AMA Makes More Corrections to CPT 2011

The American Medical Association (AMA) recently published updates to CPT® Category I and III codes for 2011. The AMA has made a couple of noteworthy changes to its original CPT® 2011 corrections document. To ensure accurate reporting of health care services, you’ll need to correct your codebook with a parenthetical note in the Surgery section and an introductory guideline in the Medicine section. While there, you’ll also need to make an important change in the Vaccination Products subsection.

Surgery Section Update

In the Surgery section, under Digestive System/Abdomen, Peritoneum, and Omentum/Introduction, Revision, Removal, revise the parenthetical note following 49419 to read:

Certified Interventional Radiology Cardiovascular Coder CIRCC

►(49420 has been deleted. To report open placement of a tunneled peritoneal tunneled catheter for dialysis, use 49421. To report open or percutaneous peritoneal drainage or lavage, see 49020, 49021, 49040, 49041, 49060, 49061, 49062, 49080, 49081, as appropriate. To report percutaneous insertion of a tunneled peritoneal tunneled catheter without subcutaneous port, use 49418)◄

Medicine Section Update

You’ll need to make two changes in the Medicine section. The AMA also revised the Cardiovascular Monitoring Services introductory guidelines in the Medicine section to say that event monitors do, in fact, require attended surveillance.

The introductory guidelines should read:

►Cardiovascular monitoring services are diagnostic medical procedures using in-person and remote technology to assess cardiovascular rhythm (ECG) data. Holter monitors (93224-93227) include up to 48 hours of continuous recording. Mobile cardiac telemetry monitors (93228, 93229) have the capability of transmitting a tracing at any time, always have internal ECG analysis algorithms designed to detect major arrhythmias, and transmit to an attended surveillance center. Event monitors (93268-93272) record segments of ECGs with recording initiation triggered either by patient activation or by an internal automatic, preprogrammed detection algorithm (or both) and transmit the recorded electrocardiographic data when requested (but cannot transmit immediately based upon the patient or algorithmic activation rhythm) and do not require attended surveillance.◄

Influenza vaccination reporting for 2011 also has changed. The AMA published, Dec. 22, 2010, an update that adds CPT® code 90654 Influenza virus vaccine, split virus, preservative-free, for intradermal use, effective Jan. 1, 2011; and deletes codes 90663 Influenza virus vaccine, pandemic formulation, H1N1 and 90470 H1N1 immunization administration (intramuscular, intranasal), including counseling when performed. These codes are no longer valid, effective October 2010.

The Corrections Document – CPT® 2011 is available for download on the AMA website. Recent updates to the CPT® Category I Vaccine Codes as well as Category III codes also are available online.


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