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CPT® 2016 Code Changes Code Changes - Radiology New CPT 2016 New Codes Code Description Advice 72081 Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); one view CPT® 2016 adds 72081, "Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (e.g., scoliosis evaluation); one view" and three successive codes (72082-72084) for additional views to replace 72090, "Radiologic examination, spine; scoliosis study, including supine and erect studies." At this time, CPT® does not provide an indication as to the reason for deletion of this code. Report 72081 to report a single plain X-ray image of the entire thoracic and lumbar spine taken from a single angle or direction (projection); the single image may include the skull, neck (cervical spine) and tailbone (sacral spine), so, if included, do report a separate code. The procedure is typically performed to evaluate a patient for scoliosis, abnormal curvature of the spine that is oriented from side to side. 72082 Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 2 or 3 views CPT® 2016 adds 72082, "Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (e.g., scoliosis evaluation); 2 or 3 views" and three additional codes (72081-72084) to replace 72090, "Radiologic examination, spine; scoliosis study, including supine and erect studies." At this time, CPT® does not provide an indication as to the reason for deletion of this code. Report 72082 to report plain X-ray images of the entire thoracic and lumbar spine taken from two or three angles or directions (projections); the images may include the skull, neck (cervical spine) and tailbone (sacral spine), so, if included, do report a separate code. The procedure is typically performed to evaluate a patient for scoliosis, abnormal curvature of the spine that is oriented from side to side. CPT CODE CHANGES Details CPT © 2014 American Medical Association. All rights reserved. 72083 Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); 4 or 5 views CPT® 2016 adds 72083, "Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (e.g., scoliosis evaluation); 4 or 5 views" and three additional codes (72081-72084) to replace 72090, "Radiologic examination, spine; scoliosis study, including supine and erect studies." At this time, CPT® does not provide an indication as to the reason for deletion of this code. Report 72083 to report plain X-ray images of the entire thoracic and lumbar spine taken from four or five angles or directions (projections); the images may include the skull, neck (cervical spine) and tailbone (sacral spine), so, if included, do report a separate code. The procedure is typically performed to evaluate a patient for scoliosis, abnormal curvature of the spine that is oriented from side to side. 72084 Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (eg, scoliosis evaluation); minimum of 6 views CPT® 2016 adds 72084, "Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (e.g., scoliosis evaluation); minimum of 6 views" and three additional codes (72081-72083) to replace 72090, "Radiologic examination, spine; scoliosis study, including supine and erect studies." At this time, CPT® does not provide an indication as to the reason for deletion of this code. Report 72084 to report plain X-ray images of the entire thoracic and lumbar spine taken from four or five angles or directions (projections); the images may include the skull, neck (cervical spine) and tailbone (sacral spine), so, if included, do report a separate code. The procedure is typically performed to evaluate a patient for scoliosis, abnormal curvature of the spine that is oriented from side to side. 73501 Radiologic examination, CPT® 2016 adds 73501, Radiologic examination, hip, unilateral, hip, unilateral, with pelvis with pelvis when performed; 1 view, to replace 73500, Radiologic when performed; 1 view examination, hip, unilateral; 1 view. Review found that 73501 was reported with 72170, Radiologic examination, pelvis; 1 or 2 views most of the time, so CPT® decided that the pelvis should be bundled in with the hip X-ray. Use 73501 to report a single plain X-ray of one hip, either the left or the right but not both. If the image includes the entire pelvis, that is included so not report separately. Codes 72170, Radiologic examination, pelvis; 1 or 2 views and 72190, Radiologic examination, pelvis; complete, minimum of 3 views continue to be available for reporting plain X-rays of the pelvis. CPT CODE CHANGES Details CPT © 2014 American Medical Association. All rights reserved. 73502 Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views The 2016 CPT® code set adds 73502, Radiologic examination, hip, unilateral, with pelvis when performed; 2 or 3 views, to replace 73510, Radiologic examination, hip, unilateral; complete, minimum of 2 views. Review found that hip x-rays were reported with 72170, Radiologic examination, pelvis; 1 or 2 views most of the time, so CPT® decided that the pelvis should be bundled in with the hip X-ray. Codes 72170, Radiologic examination, pelvis; 1 or 2 views and 72190, Radiologic examination, pelvis; complete, minimum of 3 views continue to be available for reporting plain X-rays of the pelvis. Use 73502 to report plain X-rays of one hip, either the left or the right but not both, from 2 or 3 different angles or projections. The entire pelvis may be included so do not report separately. 73503 Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views CPT® 2016 adds 73503, Radiologic examination, hip, unilateral, with pelvis when performed; minimum of 4 views, to report plain X-ray imaging that includes four or more views; no previous code existed to cover this number of views. Review found that hip xrays were reported with 72170, Radiologic examination, pelvis; 1 or 2 views, most of the time, so CPT® decided that the pelvis should be bundled in with the hip X-ray. Use 73503 to report plain X-rays of one hip, either the left or the right but not both, from a minimum of four different angles or projections. The entire pelvis may be included so do not report separately. Codes 72170, Radiologic examination, pelvis; 1 or 2 views and 72190, Radiologic examination, pelvis; complete, minimum of 3 views continue to be available for reporting plain X-rays of the pelvis. 73521 Radiologic examination, CPT® 2016 adds 73521, 73522, and 73523 (Radiologic hips, bilateral, with pelvis examination, hips, bilateral, with pelvis when performed; with 2 when performed; 2 views views, 3-4 views, and minimum of 5 views respectively) to replace 73520 (Radiologic examination, hips, bilateral, minimum of 2 views of each hip, including anteroposterior view of pelvis) which was never assigned a Relative Value Scale. Use 73521 to report plain X-rays of both hips, and pelvis if included, from two different projections or directions. Codes 72170, Radiologic examination, pelvis; 1 or 2 views and 72190, Radiologic examination, pelvis; complete, minimum of 3 views continue to be available for reporting plain X-rays of the pelvis. CPT CODE CHANGES Details CPT © 2014 American Medical Association. All rights reserved. 