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RA
FT
Procedural Coding Expert
CPT® Codes with Medicare
Essentials Enhanced for Accuracy
D
Sample
Contents
D
RA
FT
Introduction�� 00
Anatomical Illustrations�� 00
Index�� 00
Evaluation and Management Coding Advice �� 00
Evaluation and Management�� 00
Integumentary System�� 00
Musculoskeletal System�� 00
Respiratory System�� 00
Cardiovascular System�� 00
Hemic and Lymphatic Systems�� 00
Mediastinum and Diaphragm�� 00
Digestive System�� 00
Urinary System�� 00
Male Genital System�� 00
Female Genital System�� 00
Endocrine System�� 00
Nervous System�� 00
Eye and Ocular Adnexa�� 00
Auditory System�� 00
Radiology Procedures�� 00
Pathology and Laboratory Procedures�� 00
Medicine�� 00
Category II Codes �� 00
Category III Codes �� 00
Multianalyte Assays (M codes) �� 00
Appendix A: CPT® Changes 2014 (New and Revised)�� 00
Appendix B: Deleted Codes with Crosswalk�� 00
Appendix C: New/Revised Codes Additional Information�� 00
Appendix D: New Code Articles �� 00
Appendix E: Medically Unlikely Edits (MUEs)�� 00
Appendix F: Inpatient - Only Procedures�� 00
Appendix G: Add-on Code Edits for 2014�� 00
Appendix H: Place of Service�� 00
Appendix I: Type of Service�� 00
Appendix J: Modifiers 51 and 63 Exempt Codes�� 00
Appendix K: Modifiers with Coding Scenarios�� 00
Appendix L: HCPCS Level II Modifiers�� 00
Appendix M: IVR Guide�� 00
2014 Procedural Coding Advisor
2014 Procedural Coding ADVISOR
Introduction
Procedural Coding Advisor 2014 welcomes you. You
can use this book’s information to code claims with more
accuracy. This book includes Facility RVUs, Non-facility
RVUs, Global Days for a specific procedure, MUEs,
Modifier crosswalk, ASC Payment Indicator, and references
to CPT® Assistant.
We have provided icons for age, sex, ambulatory surgery
center (ASC), and Medicare coverage. The book also contains
diagrams and images to illustrate various procedures.
New Codes
Revised Codes
Add-on Codes
Modifier 51 Exempt
Modifier 63 Exempt
Conscious Sedation
RA
FT
Procedural Coding Advisor contains billing and reporting
information needed to submit clean claims to federal
contractors and other private payers.
Symbols & Conventions
Procedural Coding Advisor is based on the AMA’s
Current Procedural Terminology (CPT®) coding
system, which is the Health information Portability
and Accountability Act (HIPAA) compliant code set for
procedures and services provided by physicians, ASCs
(Ambulatory Surgery Centers), hospital outpatient services,
laboratories, rehabilitation providers, and urgent care
centers.
# Resequenced Codes
FDA Approval Pending
Female only procedures
Male only procedures
Maternity
FRVU
Facility RVU
NFRVU
Non-Facility RVU
GD
Global Days
MUE
Medically Unlikely Edit
MOD
Modifier Crosswalk
2 Appendix for new, revised, and deleted codes;
ASC PI
ASC Payment Indicator
3 Appendix for crosswalks of deleted codes;
ASC Sep ASC Separate Payment
Features of Procedural Coding
Advisor 2014:
1 This book contains 2014 code set and coding
information;
4 New/revised code advice from The Coding Institute;
D
5 New code articles from The Coding Institute;
6 E/M coding advice from The Coding Institute;
7 Anatomical illustrations;
APC SI
APC Status Indicator
APC
APC value
CPT Asst Reference to CPT® Assistant Articles
8 IVR guide with illustrations;
9 List of inpatient-only procedure codes so that
physicians can refer to these before billing for the
service provided by them.
Resequencing of CPT® Codes
Introduction
The American Medical Association (AMA) uses a numbering
methodology for resequencing, which is the practice of
displaying codes outside of their numerical order.
ii
For more information about ongoing development of the
CPT® coding system, consult the AMA website at URL
http://www.ama-assn.org/.
2014 PROCEDURAL CODING ADVISOR
Anatomical Illustrations
Anatomical Illustrations
D
RA
FT
Anatomy of the Kidney
10
Anatomical Illustrations
D
RA
FT
Anatomy of the Muscular System
Anatomical Illustrations
11
2014 PROCEDURAL CODING ADVISOR
RA
FT
Anatomy of the Eye Muscles - Lateral View
Anatomical illustrations
D
Anatomy of Internal Eye Structures
12
Anatomical illustrations
D
RA
FT
Arterial Supply of The Heart
Anatomical illustrations
13
2014 PROCEDURAL CODING ADVISOR
RA
FT
Brain - Lateral View
Anatomical illustrations
D
Medulla
Oblongata
14
Evaluation and Management
Coding Advice
Time-Based Coding:
Test Your Know-How
Ensure Your Provider is Documenting
Three Key Points for Billing on Time Alone
See if you can spot the problem with this chart entry. We
have noted in parentheses how you can pull out pieces
of the documentation to fulfill history, exam, and medical
decision making criteria:
Remember that counseling and coordination of care
must dominate the encounter.
Sample entry: A 10-year-old patient seen for asthma (chief
complaint) follow-up visit. She has been on albuterol inhaler
medication (HPI-modifying factor) for one month (HPIduration) but is not doing well and still has mild shortness
of breath and chest pain during physical education class
and sports (HPI-severity, timing, associated signs and
symptoms). The provider performs a pulmonary function
test. The patient has a history of chronic ear infections,
as well (past history). She has also noted problems with
appetite (ROS-constitutional) and sleep issues (ROSneurological or respiratory but not both) on days when she
has an asthma exacerbation. Physical examination consists
of a brief constitutional examination (can’t give credit here
as there are no details). Extensive counseling is done,
discussing additional ways she can try to decrease her
symptoms, and also to talk about proper inhaler dosing and
nebulizer treatments (counseling description). The physician
prescribes a Pulmicort® and albuterol for the nebulizer
(prescription drug management-table of risk-moderate)
(MDM risk: 2 pts) and a follow-up appointment is planned in
one month. Total face-to-face time is 25 minutes.
