Download CPT® 2016 Code Changes

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.