73522 Radiologic examination, hips, bilateral, with pelvis when performed; 3-4 views CPT® 2016 adds 73521, 73522, and 73523 (Radiologic examination, hips, bilateral, with pelvis when performed; with 2 views, 3-4 views, and minimum of 5 views respectively) to replace 73520 (Radiologic examination, hips, bilateral, minimum of 2 views of each hip, including anteroposterior view of pelvis) which was never assigned a Relative Value Scale. Use 73522 to report plain X-rays of both hips, and pelvis if included, from three to four different projections or directions. Codes 72170, Radiologic examination, pelvis; 1 or 2 views and 72190, Radiologic examination, pelvis; complete, minimum of 3 views continue to be available for reporting plain X-rays of the pelvis. 73523 Radiologic examination, hips, bilateral, with pelvis when performed; minimum of 5 views CPT® 2016 adds 73521, 73522, and 73523 (Radiologic examination, hips, bilateral, with pelvis when performed; with 2 views, 3-4 views, and minimum of 5 views respectively) to replace 73520 (Radiologic examination, hips, bilateral, minimum of 2 views of each hip, including anteroposterior view of pelvis) which was never assigned a Relative Value Scale. Use 73523 to report plain X-rays of both hips, and pelvis if included, from a minimum of five different projections or directions. Codes 72170, Radiologic examination, pelvis; 1 or 2 views and 72190, Radiologic examination, pelvis; complete, minimum of 3 views continue to be available for reporting plain X-rays of the pelvis. 73551 Radiologic examination, femur; 1 view CPT® 2016 adds 73551 to report a single X-ray of the femur. At this time, CPT® does not provide an indication as to the reason for this new code, but there was no previous code for a single view of the femur. Use 73551 to report a single plain X-ray of the femur, left or right, but not both. 73552 Radiologic examination, femur; minimum 2 views CPT® 2016 adds 73552, Radiologic examination, femur; minimum 2 views, to replace 73550, Radiologic examination, femur, 2 views, which never received a Relative Value Scale. Report code 73552 for 2 or more views of the femur, or thigh bone, from different angles or projections. CPT CODE CHANGES Details CPT © 2014 American Medical Association. All rights reserved. 74712 Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; single or first gestation CPT® 2016 adds 74712 and +74713 to report "Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed" (for the first and each additional gestation, respectively). Previously, fetal MRI had to be reported with an unlisted procedure code or with a pelvic MRI code, such as 72195, Magnetic resonance (eg, proton) imaging, pelvis; without contrast material. Use 74712 to report fetal magnetic resonance imaging of the initial fetus or first gestation, including placental and maternal pelvic imaging, if performed. Magnetic resonance imaging is used to visualize soft tissues of the body's interior by applying an external magnetic field and radio waves. 74713 Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure) CPT® 2016 adds 74712 and +74713 to report "Magnetic resonance (eg, proton) imaging, fetal, including placental and maternal pelvic imaging when performed" (for the first and each additional gestation, respectively). Previously, fetal MRI had to be reported with an unlisted procedure code or with a pelvic MRI code, such as 72195, Magnetic resonance (eg, proton) imaging, pelvis; without contrast material. Use +74713 to report fetal magnetic resonance imaging of the each additional fetus after the first, including placental and maternal pelvic imaging, if performed. Magnetic resonance imaging is used to visualize soft tissues of the body's interior by applying an external magnetic field and radio waves. 77767 Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel CPT® 2016 adds five codes for remote afterloading high dose rate radionuclide brachytherapy, which includes 77767 and 77768 (skin surface brachytherapy for a lesion greater than 2.0 cm, 2 or more channels, or multiple lesions) and codes 7777077772 for interstitial (within tissues or a lesion) and intracavitary (within a hollow organ) brachytherapy using 1, 2-12, or greater than 12 channels. Skin surface brachytherapy is a new technique, and these new codes provide a way to distinguish among the different types of bradytherapy and track each procedure accordingly. All five codes include basic dosimetry (dose calculation), so they cannot be reported with 77300 (Basic radiation dosimetry calculation) nor can they be reported with electronic brachytherapy codes 0394T or 0395T. Use 77767 to report high-dose-rate radionuclide skin surface brachytherapy with remote afterloading, including basic dosimetry (calculation of the dose), when performed, for a lesion diameter up to 2.0 cm or for using a single channel. Brachytherapy involves the placement of a radiation source in, on, or near the cancer site to treat the tumor effectively and minimize radiation exposure to surrounding healthy tissue. CPT CODE CHANGES Details CPT © 2014 American Medical Association. All rights reserved. 77768 Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter over 2.0 cm and 2 or more channels, or multiple lesions CPT® 2016 adds five codes for remote afterloading high dose rate radionuclide brachytherapy, which includes 77767 and 77768 (skin surface brachytherapy for a lesion greater than 2.0 cm, 2 or more channels, or multiple lesions) and codes 7777077772 for interstitial (within tissues or a lesion) and intracavitary (within a hollow organ) brachytherapy using 1, 2-12, or greater than 12 channels. Skin surface brachytherapy is a new technique, and these new codes provide a way to distinguish among the different types of bradytherapy and track each procedure accordingly. All five codes include basic dosimetry (dose calculation), so they cannot be reported with 77300 (Basic radiation dosimetry calculation) nor can they be reported with electronic brachytherapy codes 0394T or 0395T. Use 77768 to report high-dose-rate radionuclide skin surface brachytherapy with remote afterloading, including basic dosimetry (calculation of the dose), when performed, for a lesion diameter greater than 2.0 cm, multiple lesions, or 2 or more channels to deliver the radiation. Brachytherapy involves the placement of a radiation source in, on, or near the cancer site to treat the tumor effectively and minimize radiation exposure to surrounding healthy tissue. 