Download 2017 Physician Procedure Code Changes

2017 PHYSICIAN
PROCEDURE CODE CHANGES
Effective for dates of service on or after 1/1/2017, refer to the New Codes listed below
for billing. The discontinued codes are not valid for billing dates of service after
12/31/2016. See the 2017 FS for Fees.
DISCONTINUED CODESNOT TO BE USED AFTER 12/31/16:
Drugs/Vaccines:
J0760
J1590
Medicine:
92140
93965
99143
99145
99148
99149
99150
Radiology:
75791
75962
75964
75966
75968
75978
77051
77052
77055
77056
77057
A9544
A9545
Surgery:
27093
11752
27194
21495
28290
22305
28293
22851
28294
31582
31588
33400
33401
33403
35450
35452
35458
35460
35471
35472
35475
35476
36147
36148
36870
62310
62311
62318
62319
99144
NEW CODESEFFECTIVE 1/1/2017:
Drugs/Vaccines:
Description
90674
Influenza virus vaccine quadrivalent (ccIIV4), derived from cell cultures,
subunit,preservative and antibiotic free, 0.5 mL dosage, for IM use
J9034
Injection,bendamustine hcl (bendeka), 1 mg
Medicine
92242
Fluorescein angiography and indocyanine-green angiography (includes
multiframe imaging) performed at the same patient encounter with
interpretation and report, unilateral or bilateral
99151
Moderate sedation services provided by the same physician or other
qualified healthcare professional performing the diagnositic or
therapeutic service that the sedation supports, requiring the presence of
an independent trained observer to assist in the monitoring of the
patient’s level of consciousness and physiological status; initial 15
minutes of intraservice time, patient younger than 5 years of age
99152
Initial 15 minutes of intraservice tiem, patient age 5 years or older
99153
each additional 15 minutes of intraservice time
99155
Moderate sedation services provided by a physician or other qualified
healthcare professional other than the physician or other qualified
healthcare professional performing the diagnostic or therapeutic service
that the sedation supports; initial 15 minutes of intraservice time;
patient younger than 5 years of age
99156
initial 15 minutes of intraservice time, patient age 5 years or older
99157
each additional 15 minutes of intraservice time
Radiology
77065
77066
77067
Surgery
Diagnostic mammography, including computer-aided detection (CAD)
when performed, unilateral
bilateral
Screening mammography, bilateral (2 view study of each breast),
including computer-aided detection (CAD ) when performed
22853
Insertion of interbody biomechanical device(s) (eg,synthetic cage, mesh)
with integral anterior instrumentation for device anchoring (eg, screws,
flanges), when performed, to intervertebral disc space in conjunction
with interbody arthrodesis, each interspace (List separately in addition
to code for primary procedure)
22854
Insertion of intervertebral biomechanical device(s) (eg, synthetic cage,
mesh) with integral anterior instrumentation for device anchoring (eg,
screws, flanges), when performed, to vertebral corpectomy(ies)
(vertebral body resection, partial of complete) defect, in conjunction
with interbody arthrodesis, each contiguous defect (List separately in
addition to code for primary procedure)
22859
Insertion of intervertebral biomechanical device(s) (eg, synthetic cage,
mesh, methylmethacrylate), to intervertebral disc space or vertebral
body defect without interbody arthrodesis, each contiguous defect (List
separately in addition to code for primary procedure)
27197
Closed treatment of posterior pelvic ring fracture(s), dislocation(s),
diastasis or subluxation of the ilium, sacroiliac joint, and/or sacrum, with
or without anterior pelvic ring fracture(s) and/or dislocation(s) or the
pubic symphysis and/or superior/inferior rami, unilateral or bilateral;
without manipulation
27198
with manipulation, requiring more than local anesthesia (ie, general
anesthesia, moderate sedation, spinal/epidural)
28291
Hallux rigidus correction with cheilectomy, debridement and capsular
release of the first metatarsophalangeal joint; with implant
28295
with proximal metatarsal osteotomy, any method
31551
Laryngolasty; for laryngeal stenosis, with graft, without indwelling stent
placement, younger than 12 years of age
31552
for laryngeal stenosis, with graft, without indwelling stent placement,
age 12 years or older
31553
for laryngeal stenosis, with graft, with indwelling stent placement,
younger than 12 years of age
31554
for laryngeal stenosis, with graft, with indwelling stent placement, age
12 years or older
Laryngoscopy, with ablation or destruction of lesion(s) with laser,
unilateral
31572
31573
with therapeutic injection(s) (eg, chemodenervation agent or
corticosteroid, injected percutaneous, transoral, or via endoscope
channel), unilateral
31574
