First Look: Changes to CPT® 2010 Go Beyond Codes
The CPT® 2010 code book includes some changes that will take many coders by surprise. Here’s a synopsis:
Consult Codes. While the Centers for Medicare & Medicaid Services (CMS) grapples with the idea of deleting these codes, the American Medical Association (AMA) extends their life into 2010 — changing only the language in the outpatient and inpatient coding instructions. For 2010, a consulting physician may assume responsibility for the management of all or a portion of the patient care after completing the consultation. What remains from 2009 are guidelines that say the consult must be requested by another provider, and that a report is returned to the requesting provider with the opinion of the consulting physician.
Resequencing of Codes. For 2010, coders will find codes appearing out of sequence, and also parent codes linked to indented codes that have smaller numbers (i.e., 21554 Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or greater is a new indented code under 21556 Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm). Place-holding codes in sequential order send the reader to the new location for codes listed out of sequence, and a new icon — a pound sign (#) — identifies codes that are out of sequence.
Fluoroscopy. More codes are seeing the addition of the phrase “with or without fluoroscopy,” further bundling this practice into the main procedure.
Watch EdgeBlast and the Coding Edge for more details.