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Published byFranklin Gardner Modified over 9 years ago
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"CPT copyright 2014 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association."
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Diagnostic Radiology ◦ Revised codes ◦ Parenthetical Notes ◦ New codes ◦ Deleted codes
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Revised Codes ◦ Replacing the term “films” with “Images” Parenthetical Notes ◦ Reflect changes in codes including radiology procedures that will be bundled into surgical procedures
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New Diagnostic Radiology Codes for 2016 ◦ Spine Deleted codes
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New Diagnostic Radiology Codes for 2016 ◦ Hip/Pelvis/Extremity Deleted codes
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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, 73503 are new unilateral hip codes. 73551 and 73552 are new for femur and will need a RT, LT and 50 modifier applied.
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Other Radiology Changes ◦ Deleted codes (interventional radiology)
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New Radiology Codes for 2016 10035/36 are placement of localization devices 47531-47544 are Digestive system interventional radiology (47500, 47505, 47510/11, 47525, 47530 have been deleted) 78265/66 are Nuclear Medicine codes ◦ Gastric emptying study (tracer methodology) ◦ Gastric emptying study multiple days
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Most Guidance codes are bundled into other procedures. See codes 77001-77022 Notes in parentheses will tell you the codes that include these procedures
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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) ◦ 77003 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
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Changes to Radiation Oncology Changes to Urology stent imaging Changes to spinal block codes MRI codes 74712/13 are for MRI fetal including placenta
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Other New Codes for 2016 ◦ Not all-inclusive
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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
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