RA
FT
If you’re coding office visits based on the time your
physician spends with a patient providing counseling or
coordination of care, make sure he is documenting three
critical pieces of information – and we don’t mean history,
exam, and medical decision making. Otherwise, you’ll face
payer take-backs, or worse.
Even if your physician says that he spent over an hour with
a patient, you can’t automatically report 99215 (Office or
other outpatient visit for the evaluation and management
of an established patient … typically, 40 minutes are
spent face-to-face with the patient and/or family). Medical
record auditors hear it nearly every day from practitioners:
“You can’t downcode my claim! I spent an hour with that
patient, so I know I deserve a 99215.” Unfortunately, your
provider’s memory won’t hold up in court – only complete
documentation will.
Get It In Writing
D
Myth: Your physician’s argument that he spent a significant
amount of time counseling the patient justifies high-level codes.
Reality: The physician’s memory may be pristine, but it
can’t be relied upon if the payer asks for a refund due to
insufficient documentation. Instead, your provider must
note the time spent in the record.
Coding for a provider’s services must be based
exclusively on the documentation of the service. It is
imperative that the documentation accurately portrays
the services provided, not only for coding compliance
but also malpractice risk management. Payer reviews
often do not occur within a week of services. It is difficult
for providers to remember the specifics of a patient visit
a week ago, let alone a month ago, a year ago or even
several years ago!
Did you spot it? The problem with this record is that you
can’t use the 25 minutes of time spent without knowing how
much of that time was spent counseling.
Include Three Items in Documentation
Before using time as the controlling factor, check off the
following requirements that must be documented:
1. the total time spent with the patient
2. that more than 50 percent of the face-to-face time
the physician spent with the patient/and or family is
counseling/coordination of care. For instance, “Saw the
patient for 25 minutes face-to-face; 20 minutes of that
visit was spent in counseling.”
3. a description or summary of the counseling/coordination of
care provided. For the example above, you could consider,
“Done to address coping strategies for the patient’s
diagnosis of overactive bladder and treatment options.”
Official word: The Medicare Claims Processing Manual,
Chapter 12, Section 30.6.1.C states: The code selection is
based on the total time of the face-to-face encounter or floor
time, not just the counseling time. The medical record must
be documented in sufficient detail to justify the selection of
the specific code if time is the basis for selection of the code.
45
Evaluation and Management Coding Advice
Background: When medical auditors review E/M claims,
they typically code the reports based on history, exam,
and medical decision-making, unless the physician meets
the criteria to code a claim based on time spent with the
patient. However, full time auditors will tell you that they
hear from physicians at least once a day who argue that,
although their documentation may not support 99214s and
99215s, the codes are justified based on the fact that the
patient had many questions and counseling took up an
hour of their time.
2014 PROCEDURAL CODING ADVISOR
Provider documentation such as “I had a lengthy
discussion...” or “I spent a great deal of time with the
patient discussing...” does not support using the dominant
counseling/coordination of care as the basis for level of 
E/M service. 
You should only select an office visit code based on time
when your provider spends more than 50 percent of the
face-to-face time with the patient and/or family member on
counseling and/or coordination of care.
History: Detailed
•HPI: timing, severity, duration, modifying factors,
associated signs and symptoms = Extended
•ROS: Constitutional, neurological or respiratory =
Extended
•
PFSH: 1 element (past history) = Pertinent
Exam: None that can be used in counting the elements
Medical Decision Making: Low
•
Established problem, worsening = 2 points
•
Data: pulmonary function test = 1 point
RA
FT
Avoid templated documentation: While you want to
encourage your physician to document the time criteria
when time-based billing is most appropriate, you don’t
want your provider to go too far in the opposite direction.
Providers that include a templated statement in all of their
documentation, such as “I spent greater than 50% of the
___ visit counseling the patient” in which they routinely fill
in the blank with the time required for a level four or level
five service, risk repercussions during a payer review.
The documentation does not provide the required detail
regarding what the provider counseled the patient on.
to code the visit based on the documented history, exam,
and medical decision-making, as follows:
Key: Medical necessity must also be a key factor in your
code choice. Be sure that the time spent with the patient is
warranted. Just because the patient and provider talked for a
long time doesn’t mean it was medically necessary to do so.
Know Your Payer’s Rules
Example: There is a difference between CPT® and
Medicare regarding how to determine the level of E/M
service using the total service time. CPT® has published
this information in the CPT® Assistant: “In selecting
time, the physician must have spent a time closest
to the code selected,” whereas Chapter 12 of the
Medicare Claims Processing Manual states “The time
approximation must meet or exceed the specific CPT® code
billed (determined by the typical/average time associated
with the evaluation and management code) and should not
be “rounded’ to the next higher level.”
D
Evaluation and Management Coding Advice
The CPT® codes that can be billed based on time, such as
new and established office visit codes, contain a time within
their code descriptor. For example, level five new patient
code 99205 states “Typically, 60 minutes are spent face-toface with the patient and/or family.” Some payers consider
this time a minimum time that must be met, and others
consider it a general estimate and allow you to round up or
down to the closest specified time.
Use Elements When Time is Unknown
If your provider does not document the three elements
necessary for time-based code selection, you must look
at the history, exam, and medical decision making. When
the documentation does not support using time spent in
counseling and/or coordination of care, the level of service
must be soley determined on the documentation of the
three key components.
In the previous example, because the time spent in
counseling/coordinating care is unknown, you instead have
46
•Risk: Worsening problem and prescription drug
management = moderate
Code: 99213
Without knowing how much of the 25 minutes the provider
spent counseling, the key documented elements support
99213, not 99214.
Solution: Adding the actual time that the doctor spent on
counseling would indicate that the encounter meets timebased coding’s greater than 50 percent on counseling/and
or coordination of care criteria and would therefore justify a
99214 for this case.
Back to Basics:
Pay Attention to the Three-Year Rule
to Decide Between New vs. Established
Codes
The location of the encounter won’t be
the deciding factor.
