to professionals or limited to other entities (eg, hospital or home health agency). Musculoskeletal System General Introduction or Removal Application of halo, including removal; cranial CPT Assistant Nov 97:14, Aug 12:14 Revise the CPT Assistant citation for code Hemic and Lymphatic Systems General Transplantation and Post-Transplantation Cellular Infusions Hematopoietic cell transplantation (HCT) refers to the infusion of hematopoietic progenitor HCT may be autologous (when the HPC donor and recipient are the same person) or allogeneic (when the HPC donor and recipient are not the same person). Code is used to report any autologous transplant while is used to report an allogeneic transplant. In some cases allogeneic transplants involve more than one donor and cells from each donor are infused sequentially whereby one unit of is reported for each donor infused. Code is used to report a donor lymphocyte infusion. Code is used to report a HPC boost from the original allogeneic HPC donor. A lymphocyte infusion or HPC boost can occur days, months or even years after the initial hematopoietic cell transplant. The lymphocyte infusion is used to treat relapse, infection, or post-transplant lymphoproliferative syndrome. HPC boost represents an infusion of hematopoietic progenitor cells from the original donor that is being used to treat a relapse or post-transplant cytopenia(s). Codes 38240, 38242, and should not be reported together on the same date of service. T ffective 10/14/13 If a separately identifiable evaluation and management service is performed on the same date Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor autologous transplantation # HPC boost Revise the transplantation and post-transplantation cellular infusion guidelines by removing the inaccurate statement that HPC boost is used for treatment of relapse, infection, or posttransplant lymphoproliferative syndrome st Updated:

3 rrata and Technical Corrections Digestive System sophagus ndoscopy sophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s), esophagus (includes endoscopic ultrasound examination limited to the esophagus, stomach or duodenum, and adjacent structures) Revise code removing reference to the term esophagus. Female Genital System Cervix Uteri (For cervicography, use Category III code 0003T) Delete parenthetical note referencing deleted code 0003T. Nervous System xtracranial Nerves, Peripheral Nerves, and Autonomic Nervous System Destruction by Neurolytic Agent (eg, Chemical, Thermal, lectrical or Radiofrequency), Chemodenervation Destruction by neurolytic agent, Intercostal nerve (Imaging guidance [fluoroscopy or CT] are inclusive components of ) Revise the transposed code included in the parenthetical note following st Updated:

4 rrata and Technical Corrections Nervous System Destruction by Neurolytic Agent (eg, Chemical, Thermal, lectrical or Radiofrequency), Chemodenervation Report 64642, 64643, 64644, once per extremity. Codes 64642, 64643, 64644, can be reported together up to a combined total of four units of service per patient when all four extremities are injected. Report only one base code (64642 or 64644) per session. Report one or more units of additional extremity code(s) (64643 or 64645) for each additional extremity injected. Report or for chemodenervation of muscles of the trunk. T ffective 10/14/13 Trunk muscles include the erector spinae and paraspinal muscles, rectus abdominus and obliques. All other somatic muscles are extremity muscles, head muscles, or neck muscles. (For chemodenervation guided by needle electromyography or muscle electrical stimulation, see 95873, Do not report more than one guidance code for each corresponding chemodenervation of extremity or trunk code) (Do not report modifier 50 in conjunction with 64642, 64643, 64644, 64645, 64646, 64647) Chemodenervation of one extremity; 1-4 muscle(s) Revise the guidelines preceding code to limit injections to reporting of one unit for injection of each additional extremity. Nervous System Destruction by Neurolytic Agent (eg, Chemical, Thermal, lectrical or Radiofrequency), Chemodenervation 11/26/ Chemodenervation of one extremity; 5 or more muscles each additional extremity, 5 or more muscles (List separately in addition to code for primary procedure) Chemodenervation of trunk muscle(s); 1-5 muscle(s) or more muscles Revise codes 64644, and by removing the parenthetical included in the term muscles, as the (s) only makes sense in code as all the others are always plural. st Updated:

