Additions to CPT Errata Tap Rules, Guidelines

The American Medical Association (AMA) released additions to its CPT® Errata on April 1 and then again on April 12. The document includes updates and corrections to the code set as reflected in the 2011 CPT® Professional Edition. Most of the changes correct typographical errors, which could potentially lead to miscoding.

To ensure accurate coding, update your CPT® 2011 books in the following sections:

Surgery

In the parenthetical note following CPT® code 36215 Selective catheter placement, arterial system; each first order thoracic or brachiocephalic branch, within a vascular family, replace “use” with “see,” and replace deleted code 93964 with catheter placement code 93461.

Radiology

Revise the parenthetical note preceding code 75557 Cardiac magnetic resonance imaging for morphology and function without contrast material; so that it reads:

(For cardiac catheterization procedures, see 93451-93572).

Pathology and Laboratory

Add the term “multiplex” to the descriptor for Chemistry code 87502. The descriptor should read:

Influenza virus, for multiple types or sub-types, multiplex reverse transcription and amplified probe technique, first 2 types of sub-types

Medicine

Revise the parenthetical note following add-on code 93662 Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure) to correct a typographical error. The note should read:

(Use 93662 in conjunction with 92987, 93532, 93543, 93453, 93460-93462, 93580, 93581, 93621, 93622, 93651, or 93652, as appropriate)

In the Psychiatry subsection of the Medicine section, delete the parenthetical note preceding code 90862 Pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapy which references deleted Category III codes 0160T and 0161T.

Also in the Medicine section, under the Noninvasive Vascular Diagnostic Studies subsection, revise the first parenthetical note following study code 93992 to correct the spelling of “maneuvers;” and revise the second parenthetical note to read:

(Report 93922 only once in the upper extremity(s) and/or once in the lower extremity(s). When both the upper and lower extremities are evaluated in the same setting, 93922 may be reported twice by adding modifier 59 to the second procedure)

Also correct the descriptor for 93923 by removing the parenthesis surrounding the third “levels.” It should appear as such:

Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study-with provocative functional maneuvers (eg, measurements with reactive hyperemia)

Also revise the second parenthetical note following 93923 so it reads:

(Report 93923 only once in the upper extremity(s) and/or once in the lower extremity(s). When both the upper and lower extremities are evaluated in the same setting, 93923 may be reported twice by adding modifier 59 to the second procedure)

Category III

In the Category III section, replace reference code 0261T from the resequence parenthetical note with 0259T.

Appendix B

Delete code 99365; this code is not an active CPT® code.

Reference to deleted code 91000 Esophageal intubation and collection of washings for cytology, including preparation of specimens (separate procedure) should be moved to follow code 90868 Therapeutic repetitive transcranial magnetic stimulation treatment; planning, delivery and management, per session.

Several changes have been made to the descriptor for code 93268. It should read:

External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; includes transmission, physician review and interpretation

Appendix D

Delete codes 32507, 32667, 32668, 32674, which were inappropriately included.

Appendix M

Replace inactive code 99365 with 99366.

The index also has a number of changes in addition to AMA errata previously reported in EdgeBlast, and there are some additional short and medium descriptor changes, too.

Lastly, revise the ASCII file for codes 29915 and 29916 by removing the terms “subtalar joint” and replacing them with “hip.”

Refer to the CPT® 2011 Corrections Document, as well as the updated CPT® Reference Guide for Cardiovascular Coding, for complete details.

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