Even before you start looking at the history, exam,
and medical decision making components of an office
visit, you first need to determine if the patient is new
or established. Whether you report 99211-99215
(Office or other outpatient visit for the evaluation and
management of an established patient …) or 9920199205 (Office or other outpatient visit for the evaluation
and management of a new patient …) depends on the
answer. Understanding the essential three-year rule will
make that choice a breeze.
Take a look at what the experts have to say about when
— and how — to apply the infamous three-year criterion.
2014 PROCEDURAL CODING ADVISOR
A Vitamin - See Vitamin, A
Ablation - Pulmonary Tumor
Index
A
A Vitamin
See Vitamin, A
A-II
See Angiotensin II
Abbe-Estlander Procedure
Abdomen
Index
D
Abdominal Aorta
Angiography��75635
Abdominal Wall
Debridement
Infected�� 11005-11006
Removal
Mesh�� 11008
Prosthesis�� 11008
Repair
Hernia............ 49491-49496, 49501,
49507, 49521, 49590
Tumor
Excision��22900-22903
Radical resection��22904-22905
Abscess
Incision and drainage
Open��49020, 49040
Anesthesia
See Anesthesia, Abdomen
Angiography.......... 74174-74175, 74185,
75635
Aorta
See Abdomen, Abdominal Aorta;
Aorta, Abdominal
Aortic Aneurysm
See Aorta, Abdominal, Aneurysm
Artery
Ligation��37617
Biopsy��49000
Bypass Graft
Excision��35907
Catheter
Removal��49422
Celiotomy
See Laparotomy
for Staging��49220
CT Scan..................74150,74160, 74170,
74174-74178, 75635
Cyst
Destruction/Excision��49203-49205
Deliveries
See Caesarean Delivery
Drainage
Fluid��49082-49083
Ectopic Pregnancy��59130
Endometrioma
Destruction/Excision��49203-49205
Exploration��49000, 49010
Blood Vessel��35840
Staging��58960
760
Aorta
See abdomen, abdominal aorta;
aorta, abdominal
Aortic Aneurysm
See aorta, abdominal, aneurysm
Deliveries
See Caesarean Delivery
Hysterectomy
See Hysterectomy, abdominal
Lymphangiogram
See Lymphangiography, Abdomen
Paracentesis
See Abdomen, Drainage
Radiographies
See Abdomen, X-ray
Wall
See Abdomen, Abdominal Wall
RA
FT
See Reconstruction; Repair, Cleft Lip
Lip reconstruction��40527, 40761
Hysterectomy
See Hysterectomy, Abdominal
Incision��49000-49084
Staging��58960
Incision and Drainage
Pancreatitis��48000
Infraumbilical Panniculectomy��15830
Injection
Air��49400
Contrast Material��49400
Insertion
Catheter�49324, 49418-49419, 49421
Venous Shunt��49425
Intraperitoneal
Catheter Exit Site��49436
Catheter Insertion��49418-49421,
49435
Catheter Removal��49422
Catheter Revision��49325
Shunt
Insertion��49425
Ligation��49428
Removal��49429
Revision��49426
Laparoscopy��49320-49327, 49329
Laparotomy
Reopening��49002
Staging��49220, 58960
Lymphangiogram
See Lymphangiography, Abdomen
Magnetic Resonance Imaging (MRI)
��74181-74183
Needle Biopsy (Mass)��49180
Paracentesis��49082-49083
Radiation therapy
Placement of guidance Devices
��49411-49412
Radical Resection��51597
Radiographies
See Abdomen, X-ray
Removal
Node(s)��49220
Repair
Blood Vessel��35221
with Other Graft��35281
with Vein Graft��35251
Hernia.... 49491-49525, 49560-49587,
49590
Suture��49900
Revision
Venous Shunt��49426
Suture��49900
Tumor
Destruction/Excision��49203-49205
Ultrasound��76700-76705
Unlisted Services and Procedures��49999
Wall
See Abdomen, Abdominal Wall
Wound Exploration
Penetrating��20102
X-ray��74000, 74010, 74020, 74022
Abdominal
See Abdomen
Abdominohysterectomy
See Hysterectomy, Abdominal
Abdominopelvic Amputation
See Amputation, Interpelviabdominal
Abdominoplasty
See Panniculectomy
Excision, Skin And Tissue�15830, 15847
Unlisted Procedure��17999
Ablation
Anus
Polyp��46615
Tumor��46615
Bone
Tumor��20982
Colon
Polyp��44393
Tumor��44393, 45339
Cryosurgical
Fibroadenoma��19105
Liver Tumor��47381
Renal mass��50250
Renal Tumor
Percutaneous��50593
CT Scan Guidance��77013
Endometrial��58353, 58356, 58563
With Ultrasound Guidance��58356
Heart
Arrhythmogenic Focus.... 33250-33251,
33261, 93653, 93654, 93655
Atrioventricular�93650, 93653, 93654
Liver(Tumor)
Cryosurgical��47381
Laparoscopic��47370-47371
Radiofrequency��47380-47382
Lung
Tumor
Radiofrequency��32998
Parenchymal Tissue
CT Scan Guidance��77013
Magnetic Resonance Guidance
��77022
Ultrasound Guidance��76940
Prostate��55873
Pulmonary Tumor��32998
Index
Ablation - Radiofrequency
Abortion
D
See Obstetrical care
Incomplete��59812
Induced
by Dilation and Curettage��59840
by Dilation and Evacuation��59841
by Saline��59850-59851
by Vaginal Suppositories......... 5985559856
with Hysterotomy......... 59100, 59852,
59857
Missed
First Trimester��59820
Second Trimester��59821
Septic��59830
Spontaneous
Complete
See Hospital Services
Incomplete��59812
Therapeutic
by Saline��59850
with Dilatation and Curettage� 59851