5 rrata and Technical Corrections Pathology and boratory Molecular Pathology Tier 2 Molecular Pathology Procedures 11/26/ Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence analysis, mutation scanning or duplication/deletion variants of exons, regionally targeted cytogenomic array analysis), regionally targeted cytogenomic array analysis ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg, adrenoleukodystrophy), full gene sequence Revise code with specification that example of the regionally targeted cytogenomic array analysis is intended to be a part of the eg reference within the parentheses. Medicine Cardiovascular Cardiography Codes are appropriate when an order for the test is triggered by an event, the rhythm strip is used to help diagnose the presence or absence of an arrhythmia, and a report is generated. There must be a specific order for an electrocardiogram or rhythm strip followed by a separate, signed, written, and retrievable report. It is not appropriate to use these codes for reviewing the telemetry monitor strips taken from a monitoring system. The need for an electrocardiogram or rhythm strip should be supported by documentation in the patient medical record. (For echocardiography, see ) (For electrocardiogram, 64 leads or greater, with graphic presentation and analysis, see 0178T- 0180T use 93799) lectrocardiogram, routine CG Delete reference to code from the parenthetical note preceding and replace with codes 0178T-0180T. st Updated:

6 rrata and Technical Corrections Medicine Cardiovascular Cardiac Catheterization Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed, catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with bypass graft angiography Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) (Use in conjunction with 93452, 93453, , 93653, 93654) (Do not report in conjunction with 93656) Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, when performed (List separately in addition to code for primary procedure) (Use in conjunction with , , 93530, 93531, 93532, 93533, 93563, 93564, 93580, 93581) (Report only once per catheterization procedure) (Do not report for pharmacologic agent administration in conjunction with coronary interventional procedure codes , 92975, 92977) T ffective 10/14/13 Revise the parenthetical cross-reference following code to include the congenital cardiac catheterization codes and delete codes 93563, Category III (0256T has been deleted. To report, see 33361, 33362, 33363, 33364) (0257T has been deleted. To report, see 33365, 33366) (0258T has been deleted. To report, see 33365, 33366) (0259T has been deleted. To report, see 33365, 33367, 33368, 33369) The deleted parenthetical notes for codes 0256T, 0257T, and 0259T should not be in green text with bowties as they were deleted in st Updated:

7 rrata and Technical Corrections s GD intrmural US needle aspirate/biopsy esophags GD transoral biopsy single/multiple GD transoral transmural drainage pseudocyst GD intraluminal tube/catheter insertion GD intrmural needle aspir/biop altered anatomy GD injection sclerosis esophgl/gastric varices GD band ligation esophgeal/gastric varices GD dilation gastric/duodenal stricture GD percutaneous placement gastrostomy tube GD flexible foreign body removal GD insert guide wire dilator passage esophagus GD balloon dilation esophagus <30 mm diam GD flex removal lesion hot bx/bipolar cautery GD removal tumor polyp/other lesion snare tech GD flex transoral w/optical endomicroscopy GD US guided transmural injxn/fiducial marker GD transoral endoscopic mucosal resection GD transoral control bleeding any method GD deliver thermal energy sphnctr/cardia GRD GD US exam surgical alter stom duodenum/jejunum GD endoscopic stent placement w/wire& dilation GD ablate tumor polyp/lesion w/dilation& wire Revise codes , 43266, and to reflect GD not DG. st Updated:

8 rrata and Technical Corrections Short Descriptor NASAL/OROGASTRIC W/TUB PLMT Revise short descriptor for code to reflect tube plmt xc carotid body tumor w exc carotid artery 11/19/13 Revise medium descriptor for code Chemodenervation 1 extremity ea addl 5/> muscles Revise medium descriptor for code to reflect 5/> Sympathectomy radial artery Revise medium descriptor for code to reflect radial Lymphangiography pelvic/abdominal unilat rs&i Revise medium descriptor for code Neuropsyc tstg w/prof I&R admn by tech pr hr Revise medium descriptor for code to reflect Neuro. Category II Patient History Medium and Short Descriptor 1040F DSM-5 criteria for major depressive disorder documented at the initial evaluation (MDD, MDD ADOL) F Dsm-5 criteria mdd docd at the initial eval 1040F DSM-5 INFO MDD DOCD Revise code descriptor, medium, and short descriptor for code 1040F to reflect 5. Index Mastoidectomy With Skull Base 61590, 61591, Revise transposed code st Updated:

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