Radiology Changes in CPT® 2018

Radiology Changes in CPT® 2018

The most significant changes to the radiology portion of CPT® 2018 are related to chest and abdominal imaging services.

Codes for chest X-rays are simplified: Nine codes are deleted and replaced by four new codes, which are based solely on the number of views.

Deleted

71010 Radiologic examination, chest; single view, frontal

71015 … stereo, frontal

71020 Radiologic examination, chest, 2 views, frontal and lateral;

71021 …with apical lordotic procedure

71022 … with oblique projections

71023 … with fluoroscopy

71030 Radiologic examination, chest, complete, minimum of 4 views;

71034 … with fluoroscopy

71035 Radiologic examination, chest, special views (eg, lateral decubitus, Bucky studies)

Added

71045 Radiologic examination, chest; single view

71046 … 2 views

71047 … 3 views

71048 … 4 or more views

The deleted codes (71010-71035) previously were identified as potentially misvalued. The American College of Radiology (ACR) requested an update to increase the flexibility and accuracy when coding customized exams.

Codes describing radiologic examination of the stomach are similarly revised (for similar reasons), to be reported based on the number of views.

Deleted

74000 Radiologic examination, abdomen; single anteroposterior view

74010 … anteroposterior and additional oblique and cone views

74020 … complete, including decubitus and/or erect views

Added

74018 Radiologic examination, abdomen; 1 view

74019 … 2 views

74021 … 3 or more views

John Verhovshek

John Verhovshek

John Verhovshek, MA, CPC, is Managing Editor at AAPC. He has covered medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University, and a member of the Asheville-Hendersonville AAPC Local Chapter.
John Verhovshek

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About Has 487 Posts

John Verhovshek, MA, CPC, is Managing Editor at AAPC. He has covered medical coding and billing, healthcare policy, and the business of medicine since 1999. He is an alumnus of York College of Pennsylvania and Clemson University, and a member of the Asheville-Hendersonville AAPC Local Chapter.

One Response to “Radiology Changes in CPT® 2018”

  1. R. Suganthi says:

    Hi, Good information about X-rays, is there any changes in MRI, CT, NM.

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