with Hysterectomy��59852
Abrasion (Skin)
Chemical Peel��15788-15789,
15792-15793
Dermabrasion��15780-15783
Lesion��15786-15787
Abscess
Abscess - Tissue
Incision��28005
Forearm
Incision��25035
Sequestrectomy��25145
Humeral Head
Incision��23174
Humerus
Excision��24134
Incision and Drainage��23935
Knee
Incision��27303
Leg, Lower
Incision��27607
Olecranon Process��24138
Sequestrectomy��24136
Pelvis
Incision��26992
Radius
Incision, Deep��25035
Sequestrectomy��24136
Scapula
Sequestrectomy��23172
Shoulder
Incision��23035
Thorax
Incision��21510
Wrist
Incision��25035
Sequestrectomy��25145
Drainage
with X-ray��75989
Localization
Nuclear Medicine��78806-78807
Lymphocele Drainage��49062
Mandible
Excision��21025
Mouth��41015-41018
Incision and Drainage
Dentoalveolar��41800
Lingual��41000
Masticator Space��41009, 41018
Sublingual��41005-41006, 41015
Submandibular��41008, 41017
Submental��41007, 41016
Vestibular��40800-40801
Musculoskeletal
Incision and Drainage��20005
Nasal
Incision and Drainage�� 30000, 30020
Neck
Incision and Drainage�21501-21502
Olecranon Process
Excision��24138
Ovary
Abdominal Approach��58822
Incision and Drainage�� 58820, 58822
Vaginal Approach��58820
Palate
Incision and Drainage��42000
Paraurethral Gland
Incision and Drainage��53060
Parotid Gland
Drainage��42300, 42305
Pelvis
Incision and Drainage....26990-26991,
45000
Pericolic
Perineum
Incision and Drainage��56405
Perirenal or Renal
Incision and Drainage��50020
Peritoneum
Incision and Drainage��49020
Pharynx
Incision and Drainage�� 42720, 42725
Prostate
Incision and Drainage�� 55720, 55725
Transurethral Drainage��52700
Rectum
Incision and Drainage��45005,
45020, 46040, 46060
Renal
Incision and Drainage��50020
Retroperitoneal
Incision and Drainage��49060
Salivary Gland
Drainage��42300-42320
Scrotum
Incision and Drainage��54700, 55100
Shoulder
Incision and Drainage��23030
Skene's Gland
Incision and Drainage��53060
Skin/Superficial
Incision and Drainage�10060-10061
Puncture Aspiration��10160
Spine
Incision and Drainage22010, 22015
Subdiaphragmatic
Drainage��49040
Sublingual Gland
Drainage��42310-42320
Submaxillary Gland
Drainage��42310, 42320
Subphrenic
Drainage��49040
Testis
Incision and Drainage��54700
Thigh
Incision and Drainage��27301
Thorax
Incision and Drainage�21501-21502
Throat
Incision and Drainage�42700-42725
Tongue
Incision and Drainage�41000-41006
Tonsil
Incision and Drainage��42700
Urethra
Incision and Drainage��53040
Uvula
Incision and Drainage��42000
Vagina
Incision and Drainage��57010
Vulva
Incision and Drainage��56405
Wrist
Incision and Drainage25028, 25035
Tissue
Abdomen��49040
Incision and Drainage��49040
Ankle
Incision and Drainage��27603
Anus
Incision and Drainage�46045-46060
Appendix
RA
FT
Radiofrequency
Liver Tumor��47382
Lung Tumor��32998
Renal Tumor��50592
Tongue Base��41530
Rectum
Polyp��45339
Tumor��45339
Renal Cyst��50541
Renal Mass��50542
Renal Tumor
Cryotherapy
Percutaneous��50593
Radiofrequency��50592
Tongue Base
Radiofrequency��41530
Turbinate Mucosa��30801-30802
Uterine fibroids
Laparoscopic��0336T
Uterine Tumor
Ultrasound, Focused�� 0071T-0072T
Vein
Endovenous��36475-36479
761
Index
Bone
Ankle
Incision��27607
Clavicle
Sequestrectomy��23170
Elbow
Incision��23930, 23935
Facial
Excision��21026
Femur
Incision��27303
Finger
Incision��26034
Foot
2014 PROCEDURAL CODING ADVISOR
Abscess - Tissue
Acoustic Cardiography
Absorption Spectrophotometry
Atomic
See Atomic Absorption Spectroscopy
Accessory Nerve Spinal
See Nerves, Spinal Accessory
Chemodenervation, muscles��64615
Accessory, Toe
See Adenosine 5-Monophosphate
(AMP)
Acid, Aminolevulinic
See Aminolevulinic Acid (ALA)
Acid, Ascorbic
See Ascorbic Acid
Acid, Deoxyribonucleic (DNA)
See Polydactyly, Toe
See Deocyribonucleic Acid
ACE
See Angiotensin Converting
Enzyme(ACE); Performance Measure,
Interventions
Acid, Folic
See Folic Acid
Acid, Glycocholic
Acetabuloplasty.......... 27120-27122,
See Cholylglycine
Acetabulum
See Lactic acid
29915
Acid, Lactic
D
RA
FT
Incision and Drainage��44900
Arm, Lower
Incision and Drainage��25028
Auditory Canal, External
Incision and Drainage��69020
Bartholin's Gland
Incision and Drainage��56420
Bladder
Incision and Drainage��51080
Brain
Drainage via Burr Hole��61150-61151
Drainage via Craniotomy...... 6132061321
Breast
Incision and Drainage��19020
Ear, External
Incision and Drainage��69000, 69005
Elbow
Incision and Drainage�23930-23931
Epididymis
Incision and Drainage��54700
Excision��61514, 61522
Eyelid
Incision and Drainage��67700
Finger
Incision and Drainage�26010-26011
Forearm
Incision and Drainage��25028
Gums
Incision and Drainage��41800
Hand
Incision and Drainage��26034
Hip
Incision and Drainage�26990-26992
Kidney
Incision and Drainage��50020