77770 Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel CPT® 2016 adds five codes for remote afterloading high dose rate radionuclide brachytherapy, which includes codes 7777077772 for interstitial (within tissues or a lesion) and intracavitary (within a hollow organ) brachytherapy using 1, 2-12, or greater than 12 channels and codes 77767 and 77768 (skin surface brachytherapy for a lesion greater than 2.0 cm, 2 or more channels, or multiple lesions). These new codes provide a way to distinguish among the different types of bradytherapy and track each procedure accordingly. All five codes include basic dosimetry (dose calculation), so they cannot be reported with 77300 (Basic radiation dosimetry calculation) nor can they be reported with electronic brachytherapy codes 0394T or 0395T. Use 77770 to report high-dose-rate radionuclide brachytherapy with the radioactive material placed within the lesion or diseased tissue (interstitial) or within a hollow organ (intracavitary) and remote afterloading using a single channel; the procedure includes basic dosimetry (dose calculation) when performed. CPT CODE CHANGES Details CPT © 2014 American Medical Association. All rights reserved. 77771 Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 2-12 channels CPT® 2016 adds five codes for remote afterloading high dose rate radionuclide brachytherapy, which includes codes 7777077772 for interstitial (within tissues or a lesion) and intracavitary (within a hollow organ) brachytherapy using 1, 2-12, or greater than 12 channels and codes 77767 and 77768 (skin surface brachytherapy for a lesion greater than 2.0 cm, 2 or more channels, or multiple lesions). These new codes provide a way to distinguish among the different types of bradytherapy and track each procedure accordingly. All five codes include basic dosimetry (dose calculation), so they cannot be reported with 77300 (Basic radiation dosimetry calculation) nor can they be reported with electronic brachytherapy codes 0394T or 0395T. Use 77771 to report high-dose-rate radionuclide brachytherapy with the radioactive material placed within the lesion or diseased tissue (interstitial) or within a hollow organ (intracavitary) and remote afterloading using 2-12 channels; the procedure includes basic dosimetry (dose calculation) when performed. 77772 Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; over 12 channels CPT® 2016 adds five codes for remote afterloading high dose rate radionuclide brachytherapy, which includes codes 7777077772 for interstitial (within tissues or a lesion) and intracavitary (within a hollow organ) brachytherapy using 1, 2-12, or greater than 12 channels and codes 77767 and 77768 (skin surface brachytherapy for a lesion greater than 2.0 cm, 2 or more channels, or multiple lesions). These new codes provide a way to distinguish among the different types of bradytherapy and track each procedure accordingly. All five codes include basic dosimetry (dose calculation), so they cannot be reported with 77300 (Basic radiation dosimetry calculation) nor can they be reported with electronic brachytherapy codes 0394T or 0395T. Use 77772 to report high-dose-rate radionuclide brachytherapy with the radioactive material placed within the lesion or diseased tissue (interstitial) or within a hollow organ (intracavitary) and remote afterloading using more than 12 channels; the procedure includes basic dosimetry (dose calculation) when performed. 78265 Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel transit CPT® 2016 adds 78265 and 78266 to report gastric emptying using scintigraphy (a technology which produces two-dimensional images by detecting and counting the flashes of light, or scintillations, produced by a radioactive tracer) when the gastric emptying study includes small bowel transit and colon transit respectively. The existing code for gastric emptying (78264) did not include study of small bowel and colon transit times. Scintigraphy allows the provider to determine both regional and total gastrointestinal transit times. Use 78265 to report when the provider performs a gastric emptying study to determine how fast the patient's stomach and small intestine empty after ingesting a liquid, solid, or semisolid meal containing a radiopharmaceutical. CPT CODE CHANGES Details CPT © 2014 American Medical Association. All rights reserved. 78266 Gastric emptying imaging study (eg, solid, liquid, or both); with small bowel and colon transit, multiple days CPT® 2016 adds 78265 and 78266 to report gastric emptying using scintigraphy (a technology which produces two-dimensional images by detecting and counting the flashes of light, or scintillations, produced by a radioactive tracer) when the gastric emptying study includes small bowel transit and colon transit respectively. The existing code for gastric emptying (78264) did not include study of small bowel and colon transit times. Scintigraphy allows the provider to determine both regional and total gastrointestinal transit times. Use 78266 to report when the provider performs a gastric emptying study to determine how fast the patient's stomach, small intestine, and colon empty after ingesting a liquid, solid, or semisolid meal containing a radiopharmaceutical. Revised CPT 2016 Revised Codes Code Description Advice 72080 thoracolumbar junction, minimum of 2 views CPT® 2016 changes the wording of the official descriptor for 72080 to include the word "junction" after thoracolumbar, which means that the imaging focuses on the area where the thoracic spine and lumbar spine meet rather than imaging the entire upper, middle, and lower back. Wording was also added for a minimum of two views. 74240 Radiologic examination, gastrointestinal tract, upper; with or without delayed filmsimages, without KUB CPT® 2016 changes the word "films" in the official descriptor to "images" for 74240 because most radiological imaging is now digital. Deleted CPT 2016 Deleted Codes Code Description 70373 Laryngography, contrast, radiological supervision and interpretation CPT CODE CHANGES Details Crosswalk Code (70373 has been deleted. For contrast laryngography, use 76499) Advice The 2016 code set deleted 70373 for the radiological supervision and interpretation, or SI, portion of a contrast laryngography, or a radiographic contrast study of the larynx, also called the voice box. At this time, CPT® does not provide an indication as to the reason for deletion of this code but it may be that the code is not being utilized. CPT® also does not provide a crosswalk for this code but check with individual payers for their policies on codes to report for this service. Refer to the CPT® manual for further direction as you may be able to report this service or procedure using an unlisted code. Remember to send supporting documentation to payers with any claim containing an unlisted code. Keep in mind that CPT® does not recommend the use of unlisted procedures on a regular basis. CPT © 2014 American Medical Association. All rights reserved. 