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

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Renee Dustman

Renee Dustman

Renee Dustman is executive editor at AAPC. She has a Bachelor of Science degree in Journalism and a long history of writing just about anything for just about every kind of publication there is or ever has been. She’s also worked in production management for print media, and continues to dabble in graphic design.
Renee Dustman

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Renee Dustman is executive editor at AAPC. She has a Bachelor of Science degree in Journalism and a long history of writing just about anything for just about every kind of publication there is or ever has been. She’s also worked in production management for print media, and continues to dabble in graphic design.

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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