Knee
Incision and Drainage��27301
Leg, Lower
Incision and Drainage��27603
Liver
Drainage
Open��47010
Injection��47015
Marsupialization��47300
Lung
Percutaneous Drainage��32200
Lymph Node
Incision and Drainage��38300, 38305
X-ray��76080
Acid, N-Acetylneuraminic
Acetaldehyde
Culture�� 87116
Acetaminophen
See Culture, Acid-Fast Bacilli
Acetic Anhydrides
Analysis��88312
Acetylcholinesterase
See Blood Gasses, pH
AcG(Accelerator Globulin)
See Amino Acids
Achilles Tendon
See Bile acids
Blood��82000
Analyte��82003
Analyte��84600
Blood or Urine��82013
See Clotting Factor
Incision��27605-27606
Lengthening��27612
Repair��27650-27654
Achillotomy
See Tenotomy, Achilles Tendon
Acid
Abscess, Nasal
Gastric��82930
Abscess, Parotid Gland
See Lysergic Acid Diethylamide
Absorptiometry
Esophagus�� 0241T, 91013, 91030
See Nose, Abscess
See Parotid Gland, Abscess
Dual Energy�� 3095F-3096F
Bone
Appendicular��77081
Axial Skeleton��77080
Vertebral��77082
Dual Photon
Bone��78351
Single Photon
Bone��78350
Index
Fracture
Closed Treatment��27220-27222
with Manipulation��27222
without Manipulation��27220
Open Treatment��27226-27228
Reconstruction��27120
with Resection, Femoral Head�27122
Tumor
Excision��27076
762
Acid Diethylamide, Lysergic
Acid Perfusion Study
Acid Phosphatase.......84060,84061,
84066
Acid Probes, Nucleic
See Nucleic Acid Probe
Acid Reflux Test
Esophagus�� 91034-91035, 91037-91038
Acid, Adenylic
See Sialic Acid
Acid, Phenylethylbarbituric
See Phenobarbital
Acid, Uric
See Uric Acid
Acid-Fast Bacilli (AFB)
Acid-Fast Bacillus Culture
Acid-Fast Stain
Acidity/Alkalinity
Acids, Amino
Acids, Bile
Acids, Fatty
See Fatty Acid
Acids, Guanylic
See Guanosine Monophosphate
Acne Surgery
Incision and Drainage
Abscess��10060-10061
Comedones��10040
Cyst��10040
Milia, Multiple��10040
Pustules��10040
Acne Treatment
Abrasion��15786-15787
Chemical Peel��15788-15793
Cryotherapy��17340
Dermabrasion��15780-15783
Exfoliation
Chemical��17360
Acoustic Cardiography
�� 0223T-0225T
Index
Acoustic Evoked Brain Stem Potential - See Evoked Potential, Auditory Brainstem
Acoustic Evoked Brain Stem
Potential
See Evoked Potential, Auditory
Brainstem
Acoustic Neuroma
See Brain, Tumor, Excision; Brainstem;
Mesencephalon; Skull Base Surgery
Acoustic Recording
Heart Sounds
With Computer Analysis��93799
Acoustic Respiratory
Measurements
for Wheeze Rate�� 0243T-0244T
Acromioclavicular Joint
Acupuncture
with Electrical Stimulation��97813-97814
without Electrical Stimulation��9781097811
Acute Poliomyelitis
See Polio
Acylcarnitines82016-82017
Adamantinoma, Pituitary
See Craniopharyngioma
Addam Operation
See Dupuytren's Contracture
Adductor Tenotomy of Hip
See Tenotomy, Hip, Adductor
Adrenalin - Urine
Laparoscopic��44180
Intracranial
Dissection��62161
Intrauterine
Lysis��58559
Labial
Lysis��56441
liver
Lysis��58660
Lungs
Pneumonolysis��32124, 32940
Nose
Lysis��30560
Pelvic
Lysis��58660, 58740
Penile
Lysis
Post-circumcision��54162
Preputial
Lysis��54450
Urethral
Lysis��53500
RA
FT
Arthrocentesis��20605
Arthrotomy��23044
with Biopsy��23101
Dislocation��23540-23552
Open Treatment��23550-23552
X-ray��73050
See Thromboplastin
Adenoidectomy
See Adenoids, Excision
Adenoids
Adipectomy
Excision��23130
Excision��42830-42836
with Tonsils��42820-42821
Unlisted Services and Procedures42999
Acromionectomy
Adenoma
See Activities of Daily Living
Acromion
Partial��23130
Acromioplasty23415-23420
Partial��23130
ACTH
See Adrenocorticotropic Hormone
(ACTH)
ACTH Releasing Factor
Pancreas
Excision��48120
Parathyroid
Localization
Injection Procedure��78808
Thyroid Gland Excision��60200
Adenosine 3'5' Monophosphate
See Cyclic AMP
See Lipectomy
ADL
Administration
Immunization
Each Additional Vaccine/Toxoid
��90472, 90474
with Counseling��90461
One Vaccine/Toxoid��90471, 90473
with Counseling��90460
Occlusive Substance��31634
Pharmacologic Agent��93463
See Corticotropic Relesing Hormone
(CRH)
Adenosine Diphosphate
Actigraphy
Adenosine Monophosphate
(AMP)
See Adenosine Diphosphate
Adenovirus
See CPK
Sleep Study��95803
Actinomyces
D
Antibody Detection��86602
Actinomycosis
Antibody Detection��86602
Actinomycotic Infection
See Actinomycosis
Actinotherapy96900
See Dermatology
Activated Factor X
See Stuart-Prower Factor
Activated Partial
Thromboplastin Time (aPTT)
See Thromboplastin, Partial, Time
Activation, Lymphocyte
See Blastogenesis
Activities of Daily Living
See Physical Medicine/Therapy/
Occupational Therapy
Blood��82030
Antibody Detection��86603
Antigen Detection
Enzyme Immunoassay��87301
Immunofluorescence��87260
Adenovirus Vaccine
See Vaccines
Adenylic Acid
See Adenosine Monophosphate (AMP)
ADH
See Antidiuretic Hormone
Adhesions
Epidural��62263-62264
Eye
Construction��67880
