Download Coding Roundtable February 16, 2012

Coding Roundtable February 16, 2012
Immunology
Code 86294 Immunoassay for tumor antigen, qualitative or semiquantitative (eg,
bladder tumor antigen), was replaced by what code?
1. Identify the replacement code. The test is valuable in the diagnosis of
what disease?

86386 Nuclear Matrix Protein 22 (NMP22), qualitative
AAPC Rationale
Code 86386 has been added to report qualitative nuclear matrix protein 22
(NMP22) testing, for specific identification of the NMP22 protein. This test is
valuable in the diagnosis of bladder cancer.
Microbiology
87389 Infectious agent antigen detection by enzyme immunoassay
technique, qualitative or semiquantitative, multiple-step method; HIV-1 antigen(s),
with HIV-1 and HIV-2 antibodies, single result
When this test is performed using a kit or transportable instrument consisting of a single
use, disposable analytical chamber,
2. Identify the modifier that should be appended.
When this test is performed using a kit or transportable instrument consisting of a single use, disposable analytical
chamber, you should append
modifier 92 Alternative laboratory platform testing to
87389.
Cytopathology
3. What code is appended to report smears and simple filter preparation
To report smears and simple filter preparation, see 88104 Cytopathology, fluids,
washings or brushings; except cervical or vaginal; smears with interpretation
Vaccines, Toxoids
4. Code 90654 was added to describe what?

90654 Influenza virus vaccine, split virus, preservative-free, for intradermal
use
AAPC Rationale
Code 90654 has been added to describe a lower antigen concentration than
influenza vaccines intended for intramuscular delivery
Ophthalmology/Special Ophthalmological Services
Code 92070 (Fitting of contact lens for treatment of disease, including supply of
lens) has been replaced by new codes 92071–92072Cytopathology, fluids,
washings or brushings; except cervical or vaginal; smears with interpretation
5. Why was this change made?
AAPC Rationale
Code 92070 has been replaced by new codes 92071–92072, which more precisely
describe the disease for which contact lenses are fitted.
Special Otorhinolaryngologic Services/Audiologic Function
Tests

# 92558 Evoked otoacoustic emissions, screening (qualitative measurement of
distortion product or transient evoked otoacoustic emissions), automated analysis
6. Describe what the test is trying to evaluate
AAPC Rationale
New code 92558 describes evoked otoacoustic emissions screening (for hearing
impairment) by automated analysis. A device evaluates the patient using automated
algorithms, which determines whether emissions are present.
Cardiovascular/Injection Procedures
▲ 93561 Indicator dilution studies such as dye or thermal dilution
thermodilution, including arterial and/or venous catheterization; with cardiac output
measurement (separate procedure)
7. Indicator dilution studies are performed to measure what?
AAPC Rationale
Indicator dilution studies are performed to measure cardiac output.
Pulmonary/Other Procedures

94728 Airway resistance by impulse oscillometry
8. Impulse oscillometry is a procedure utilized in the early detection and
follow up of what pulmonary diseases?
AAPC Rationale
New code 94728 (along with new codes 94726 Impulse oscillometry is
complementary to spirometry in the early detection and follow up of pulmonary
diseases such as asthma, chronic obstructive pulmonary disease (COPD) and
idiopathic pulmonary fibrosis.
Neurology and Neuromuscular Procedures/Electromyography

# 95939 Central motor evoked potential study, stimulation of any/all peripheral
nerves or skin sites, recording from the central nervous system; in upper and lower
limbs
AAPC Rationale
Code 95939 has been added to describe central motor evoked potential study of
both the upper and lower limbs. In a motor evoked potential, the examiner
stimulates the brain and measures the response time to the muscles.
9. For a study of the upper limbs only, report code?
For study of the upper limbs only, report 95925 Short-latency somatosensory
evoked potential study, stimulation of any/all peripheral nerves or skin sites,
recording from the central nervous system; in upper limbs
10. For a study of the lower limbs only, report code?
Study of the lower limbs only, report 95926 Short-latency somatosensory evoked
potential study, stimulation of any/all peripheral nerves or skin sites, recording
from the central nervous system; in lower limbs.