72010 Radiologic examination, spine, entire, survey study, anteroposterior and lateral (72010 has been deleted. To report, use 72082) The 2016 code set deleted 72010 for a radiologic exam of the entire spine. CPT® deleted this code along with 72069Radiologic examination, spine, thoracolumbar, standing (scoliosis), and 72090-Radiologic examination, spine; scoliosis study, including supine and erect studies. CPT® then added new codes 72081-Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (egg, scoliosis evaluation); one view; 72082 for 2 or 3 views; 72083 for 4 to 5 views; and 72084 for a minimum of 6 views. This change was made to standardize the hierarchy and language for this family of codes, and align the range with other spinal code families. To report this code, CPT® advises to use new code 72082Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (egg, scoliosis evaluation); 2 or 3 views. 72069 Radiologic examination, spine, thoracolumbar, standing (scoliosis) (72069 has been deleted. To report, see 72081, 72082, 72083, 72084) The 2016 code set deleted 72069 for a standing thoracolumbar spine radiologic exam. CPT® deleted this code along with 72010-Radiologic examination, spine, entire, survey study, anteroposterior and lateral, and 72090-Radiologic examination, spine; scoliosis study, including supine and erect studies. CPT® then added codes 72081-Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (egg, scoliosis evaluation); one view; 72082 for 2 or 3 views; 72083 for 4 to 5 views; and 72084 for a minimum of 6 views. This change was made to standardize the hierarchy and language for this family of codes, and align the range with other spinal code families. To report this code, CPT® advises to select an appropriate number of views from the new code range 72081-72084. 72090 Radiologic examination, spine; scoliosis study, including supine and erect studies (72090 has been deleted. To report, see 72081, 72082, 72083, 72084) The 2016 code set deleted 72090 for a scoliosis radiologic exam. CPT® deleted this code along with 72010-Radiologic examination, spine, entire, survey study, anteroposterior and lateral, and 72069-Radiologic examination, spine, thoracolumbar, standing (scoliosis). CPT® then added codes 72081-Radiologic examination, spine, entire thoracic and lumbar, including skull, cervical and sacral spine if performed (egg, scoliosis evaluation); one view; 72082 for 2 or 3 views; 72083 for 4 to 5 views; and 72084 for a minimum of 6 views. This change was made to standardize the hierarchy and language for this family of codes, and align the range with other spinal code families. To report this code, CPT® advises to select an appropriate number of views from the new code range 72081-72084. CPT CODE CHANGES Details CPT © 2014 American Medical Association. All rights reserved. 73500 Radiologic examination, hip, unilateral; 1 view (73500 has been deleted. To report, use 73501) The 2016 code set deleted 73500 for a single view of one hip. CPT® deleted this code along with 73510- Radiologic examination, hip, unilateral; complete, minimum of 2 views; 73520 for bilateral hip imaging, 2 views of each hip; 73530 for hip imaging during operative procedures; and 73540Radiologic examination, pelvis and hips, infant or child, minimum of 2 views. CPT® then added two new ranges of codes to report bundled hip and pelvic radiologic exams; 73501 to 73503 for unilateral imaging; and 73521 to 73523 for bilateral imaging. Note that the existing one or two-view pelvis exam codes remain for imaging of the pelvis alone. To report this code, CPT® advises to use 73501-Radiologic examination, hip, unilateral, with pelvis when performed; 1 view. 73510 Radiologic examination, hip, unilateral; complete, minimum of 2 views (73510 has been deleted. To report, see 73502, 73503) The 2016 code set deleted 73510 for a complete radiologic exam of a single hip. CPT® deleted this code along with 73500- Radiologic examination, hip, unilateral; 1 view; 73520 for bilateral hip imaging, 2 views of each hip; 73530 hip imaging during operative procedures; and 73540Radiologic examination, pelvis and hips, infant or child, minimum of 2 views. CPT® then added two new ranges of codes to report bundled hip and pelvic radiologic exams; 73501 to 73503 for unilateral imaging; and 73521 to 73523 for bilateral imaging. Note that the existing one or two-view pelvis exam codes remain for imaging of the pelvis alone. To report this code, CPT® advises to select one of the new unilateral codes depending upon the number of views performed using either 73502-Radiologic examination, hip, unilateral, with pelvis when performed; 2-3 views, or 73503 for a minimum of 4 views. 73520 Radiologic examination, hips, bilateral, minimum of 2 views of each hip, including anteroposterior view of pelvis (73520 has been deleted. To report, see 73521, 73522, 73523) The 2016 code set deleted 73520 for the radiologic exam of both hips with a minimum of two views of each hip. CPT® deleted this code along with 73500- Radiologic examination, hip, unilateral; 1 view; 73510 for a minimum of 2 views to the unilateral hip; 73530 hip imaging during operative procedures; and 73540-Radiologic examination, pelvis and hips, infant or child, minimum of 2 views. CPT® then added two new ranges of codes to report bundled hip and pelvic radiologic exams; 73501 to 73503 for unilateral imaging; and 73521 to 73523 for bilateral imaging. Note that the existing one or two-view pelvis exam codes remain for imaging of the pelvis alone. To report this code, CPT® advises to select one of the new bilateral codes depending upon the number of views performed using either 73521- Radiologic examination, hips, bilateral, with pelvis when performed; 2 views, 73522 for a 3-4 views, or 73523 for a minimum of 5 views. CPT CODE CHANGES Details CPT © 2014 American Medical Association. All rights reserved. 73530 Radiologic examination, hip, during operative procedure (73530, 73540 have been deleted. To report, see 73501, 73502, 73503) The 2016 code set deleted 73530 for an intraoperative radiologic exam of a hip. CPT® deleted this code along with 73500-Radiologic examination, hip, unilateral; 1 view; 73510 for a minimum of 2 views; 73520 for bilateral hip imaging, 2 views of each hip; and 73540-Radiologic examination, pelvis and hips, infant or child, minimum of 2 views. CPT® then added two new ranges of codes to report bundled hip and pelvic radiologic exams; 73501 to 73503 for unilateral imaging; and 73521 to 73523 for bilateral imaging. Note that the existing one or two-view pelvis exam codes remain for imaging of the pelvis alone. To report this code, CPT® advises to select one of the new unilateral codes depending upon the number of views performed using either 73501-Radiologic examination, hip, unilateral, with pelvis when performed; 1 view; 73502 for 23 views, or 73503 for a minimum of 4 views. 