Transposition of Tarsal Plate��67882
Corneovitreal��65880
Incision
Anterior Segment��65860-65870
Posterior Segment��65875
Intestinal
Enterolysis��44005
ADP
ADP Phosphocreatine
Phosphotransferase
Adrenal Cortex Hormone
See Corticosteroids
Adrenal Gland
Biopsy��60540-60545
Excision��60540
Laparoscopy��60650
Retroperitoneal tumor��60545
Exploration��60540, 60545
Nuclear Medicine
Imaging��78075
Adrenal Medulla
See Medulla
Adrenalectomy
Anesthesia��00866
Complete��60540, 60545, 60650
Laparoscopic��50545
Partial��60540, 60545, 60650
Adrenalin
See Cathecholamines
Blood��82383
Urine��82382, 82384
763
Index
Activity, Glomerular
Procoagulant
Blood��82030
2014 PROCEDURAL CODING ADVISOR
Adrenaline-Noradrenaline - Testing
Adrenaline-Noradrenaline
Adrenocorticotropic Hormone
(ACTH) 80400-80406, 80412, 80418,
Akin Operation
Testing��82382-82384
82024
Blood or Urine��82024
Stimulation Panel��80400-80406
Adrenogenital Syndrome....56805,
57335
Adult T Cell Leukemia
Lymphoma Virus I
See HTLV-I (Human T-cell
Lymphotrophic Virus Type I)
Advanced Life Support
Advancement
Genioglossus�� 21199
Tendon
Tibia��28238
Advancement Flap
See Skin, Adjacent Tissue Transfer
Aerosol Inhalation
See Pulmonology, Therapeutic
Pentamidine��94642
AFB
See Acid-Fast Bacilli (AFB)
Afferent Nerve
See Sensory Nerve
AFP
See Bunion Repair
ALA
See Aminolevulinic Acid (ALA)
Alanine 2 Oxoglutarate
Aminotransferase
See Transaminase, Glutamic Pyruvic
Alanine Amino Transferase
(ALT)84460
See Alpha-Fetoprotein (AFP)
After Hours Medical Services
��99050
D
Agents, Anticoagulant
See Clotting Inhibitors
Agglutinin
Cold��86156-86157
Febrile��86000
Alanine Transaminase
See Transaminase, Glutamic Pyruvic
Albumin
Allergy Tests
Ischemia Modified��82045
Serum, Plasma or Whole Blood��82040
Urine��82042-82044
Alcohol
Breath��82075
Ethanol
Blood��82055
Ethylene Glycol��82693
Urine��82055
Alcohol Dehydrogenase
See Antidiuretic Hormone
Alcohol, Isopropyl
See Isopropyl Alcohol
Alcohol, Methyl
See Methanol
Aldolase
Blood��82085
Aldosterone
Blood��82088
Suppression Evaluation��80408
Urine��82088
Alimentary Canal
See Gastrointestinal Tract
Alkaline Phosphatase84075,
Aggregation
Platelet��85576
AHG
Alkaloids
See Clotting Factor
AICD (Automated Implantable
Cardioverter-Defibrillator)
See Cardioverter-Defibrillator
See Specific Drug
Urine��82101
Allergen Bronchial Provocation
Tests
Aid, Hearing
See Allergy Tests; Bronchial Challenge
Test
AIDS Antibodies
Allergen Challenge,
Endobronchial
AIDS Virus
Allergen Immunotherapy
See Hearing Aid
See HIV-1
Airway
764
Allergy Services/Procedures
See Allergen and Immunotherapy; Office
and/or Other Outpatient Services
Education and Counseling�� 99201-99215
Unlisted Services and Procedures�� 95199
84078, 84080
Leukocyte��85540
WBC��85540
See Antibody, HIV
Multiallergen Screen��86005
Allergenic Extracts
Injection�� 95115, 95117
Injection and provision��95120-95134
Insect Venom��95130-95134
Antigens
Preparation and provision��9514495165
Insect Venom��95145-94149
Insect, Whole Body Extract��95170
Rapid Desensitization��95180
RA
FT
See Emergency Department Services
Physician/Health Care Professional
Direction��99288
Index
Allograft Preparation - Liver
Leak
See Bronchoscopy
See Bronchial Challenge Test
Allergen
IgE��86003, 86005
IgG��86001
Challenge Test
Bronchial��95070-95071
Ingestion��95076, 95079
Eye Allergy��95060
Food Allergy��95076, 95079
Intradermal
Allergen Extract��95024-95028
Biologicals��95018
Drugs��95018
Incremental��95027
Venoms��95017
Nasal Mucous Membrane Test��95065
Nose Allergy��95065
Patch
Application Tests��95044
Photo Patch��95052
Photosensitivity��95056
Skin Tests
Allergen Extract95004, 95024, 95027
Biologicals��95018
Drugs��95018
Venoms��95017
Allogeneic Donor
Lymphocyte Infusion��38242
Allogeneic Transplantation
See Homograft
Hematopoietic Progenitor cells��38240
Allograft
Aortic Valve��33406, 33413
Bone
Elbow Joint��24370, 24371
Sacroiliac joint
for stabilization��0334T
Shoulder Joint��23473-23474
Spine Surgery
Morselized��20930
Structural��20931
Cartilage
Knee��27415
Lung Transplant��32850
Allograft Preparation
Cornea��65757
Heart��33933, 33944
Intestines��44715-44721
Kidney��50323-50329
Liver��47143-47147
Index
Allograft Preparation - Lung
Lung��32855-32856, 33933
Pancreas��48551-48552
Renal��50323-50329
Allotransplantation
Intestines��44135-44136
Removal��44137
Renal��50360-50365
Removal��50370
Almen Test
See Blood, Feces
Alpha-2 Antiplasmin85410
Alpha-Fetoprotein (AFP)
Analgesic Cutaneous Electrostimulation - See Application, Neurostimulation
See Transaminase
Aminotransferase, Alanine
See Transaminase, Glutamic-Pyruvic
Aminotransferase, Aspartate
See Transaminase, GlutamicOxaloacetic
Amitriptyline
Assay��80152
Ammonia
