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 Diagnostic Radiology ◦ Revised codes ◦ Parenthetical Notes ◦ New codes ◦ Deleted codes

 Revised Codes ◦ Replacing the term “films” with “Images”  Parenthetical Notes ◦ Reflect changes in codes including radiology procedures that will be bundled into surgical procedures

 New Diagnostic Radiology Codes for 2016 ◦ Spine  Deleted codes

 New Diagnostic Radiology Codes for 2016 ◦ Hip/Pelvis/Extremity  Deleted codes

 Remember that the unilateral hip x-rays that have been added this year will need modifiers added indicating that they are either a left or a right hip.  The RT and LT modifiers can be added to your charge master.  73501, 73502, are new unilateral hip codes.  and are new for femur and will need a RT, LT and 50 modifier applied.

 Other Radiology Changes ◦ Deleted codes (interventional radiology)

 New Radiology Codes for 2016  10035/36 are placement of localization devices  are Digestive system interventional radiology (47500, 47505, 47510/11, 47525, have been deleted)  78265/66 are Nuclear Medicine codes ◦ Gastric emptying study (tracer methodology) ◦ Gastric emptying study multiple days

 Most Guidance codes are bundled into other procedures.  See codes   Notes in parentheses will tell you the codes that include these procedures

 Fluoroscopy is used for an accurate spinal puncture and injection.  You can’t charge and bill both the fluoroscopy and the spinal puncture.  You can only charge the spinal puncture (62270) ◦ Fluoroscopic guidance code states in parentheses “Injection of contrast during fluoroscopic guidance and localization is included in 62270” DO NOT USE MODIFIERS TO BYPASS EDITS

 Changes to Radiation Oncology  Changes to Urology stent imaging  Changes to spinal block codes  MRI codes 74712/13 are for MRI fetal including placenta

 Other New Codes for 2016 ◦ Not all-inclusive

 Current Procedural Terminology (CPT) codebook Appendix B lists a summary of additions and deletions for 2016  Many vaccine codes were deleted  Your hospital must update their CPT tables  Make sure you communicate with the ancillary departments when making changes