73540 Radiologic examination, pelvis and hips, infant or child, minimum of 2 views (73530, 73540 have been deleted. To report, see 73501, 73502, 73503) The 2016 code set deleted 73540 for a radiologic exam of the pelvis and hips of an infant or child. CPT® deleted this code along with 73500-Radiologic examination, hip, unilateral; 1 view; 73510 for a minimum of 2 views; 73520 for bilateral hip imaging, 2 views of each hip; and 73530Radiologic examination, hip, during operative procedure. CPT® then added two new ranges of codes to report bundled hip and pelvic radiologic exams; 73501 to 73503 for unilateral imaging; and 73521 to 73523 for bilateral imaging. Note that the existing one or two-view pelvis exam codes remain for imaging of the pelvis alone. To report this code, CPT® advises to select one of the new unilateral codes depending upon the number of views performed using either 73501-Radiologic examination, hip, unilateral, with pelvis when performed; 1 view; 73502 for 23 views, or 73503 for a minimum of 4 views. 73550 Radiologic examination, femur, 2 views (73550 has been deleted. To report, see 73551, 73552) The 2016 code set deleted 73550 for a two view radiologic exam of the femur. CPT® then added 73551-Radiologic examination, femur; 1 view, and 73552 for a minimum of 2 views of a femur. This change was made to standardize the hierarchy and nomenclature for this service and to align the range with other code families. To report this code, CPT® advises to select one of the new codes, 73551 or 73552, depending upon the number of views performed. CPT CODE CHANGES Details CPT © 2014 American Medical Association. All rights reserved. 74305 Cholangiography and/or pancreatography; through existing catheter, radiological supervision and interpretation CPT CODE CHANGES Details (74305 has been deleted. To report, use 47531) The 2016 code set deleted 74305 for the radiological supervision and interpretation, or SI, of a cholangiography or pancreatography done through an existing catheter. CPT® deleted this code along with other radiology SI codes, for percutaneous biliary procedures. The corresponding percutaneous biliary procedures were also deleted, such as 47505-Injection procedure for cholangiography through an existing catheter (egg, percutaneous transhepatic or Ttube), reportable with this code. CPT® then added bundled services that describe percutaneous biliary procedures including the radiologic imaging in a new range 47531 to 47541. To report this service, CPT® advises to select an appropriate code from this new range that includes the diagnostic cholangiography when performed, imaging guidance, and all associated radiological supervision and interpretation. In 2016, CPT® 47531 represents the injection procedure for a complete diagnostic percutaneous cholangiography, including imaging guidance such as ultrasound and/or fluoroscopy and all the associated radiological supervision and interpretation; done through an existing access. Code 47532 is for a new access such as a percutaneous transhepatic cholangiogram. Code 47533 is for the percutaneous placement of an external biliary drainage catheter, and 47534 is for an internal-external catheter. 47535 is for the conversion of an external biliary drainage catheter to an internal-external biliary drainage catheter, 47536 for the exchange of a biliary drainage catheter, and 47537 for its removal. 47538 is for the percutaneous placement of a stent or stents into a bile duct through an existing access and 47539 if through a new access without placement of separate biliary drainage catheter, while 47540 is for a new access placement with a separate biliary drainage catheter. Finally, 47541 is for a new access placement through the biliary tree and into small bowel to assist with an endoscopic biliary procedure. CPT © 2014 American Medical Association. All rights reserved. 74320 Cholangiography, percutaneous, transhepatic, radiological supervision and interpretation CPT CODE CHANGES Details (74320 has been deleted. To report, use 47532) The 2016 code set deleted 74320 for the radiological supervision and interpretation, or SI, portion of a percutaneous transhepatic cholangiogram. CPT® deleted this code along with other radiology SI codes, for percutaneous biliary procedures. The corresponding percutaneous biliary procedures were also deleted, such as 47500-Injection procedure for percutaneous transhepatic cholangiography, reportable with this code. CPT® then added bundled services that describe percutaneous biliary procedures including the radiologic imaging in a new range 47531 to 47541. To report this service, CPT® advises to select an appropriate code from this new range that includes the diagnostic cholangiography when performed, imaging guidance, and all associated radiological supervision and interpretation. In 2016, CPT® 47531 represents the injection procedure for a complete diagnostic percutaneous cholangiography, including imaging guidance such as ultrasound and/or fluoroscopy and all the associated radiological supervision and interpretation; done through an existing access. Code 47532 is for a new access such as a percutaneous transhepatic cholangiogram. Code 47533 is for the percutaneous placement of an external biliary drainage catheter, and 47534 is for an internal-external catheter. 47535 is for the conversion of an external biliary drainage catheter to an internal-external biliary drainage catheter, 47536 for the exchange of a biliary drainage catheter, and 47537 for its removal. 47538 is for the percutaneous placement of a stent or stents into a bile duct through an existing access and 47539 if through a new access without placement of separate biliary drainage catheter, while 47540 is for a new access placement with a separate biliary drainage catheter. Finally, 47541 is for a new access placement through the biliary tree and into small bowel to assist with an endoscopic biliary procedure. CPT © 2014 American Medical Association. All rights reserved. 