Blood��82140
Amniocenteses
Amniotic Fluid��82106
Serum��82105, 82107
See Amniocentesis
Alpha-l-Antitrypsin82103-82104
See Chromosome Analysis
Diagnostic��59000
Induced Abortion��59850
with Dilation and Curettage��59851
with Dilation and Evacuation��59851
with Hysterotomy��59852
Therapeutic
Amniotic Fluid Reduction��59001
RA
FT
Alphatocopherol84446
ALT
See Transaminase, Glutamic Pyruvic
Altemeier Procedure
See Procidentia, Rectum; Rectum,
Prolapse, Excision
Aluminum
Blood��82108
Alveola
Amniocentesis
Total��69120
Finger��26910-26952
Foot��28800-28805
Hand at Metacarpals��25927
at Wrist��25920
Revision��25922
Revision��25924, 25929, 25931
Interpelviabdominal��27290
Interthoracoscapular��23900
Leg, Lower��27598, 27880-27882
Revision��27884, 27886
Leg, Upper��27590-27592
at Hip��27290, 27295
Revision��27594, 27596
Metacarpal��26910
Metatarsal��28810
Penis
Partial��54120
Radical��54130, 54135
Total��54125
Thumb��26910, 26951-26952
Toe��28810, 28820, 28825
Tuft of Distal Phalanx�� 11752
Upper Extremity��24900-24940
Cineplasty��24940
Revision��24925, 24930, 24935
with Implant��24931-24935
Fracture
Closed Treatment��21421
Open Treatment��21422-21423
Alveolar Cleft
Ungrafted Bilateral�� 21147
Ungrafted Unilateral�� 21146
Alveolar Nerve
Avulsion��64738
Incision��64738
Transection��64738
D
Alveolar Ridge
Fracture
Closed Treatment��21440
Open Treatment��21445
Amnioinfusion
Transabdominal��59070
Amnion
Amniocentesis��59000
with Amniotic Fluid Reduction��59001
Amnioinfusion
Transabdominal��59070
Membrane Placement
Eye��65778-65779
Amniotic Fluid
Alpha-Fetoprotein��82106
Scan��82143
Testing��83661, 83663-83664
Amputation through Hand
See Hand, Amputation
Amputation, Nose
See Resection, Nose
Amylase
Blood��82150
Urine��82150
ANA
See Antinuclear Antibodies (ANA)
Anabolic Steroid
Amniotic Membrane
See Androstenedione
Amobarbital82205
See Abscess, Anal
See Amnion
Anal Abscess
AMP
Anal Bleeding
AMP, Cyclic
Anal Fistula
Alveolus
Amphetamine
Anal Fistulectomy
Amide, Procaine
Amputation
Anal Fistulotomy
Alveolectomy41830
Alveoloplasty41874
Excision��41830
See Procainamide
Amikacin
Assay��80150
Amine
Vaginal Fluid��82120
Amino Acids82127-82139
Aminolevulinic Acid (ALA)
Blood or Urine��82135
See Cyclic AMP
Blood or Urine��82145
See Radical Resection; Replantation
Ankle��27888
Arm, Lower��25900-25905, 25915
Revision��25907, 25909
Arm, Upper��24900-24920
and Shoulder��23900-23921
Cineplasty��24940
Revision��24925-24930
with Implant��24931-24935
Cervix
Total��57530
Ear
Partial�� 69110
See Anus, Hemorrhage
See Fistula, Anal
See Excision, Fistula, Anal
See Fistulotomy, Anal
Anal Sphincter
Dilation��45905
Incision��46080
Anal Ulceration
See Anus, Fissure
Analgesia
See Anesthesia; Sedation
Analgesic Cutaneous
Electrostimulation
See Application, Neurostimulation
765
Index
Aminotransferase
See Adenosine Monophosphate (AMP)
2014 PROCEDURAL CODING ADVISOR
Analysis - Computer Data
Analysis
Anastomosis, Hepatic Duct
See Hepatic Duct, Anastomosis
Anderson Tibial Lengthening
��27715
See Ankle; Tibia, Osteoplasty,
Lenghtening
Androstanediol Glucuronide
��82154
Androstanolone
See Dihydrotestosterone
Androstenedione
Blood or Urine��82157
Androstenolone
See Dehydroepiandrosterone
D
RA
FT
Computer Data��99090
Cardiovascular Monitoring��93290,
93297, 93299
Device Evaluation and
Programming
Cardioverter-Defibrillator
��0326T-0328T,93282-93299
Loop Recorder��93285, 93291,
93298-93299
Pacemaker��93279-93281,
93293-93294
Electrocardiograph Data Analysis
��0206T
Pacemaker��93288, 93293-93294
Electroencephalogram
Digital��95957
Electronic
Drug Infusion Pump��62367-62370
Pacing Cardioverter-Defibrillator
See Pacemaker, Heart
Data Analysis��93289, 93295-93296
Initial Evaluation��93640,93641
Pulse generator
Neurostimulator��95970-95982
Multianalyte Assays with Algorithmic
Analysis(MAAA)
Risk Score
Endocrinology Analytes��81506
Fetal Aneuploidy DNA Sequence
��81507
Fetal Congenital Abnormalities
��81508-81512
Ovarian Oncology Proteins
��81500,81503
Tissue Similarity Score
Gene Expression for Oncology
��81504
Unlisted Assay��81599
Physiologic Data, Remote��99091
Protein
Tissue
Western Blot��88372
Semen��89320-89322
Sperm Isolation��89260-89261
Anesthesia - Arthroscopic Procedures
Cavopulmonary��33622, 33768
Colorectal��44626
Epididymis
to Vas Deferens
Bilateral��54901
Unilateral��54900
Excision
Trachea��31780-31781
Fallopian Tube��58750
Gallbladder to Intestine��47720-47740
Hepatic Duct to Intestine��47765, 47802
Ileum to Anus�� 45113
Intestine to Intestine��44130
Intestines
Colon to Anus�� 45119
Cystectomy��51590
Enterocystoplasty��51960
Ileoanal��44157-44158
Resection
Laparoscopic��44202-44205
Intrahepatic Portosystemic�37182-37183
Jejunum��43820-43825
Microvascular
