New and Revised Category III Codes to Report

Eleven new CPT® Category III codes were implemented July 1 by the American Medical Association (AMA). The codes were introduced Jan. 1 and will be included in CPT® 2011. Also among the updates are several new and two revised Category III codes that will be implemented in 2011 and two new and Category III codes that will appear in CPT® 2012.

New Category III codes implemented July 1 are:

0223T Acoustic cardiography, including automated analysis of combined acoustic and electrical intervals; single, with interpretation and report

0224T Acoustic cardiography, including automated analysis of combined acoustic and electrical intervals; multiple, including serial trended analysis and limited reprogramming of device parameter – AV or VV delays only, with interpretation and report

0225T Acoustic cardiography, including automated analysis of combined acoustic and electrical intervals; multiple, including serial trended analysis and limited reprogramming of device parameter – AV and VV delays, with interpretation and report

0226T Anoscopy, high resolution (HRA) (with magnification and chemical agent enhancement); diagnostic, including collection of specimen(s) by brushing or washing when performed

0227T Anoscopy, high resolution (HRA) (with magnification and chemical agent enhancement); with biopsy(ies)

0228T Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with ultrasound guidance, cervical or thoracic; single level

+0229T Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with ultrasound guidance, cervical or thoracic; each additional level (List separately in addition to code for primary procedure)

Use 0229T in conjunction with 0228T.

0230T Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with ultrasound guidance, lumbar or sacral; single level

0231T Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with ultrasound guidance, lumbar or sacral; each additional level (List separately in addition to code for primary procedure)

Use 0231T in conjunction with 0230T.

For transforaminal epidural injections performed under fluoroscopy or computed tomography, see 64479-64484.

0232T Injection(s), platelet rich plasma, any tissue, including image guidance, harvesting and preparation when perofrmed

0233T Skin advanced glycation endproducts (AGE) measurment by multi-wavelength fluorescent spectroscopy

Category III codes o184T Excision of rectal tumor, transanal endoscopic microsurgical approach (ie, TEMS), including muscularis propria (ie, full thickness) and 0191T Insertion of anterior segment aqueous drainage, without extraocular reservoir; internal approach, into the trabecular meshwork are revised and new codes 0234T-0259T will be implemented Jan. 1, 2011.

Also of note are two new Category III codes that were accepted for 2012 at the June CPT® Editorial Panel meeting. The two new codes to be implemented Jan. 1, 2011 are:

0260T Total body systemic hypothermia, per day, in the neonate 28 days of age or younger

0261T Selective head hypothermia, per day, in the neonate 28 days or younger

These temporary codes are meant to display and track the use of emerging technologies. More information on these CPT® Category III codes can be found on the AMA website.

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