74327 Postoperative biliary duct calculus removal, percutaneous via Ttube tract, basket, or snare (eg, Burhenne technique), radiological supervision and interpretation CPT CODE CHANGES Details (74327 has been deleted. For percutaneous biliary stone extraction, use 47544) The 2016 code set deleted 74327 for the radiological supervision and interpretation, or SI, portion of a percutaneous biliary duct calculus removed postoperatively through a T-tube tract, basket or snare. CPT® deleted this code along with other radiology SI codes, for percutaneous biliary procedures. The corresponding, percutaneous biliary procedures were also deleted, such as 47630-Biliary duct stone extraction, percutaneous via T-tube tract, basket, or snare (egg, Burhenne technique), reportable with this code. CPT® then added bundled services that describe percutaneous biliary procedures including the radiologic imaging in a new range 47531 to 47541. To report this service, CPT® advises to select an appropriate code from this new range that includes the diagnostic cholangiography when performed, imaging guidance, and all associated radiological supervision and interpretation. In 2016, CPT® 47531 represents the injection procedure for a complete diagnostic percutaneous cholangiography, including imaging guidance such as ultrasound and/or fluoroscopy and all the associated radiological supervision and interpretation; done through an existing access. Code 47532 is for a new access such as a percutaneous transhepatic cholangiogram. Code 47533 is for the percutaneous placement of an external biliary drainage catheter, and 47534 is for an internal-external catheter. 47535 is for the conversion of an external biliary drainage catheter to an internal-external biliary drainage catheter, 47536 for the exchange of a biliary drainage catheter, and 47537 for its removal. 47538 is for the percutaneous placement of a stent or stents into a bile duct through an existing access and 47539 if through a new access without placement of separate biliary drainage catheter, while 47540 is for a new access placement with a separate biliary drainage catheter. Finally, 47541 is for a new access placement through the biliary tree and into small bowel to assist with an endoscopic biliary procedure. CPT © 2014 American Medical Association. All rights reserved. 74475 Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous, radiological supervision and interpretation CPT CODE CHANGES Details (74475, 74480 have been deleted. To report, see 50432, 50433, 50434, 50435, 50606, 50693, 50694, 50695) The 2016 code set deleted 74475 for the radiological supervision and interpretation, or SI, portion of a percutaneous intracatheter or catheter introduction into the renal pelvis for drainage or an injection procedure. CPT® deleted this code along with other radiology SI codes, for genitourinary catheter procedures. The corresponding genitourinary catheter procedures were also deleted, such as 50392-Introduction of intracatheter or catheter into renal pelvis for drainage and/or injection, percutaneous; reportable with this code. CPT® then added the bundled services that describe these genitourinary catheter procedures including the radiologic imaging into two new ranges 50430 to 50435, and 50693 to 50695. To report this service, select an appropriate code from these new ranges to report these bundled services including a diagnostic nephrostogram and/or ureterogram when performed, imaging guidance, and all associated radiological supervision and interpretation. Note that CPT® specifically advises to use one of the following codes: 50432- Placement of nephrostomy catheter, percutaneous, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (egg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; 50433 for a new access; 50434 for conversion of a nephrostomy catheter to nephroureteral catheter; and 50435 for a nephrostomy catheter exchange. CPT® also refers to 50606- Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (egg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure); 50693 for placement of a ureteral stent through a preexisting nephrostomy tract; 50694 for a new access, ureteral stent placement without separate nephrostomy catheter; or 50695 for a new access, with separate nephrostomy catheter. Other codes in the range include 50430 for an injection procedure for a complete diagnostic antegrade nephrostogram and/or ureterogram, including imaging guidance such as ultrasound and fluoroscopy, and all the associated radiological supervision and interpretation, or SI, done through a new access, and 50431 for the same procedure when done through an existing access. CPT © 2014 American Medical Association. All rights reserved. 74480 Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous, radiological supervision and interpretation CPT CODE CHANGES Details (74475, 74480 have been deleted. To report, see 50432, 50433, 50434, 50435, 50606, 50693, 50694, 50695) The 2016 code set deleted 74480 for the radiologic supervision and interpretation, or SI, portion of a percutaneous introduction of a ureteral catheter or stent into the ureter through the renal pelvis for drainage or injection procedure. CPT® deleted this code along with other radiology SI codes, for genitourinary catheter procedures. The corresponding genitourinary catheter procedures were also deleted, such as 50393- Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous; reportable with this code. CPT® then added the bundled services that describe these genitourinary catheter procedures including the radiologic imaging into two new ranges 50430 to 50435, and 50693 to 50695. To report this service, select an appropriate code from these new ranges that include a diagnostic nephrostogram and/or ureterogram when performed, imaging guidance, and all associated radiological supervision and interpretation. Note that CPT® specifically advises to use one of the following codes: 50432 represents the percutaneous placement of nephrostomy catheter, including diagnostic nephrostogram and/or ureterogram when performed, imaging guidance (egg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; 50433 is for a new access; 50434 for conversion of a nephrostomy catheter to nephroureteral catheter; and 50435 for a nephrostomy catheter exchange; also 50606- Endoluminal biopsy of ureter and/or renal pelvis, non-endoscopic, including imaging guidance (egg, ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure); 50693 for placement of a ureteral stent through a pre-existing nephrostomy tract; 50694 for a new access, ureteral stent placement without separate nephrostomy catheter; or 50695 for a new access, with separate nephrostomy catheter. CPT also refers you to 47531 and 47532 for Injection procedure for cholangiography; 47533 and 47534 for placement of a biliary drainage catheter; 47535 for conversion of an external biliary drainage catheter to an internal-external biliary drainage catheter; 47536 for the biliary drainage cath exchange or 47537 for its removal. Other codes in the range include 50430 for an injection procedure for a complete diagnostic antegrade nephrostogram and/or ureterogram, including imaging guidance such as ultrasound and fluoroscopy, and all the associated radiological supervision and interpretation, or SI, done through a new access, and 50431 for the same procedure when done through an existing access. CPT © 2014 American Medical Association. All rights reserved. 