AMA Releases Category III Code Update
The biannual release of CPT® Category III codes is now available on the American Medical Association website. These new codes have 2014 effective dates, but you won’t find them in your 2014 CPT® codebook.
New Category III code range 0340T-0346T describes various pulmonary ablation and related services. These codes are effective Jan. 1, 2014.
New Category III code range 0347T-0358T describes placement of interstitial device(s) for radiostereometric analysis (RSA) and related services. These codes are effective July 1, 2014.
New Category III code range 0359T-0374T describes various adaptive behavior treatments and services. These codes are effective July 1, 2014.
Category III codes are temporary codes used to report emerging technology, services, and procedures. If a Category III code is available, it is important to report it instead of a Category I unlisted code to ensure accurate data collection. These codes, however, may or may not be covered by insurance. Noridian Healthcare Solutions, for example, does not cover 0340T-0346T. Consult the patient’s health plan for coverage, and issue an Advanced Beneficiary Notice (ABN) as warranted.
Sources: American Medical Association; Noridian Healthcare Solutions