with injection(s) for augmentation (eg, percutaneous, transoral),
unilateral
33390
Valvuloplasty, aortic valve, open, with cardiopulmonary bypass; simple
(ie, valvotomy, debridement, debulking, and/or simple commissural
resuspension)
33391
complex (eg, leaflet extension, leaflet resection, leaflet reconstruction,
or annuloplasty)
36901
Introduction of needle(s) and/or catheter(s), dialysis circuit, with
diagnostic angiography of the dialysis cicuit, including all direct
puncture(s) and catheter placement(s), injection(s) of contrast, all
necessary imaging from the arterial anastomosis and adjacent artery
through entire venous outflow including the inferior or superior vena
cava, fluoroscopic guidance, radiological supervision and interpretation
and image documentation and report;
36902
with transluminal balloon angioplasty, peripheral dialysis segment,
including all imaging and radiological supervision and interpretation
necessary to perform the angioplasty
36903
with transcatheter placement of intravascular stent(s), peripheral
dialysis segment, including all imaging and radiological supervision and
interpretation necessary to perform the stenting, and all angioplasty
within the peripheral dialysis segment
36904
Percutaneous transluminal mechanical thrombectomy and/or infusion
for thrombolysis, dialysis circuit, any method, including all imaging and
radiological supervision and interpretation, diagnostic angiography,
fluoroscopic guidance, catheter placement(s), and intraprocedural
pharmacological thrombolytic injection(s);
36905
with transluminal balloon angioplasty, peripheral dialysis segment,
including all imaging and radiological supervision and interpretation
necessary to perform the angioplasty
36906
with transcatheter placement of intravascular stent(s), peripheral
dialysis segment, including all imaging and radiological supervision and
interpretation necessary to perform the stenting, and all angioplasty
within the peripheral dialysis segment
36907
Transluminal balloon angioplasty, central dialysis segment, performed
though dialysis circuit, including all imaging and radiological supervision
and interpretation required to perform the angioplasty
36908
Transcatheter placement of intravascular stent(s), central dialysis
segment, performed through dialysis circuit, including all radiological
supervision and interpretation required to perform the stenting, and all
angioplasty in the central dialysis segment
36909
Dialysis cicuit permanent vascular embolization or occlusion (including
main circuit or any accessory veins), endovascular, including all imaging
and radiological supervision and interpretation necessary to complete
the intervention
37246
Transluminal balloon angioplasty (except lower extremity artery(ies) for
occlusive disease, intracranial, coronary, pulmonary, or dialysis circuit),
open or percutaneous,including all imaging and radiological supervision
and interpretation necessary to perform the angioplasty within the same
artery; initial artery
37247
each additional artery
37248
Transluminal balloon angioplasty (except dialysis circuit), open or
percutaneous, including all imaging and radiological supervision and
interpretation necessary to perform the angioplasty within the same
vein; initial vein
37249
62320
each additional vein
Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic,
antispasmodic opioid, steroid, other solution), not including neurolytic
substances, including needle or catheter placement, interlaminar
epidual or subarachnoid, cervical or thoracic; without imaging guidance
62321
with imaging guidance (ie, fluoroscopy or CT)
62322
Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic,
antispasmodic opioid, steroid, other solution), not including neurolytic
substances, including needle or catheter placement, interlaminar
epidual or subarachnoid, lumbar or sacral (caudal); without imaging
guidance
62323
with imaging guidance (ie, fluoroscopy or CT)
62324
Injection(s), including indwelling catheter placement, continuous
infusion or intermittent bolus, of diagnostic or therapeutic substance(s)
(eg, anesthetic, antispasmodic opioid, steroid, other solution), not
including neurolytic substances, interlaminar epidual or subarachnoid,
cervical or thoracic; without imaging guidance
62325
with imaging guidance (ie, fluoroscopy or CT)
62326
Injection(s), including indwelling catheter placement, continuous
infusion or intermittent bolus, of diagnostic or therapeutic substance(s)
(eg, anesthetic, antispasmodic opioid, steroid, other solution), not
including neurolytic substances, interlaminar epidual or subarachnoid,
lumbar or sacral (caudal); without imaging guidance
62327
with imaging guidance (ie, fluoroscopy or CT)