75896 Transcatheter therapy, infusion, other than for thrombolysis, radiological supervision and interpretation (75896 has been deleted. For radiological supervision and interpretation for thrombolysis other than coronary, see 37211, 37212, 37213, 37214. For radiological supervision and interpretation for intracranial arterial administration of pharmacological agent(s) other than for thrombolysis, see 61650, 61651) The 2016 code set deleted 75896 for the radiological supervision and interpretation, or SI, portion of any type of transcatheter infusion therapy done for other than thrombolysis. The corresponding procedure reportable with this code was also deleted, 37202- Transcatheter therapy, infusion other than for thrombolysis, any type (egg, spasmolytic, vasoconstrictive). At this time, CPT® does not provide an indication as to the reason for deletion of this code although it appears tied into the bundling of transcatheter therapy for thrombolysis. CPT® also does not provide a crosswalk for this code but check with the individual payers for their policies on codes to report for this service. Refer to the CPT® manual also for further direction as you may be able to report this service or procedure using an unlisted code. Remember to send supporting documentation to payers with any claim containing an unlisted code. Keep in mind that CPT® does not recommend the use of unlisted procedures on a regular basis. 75945 Intravascular ultrasound (noncoronary vessel), radiological supervision and interpretation; initial vessel (75945, 75946 have been deleted. To report noncoronary intravascular ultrasound during diagnostic evaluation and/or therapeutic intervention, see 37252, 37253) The 2016 code set deleted 75945 for the radiologic supervision and interpretation, or SI, portion of the intravascular ultrasound on an initial noncoronary vessel. CPT® deleted this code along with the code for additional noncoronary vessels, 75946. CPT® also deleted the corresponding add-on procedure codes 37250-Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention; initial vessel (List separately in addition to code for primary procedure) and 37251, for each additional vessel. To report this service, see new code 37252, Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure). CPT® added 37252 along with 37253, for each additional noncoronary vessel to report bundled imaging services for diagnostic noncoronary IVUS. CPT CODE CHANGES Details CPT © 2014 American Medical Association. All rights reserved. 75946 Intravascular ultrasound (noncoronary vessel), radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure) CPT CODE CHANGES Details (75945, 75946 have been deleted. To report noncoronary intravascular ultrasound during diagnostic evaluation and/or therapeutic intervention, see 37252, 37253) The 2016 code set deleted 75946 for the radiologic supervision and interpretation, or SI, portion of the intravascular ultrasound for additional vessels. CPT® deleted this code along with the code for the initial vessel, 75945. CPT® also deleted the corresponding add-on procedure codes 37250-Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention; initial vessel (List separately in addition to code for primary procedure) and 37251, for each additional vessel. To report this service, see new code 37253-Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention, including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure). CPT® added 37253 along with 37252 for the initial noncoronary vessel to report bundled imaging services for diagnostic noncoronary IVUS. CPT © 2014 American Medical Association. All rights reserved. 75980 Percutaneous transhepatic biliary drainage with contrast monitoring, radiological supervision and interpretation CPT CODE CHANGES Details (75980 has been deleted. To report, see 47533, 47534, 47535, 47536, 47537) The 2016 code set deleted 75980 for the radiologic supervision and interpretation, or SI, portion of a percutaneous transhepatic biliary drainage done with contrast. CPT® deleted this code along with other radiology SI codes, for percutaneous biliary procedures. The corresponding percutaneous biliary procedures, such as 47510-Introduction of percutaneous transhepatic catheter for biliary drainage, reportable with this code, were also deleted. CPT® then added bundled services that describe the percutaneous biliary procedures including the radiologic imaging in a new range 47531 to 47541. To report this service, CPT® advises to select an appropriate code from this new range that includes the diagnostic cholangiography when performed, imaging guidance, and all associated radiological supervision and interpretation. In 2016, CPT® 47531 represents the injection procedure for a complete diagnostic percutaneous cholangiography, including imaging guidance such as ultrasound and/or fluoroscopy and all the associated radiological supervision and interpretation; done through an existing access. Code 47532 is for a new access such as a percutaneous transhepatic cholangiogram. Code 47533 is for the percutaneous placement of an external biliary drainage catheter, and 47534 is for an internal-external catheter. 47535 is for the conversion of an external biliary drainage catheter to an internal-external biliary drainage catheter, 47536 for the exchange of a biliary drainage catheter, and 47537 for its removal. 47538 is for the percutaneous placement of a stent or stents into a bile duct through an existing access and 47539 if through a new access without placement of separate biliary drainage catheter, while 47540 is for a new access placement with a separate biliary drainage catheter. Finally, 47541 is for a new access placement through the biliary tree and into small bowel to assist with an endoscopic biliary procedure. CPT © 2014 American Medical Association. All rights reserved. 