Prepare Now for These Mid-Year CPT Code Updates

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  • February 4, 2019
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Prepare Now for These Mid-Year CPT Code Updates

In addition to the annual release of CPT® code changes, the American Medical Association (AMA) likes to keep medical coders on their toes by releasing mid-year changes. The following Vaccine codes and Category III codes were accepted and/or revised at the September 2018 CPT Editorial Panel meeting for the 2020 CPT® production cycle. These codes are effective July 1, 2019.

New and Revised Category I Vaccine Codes

New: 90619 Meningococcal conjugate vaccine, serogroups A, C, W, Y quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use
Revised: 90734 Meningococcal conjugate vaccine, serogroups A, C, W, Y, and W 135, quadrivalent, diphtheria toxoid carrier (MCV4 or MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular use

New and Revised Category III Codes

Revised: 0402T Collagen cross-linking of cornea, (including removal of the corneal epithelium and intraoperative pachymetry, when performed) (Report medication separately)
New: 0543T – 0562T
0543T Transapical mitral valve repair, including transthoracic echocardiography, when performed, with placement of artificial chordae tendineae
0544T Transcatheter mitral valve annulus reconstruction, with implantation of adjustable annulus reconstruction device, percutaneous approach including transseptal puncture
0545T Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device, percutaneous approach
0546T Radiofrequency spectroscopy, real time, intraoperative margin assessment, at the time of partial mastectomy, with report
0547T Bone-material quality testing by microindentation(s) of the tibia(s), with results reported as a score
0548T Transperineal periurethral balloon continence device; bilateral placement, including cystoscopy and fluoroscopy
0549T     unilateral placement, including cystoscopy and fluoroscopy
0550T     removal, each balloon
0551T     adjustment of balloon(s) fluid volume
0552T Low-level laser therapy, dynamic photonic and dynamic thermokinetic energies, provided by a physician or other qualified health care professional
0553T Percutaneous transcatheter placement of iliac arteriovenous anastomosis implant, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention
0554T Bone strength and fracture risk using finite element analysis of functional data, and bone-mineral density, utilizing data from a computed tomography scan; retrieval and transmission of the scan data, assessment of bone strength and fracture risk and bone mineral density, interpretation and report
0555T     retrieval and transmission of the scan data
0556T     assessment of bone strength and fracture risk and bone mineral density
0557T     interpretation and report
0558T Computed tomography scan taken for the purpose of biomechanical computed tomography analysis
0559T Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure
0560T     each additional individually prepared and processed component of an anatomic structure (List separately in addition to code for primary procedure)
0561T Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide
0562T     each additional anatomic guide (List separately in addition to code for primary procedure)
Codes 0544T and 0545T, in particular, come with many guidelines. Download the most recent changes to the CPT® Category III codes document and review the guidelines and parenthetical notes for these new codes now so you are ready to start using them on July 1.
Note: These codes and descriptors may be revised further by the time they are published in CPT® 2020.


Sources:
CPT Category I New and Revised Vaccine Codes, www.ama-assn.org/system/files/2018-12/vaccine-long-descriptors.pdf
CPT Category III Codes, www.ama-assn.org/system/files/2018-12/cpt-category3-codes-long-descriptors_0.pdf

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Renee Dustman, BS, AAPC MACRA Proficient, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. Renee has more than 20 years experience in print production and content management. Follow her on Twitter @dustman_aapc.

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