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

Renee Dustman

Renee Dustman

Executive Editor at AAPC
Renee Dustman, BS, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. She has more than 20 years experience in print publishing, working in production management and content management. She is also a freelance writer and graphic artist.
Renee Dustman

About Has 478 Posts

Renee Dustman, BS, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. She has more than 20 years experience in print publishing, working in production management and content management. She is also a freelance writer and graphic artist.

3 Responses to “AMA Releases Category III Code Update”

  1. Charlene Luzey says:

    Will these codes be questioned on a 2014 CPC exam?

  2. Catrina Brempell says:

    Can you tell me if all insurance companies will no longer use the 97532 code instead will be using the 0359T-0358T I work with an autism provider and we would like more information about this matter.

  3. Kathryn Headley says:

    I work for a psychologist and BCBA. Aetna advised us to use the following code ranges 0364T-0374T for ABA therapy. The description given only tells us how to bill for the first 30mins. Really trying to avoid paying $80 to ask AMA 1 question on how to bill. Has anyone else had any luck on how to bill ABA with these new codes after the first 30mins?

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