75982 Percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients with an inoperable mechanical biliary obstruction, radiological supervision and interpretation CPT CODE CHANGES Details (75982 has been deleted. To report, see 47533, 47534, 47535, 47536, 47537, 47538, 47539, 47540) The 2016 code set deleted 75982 for the radiologic supervision and interpretation, or SI, portion of a percutaneous placement of drainage catheter for combined internal and external biliary drainage or of a drainage stent for internal biliary drainage in patients with an inoperable mechanical biliary obstruction. CPT® deleted this code along with other radiology SI codes, for percutaneous biliary procedures. The corresponding percutaneous biliary procedures, such as 47511-Introduction of percutaneous transhepatic stent for internal and external biliary drainage, reportable with this code, were also deleted. CPT® then added bundled services that describe the percutaneous biliary procedures including the radiologic imaging in a new range 47531 to 47541. To report this service, CPT® advises to select an appropriate code from this new range that includes the diagnostic cholangiography when performed, imaging guidance, and all associated radiological supervision and interpretation. In 2016, CPT® 47531 represents the injection procedure for a complete diagnostic percutaneous cholangiography, including imaging guidance such as ultrasound and/or fluoroscopy and all the associated radiological supervision and interpretation; done through an existing access. Code 47532 is for a new access such as a percutaneous transhepatic cholangiogram. Code 47533 is for the percutaneous placement of an external biliary drainage catheter, and 47534 is for an internal-external catheter. 47535 is for the conversion of an external biliary drainage catheter to an internal-external biliary drainage catheter, 47536 for the exchange of a biliary drainage catheter, and 47537 for its removal. 47538 is for the percutaneous placement of a stent or stents into a bile duct through an existing access and 47539 if through a new access without placement of separate biliary drainage catheter, while 47540 is for a new access placement with a separate biliary drainage catheter. Finally, 47541 is for a new access placement through the biliary tree and into small bowel to assist with an endoscopic biliary procedure. CPT © 2014 American Medical Association. All rights reserved. 77776 Interstitial radiation source application; simple (77776, 77777 have been deleted. To report, use 77799) The 2016 code set deleted 77776 for a simple interstitial radiation source application. CPT® deleted this code along with 77777 for an intermediate interstitial radiation source application. CPT® then revised the description for the complex level application code 77778 to read: Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed. These changes are being done to compress this family of codes into this one code, 77778, which includes the work of the supervision and handling of the sources. To report a simple level of service, CPT® advises using 77799-Unlisted procedure, clinical brachytherapy. Remember to send supporting documentation to payers with any claim containing an unlisted code. Also, keep in mind that CPT® does not recommend the use of unlisted procedures on a regular basis. 77777 Interstitial radiation source application; intermediate (77776, 77777 have been deleted. To report, use 77799) The 2016 code set deleted 77777 for an intermediate interstitial radiation source application. CPT® deleted this code along with 77776 for a simple interstitial radiation source application. CPT® then revised the description for the complex level application code 77778 to read: Interstitial radiation source application, complex, includes supervision, handling, loading of radiation source, when performed. These changes are being done to compress this family of codes into the one code, 77778, which includes the work of supervision and handling of the sources. To report an intermediate level of service, CPT® advises using 77799- Unlisted procedure, clinical brachytherapy. Remember to send supporting documentation to payers with any claim containing an unlisted code. Also, keep in mind that CPT® does not recommend the use of unlisted procedures on a regular basis. CPT CODE CHANGES Details CPT © 2014 American Medical Association. All rights reserved. 77785 Remote afterloading high dose rate radionuclide brachytherapy; 1 channel (77785, 77786, 77787 have been deleted. To report, see 77770, 77771, 77772) The 2016 code set deleted code 77785 for a single channel remote afterloading of high dose rate, or HDR, radionuclide brachytherapy. CPT® deleted this code along with 77786 for 2-12 channels, and 77787 for over 12 channels. CPT® replaced these codes with 77770- Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel; 77771 for 2 to 12 channels; and 77772 for over 12 channels. This was done to comply with updated guidelines for reporting HDR radionuclide brachytherapy for treating tumors other than those of the skin. Note that the new codes include the work associated with the basic dosimetry calculation when performed. (For treating tumors of the skin see new codes 77767Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel; and 77768 for 2 or more channels, or multiple lesions.) 77786 Remote afterloading high dose rate radionuclide brachytherapy; 2-12 channels (77785, 77786, 77787 have been deleted. To report, see 77770, 77771, 77772) The 2016 code set deleted code 77786 for a two to twelve channel remote afterloading of high dose rate, or HDR, radionuclide brachytherapy. CPT® deleted this code along with 77785 for a single channel, and 77787 for over 12 channels. CPT® replaced these codes with 77770- Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel; 77771 for 2 to 12 channels; and 77772 for over 12 channels. This was done to comply with updated guidelines for reporting HDR radionuclide brachytherapy for treating tumors other than those of the skin. Note that the new codes include the work associated with the basic dosimetry calculation when performed. (For treating tumors of the skin see new codes 77767Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel; and 77768 for 2 or more channels, or multiple lesions.) CPT CODE CHANGES Details CPT © 2014 American Medical Association. All rights reserved. 77787 Remote afterloading high dose rate radionuclide brachytherapy; over 12 channels CPT CODE CHANGES Details (77785, 77786, 77787 have been deleted. To report, see 77770, 77771, 77772) The 2016 code set deleted code 77787 for over 12 channel remote afterloading of high dose rate, or HDR, radionuclide brachytherapy. CPT® deleted this code along with 77785 for a single channel, and 77786 for 2-12 channels. CPT® replaced these codes with 77770- Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy, includes basic dosimetry, when performed; 1 channel; 77771 for 2 to 12 channels; and 77772 for over 12 channels. This was done to comply with updated guidelines for reporting HDR radionuclide brachytherapy for treating tumors other than those of the skin. Note that the new codes include the work associated with the basic dosimetry calculation when performed. (For treating tumors of the skin see new codes 77767Remote afterloading high dose rate radionuclide skin surface brachytherapy, includes basic dosimetry, when performed; lesion diameter up to 2.0 cm or 1 channel; and 77768 for 2 or more channels, or multiple lesions.) CPT © 2014 American Medical Association. All rights reserved.