Free Transfer
Jejunum��43496
Nerve
Facial to Hypoglossal��64868
Facial to Phrenic��64870
Oviduct��58750
Pancreas to Intestines��48520, 48540,
48548
Portocaval��37140
Pulmonary��33606
Renoportal��37145
Splenorenal��37180-37181
Stomach
to Duodenum��43810, 43855
Revision��43850
to Jejunum��43820-43825,
43860-43865
Tubotubal��58750
Ureter
to Bladder��50780-50785
to Colon��50810-50815
Removal��50830
to Intestine��50800, 50820, 50825
Removal��50830
to Kidney��50727-50750
to Ureter50725-50727, 50760, 50770
Vein
Saphenopopliteal��34530
Vein to Vein 37140-37160, 37182-37183
Analysis, Spectrum
See Spectrophotometry
Anaspadias
See Epispadias
Index
Anastomosis
Arteriovenous Fistula
Direct��36821
with Bypass Graft��35686
with Graft��36825, 36830, 36832
Artery
to Aorta��33606
to Artery
Cranial�� 61711
Bile Duct
to Bile Duct��47800
to Intestines��47760, 47780
Bile Duct
to Gastrointestinal��47780, 47785
Broncho-Bronchial��32486
Caval to Mesenteric��37160
766
Anastomosis of Lacrimal Sac to
Conjunctival Sac
See Conjunctivorhinostomy
Anastomosis of Pancreas
See Pancreas, Anastomosis
Anastomosis, Aorta-Pulmonary
Artery
See Aorta, Anastomosis, to Pulmonary
Artery
Anastomosis, Bladder, to
Intestine
See Enterocystoplasty
Androsterone
Blood or Urine��82160
Anesthesia
See Analgesia
Abbe-Estlander Procedure��00102
Abdomen
Abdominal Wall��00700, 00730,
00800-00802, 00820, 00836
Halsted Repair��00750-00756
Blood Vessels��00770, 00880-00882
Endoscopy��00740, 00810
Extraperitoneal��00860-00870
Hernia Repair��00830-00836
Halsted Repair��00750-00756
Intraperitoneal��00790-00797,
00840-00851
Abdominoperineal Resection��00844
Abortion
Incomplete��01965
Induced��01966
Achilles Tendon Repair��01472
Acromioclavicular Joint��01620
Adrenalectomy��00866
Amniocentesis��00842
Aneurysm
Axillary-Brachial��01652
Knee��01444
Popliteal Artery��01444
Angiography��01920
Ankle��00400, 01462-01522
Anorectal Procedure��00902
Anus��00902
Arm
Lower��00400, 01810-01820,
01830-01860
Upper��00400, 01710-01782
Arrhythmias��00410
Arteriography��01916
Arteriovenous Fistula��01432
Arthrography
Arthroplasty
Hip��01214-01215
Knee��01402
Arthroscopic Procedures
Ankle��01464
Elbow��01732-01740
Foot��01464
Hip��01202
Knee��01382, 01400
Index
Anesthesia - Arthroscopic Procedures
Anesthesia - Nephrectomy
Ear��00120-00126
Elbow��00400, 01710-01782
Electrocoagulation
Intracranial Nerve��00222
Electroconvulsive Therapy��00104
Embolectomy
Arm, Upper��01772
Femoral��01274
Femoral Artery��01274
Forearm, Wrist and Hand��01842
Leg, Lower��01502
Endoscopy
Arm, Lower��01830
Gastrointestinal��00740
Intestines��00810
Uterus��00952
Vagina��00950
Esophagus��00320, 00500
External Cephalic Version��01958
Eye��00140-00148
Cornea��00144
Iridectomy��00147
Iris��00147
Lens��00142
Eyelid��00103
Facial Bones��00190, 00192
Fallopian Tube
Ligation��00851
Femoral Artery
Embolectomy��01274
Ligation��01272
Femur��01220-01234, 01340, 01360
Fibula��01390-01392
Foot��01462-01522
Forearm�� 01810-01820, 01830-01860
Fowler-Stephens Orchiopexy��00930
Gastrocnemius Recession��01474
Gastrointestinal Endoscopy��00740
Genitalia
Female��00940-00952
Male��00920-00938
Great Vessels of Chest��00560-00563
Hand00400, 01810-01820, 01830-01860
Harrington Rod Technique��00670
Head��00210-00222, 00300
Muscles��00300
Nerves��00300
Heart��00560-00567, 00580
Coronary Artery Bypass Grafting
��00566, 00567
Electrophysiology/Ablation��00537
Transplant��00580
Hepatectomy
Partial��00792
Hernia Repair
Abdomen
Lower��00830-00836
Upper��00750-00752, 00756
Hip��01200-01215
Humerus��01620, 01730, 01742-01744,
01758
Hysterectomy��01962
Cesarean��01963, 01969
Radical��00846
Vaginal��00944
Hysterosalpingography��00952
Hysteroscopy��00952
Induced Abortion��01966
Inferior Vena Cava Ligation��00882
Nerve��01991-01992
Integumentary System
Anterior Trunk��00400
Arm, Upper��00400
Axilla��00400
Elbow��00400
Extremity��00400
Forearm��00400
Hand��00400
Head��00300
Knee��00400
Leg, Lower��00400
Leg, Upper��00400
Neck��00300
Perineum��00400
Popliteal Area��00400
Posterior Pelvis��00300
Posterior Trunk��00300
Shoulder��00400
Wrist��00400
Intestines
Endoscopy��00810
Intracranial Procedures��00210-00218,
00220-00222
Intraoral Procedures��00170-00176
Intrathoracic Procedures
Bronchi��00539, 00548
Trachea��00539, 00548
Intrathoracic System��00500,
00520-00529, 00530-00539, 0054000548, 00550, 00560-00567, 00580
Iridectomy��00147
Keen Operation��00604
Kidney��00862, 00868, 00872-00873
Knee��00400, 01320,
01340, 01360, 01380-01404, 01420,
01430-01432, 01440-01444
Knee Skin��00400
Laminectomy��00604
Laparoscopy��00790-00792, 00840
Larynx��00320, 00326
Leg
Lower��01462-01522
Upper��01200-01274
Leriche Operation��00622
Life Support for Organ Donor��01990
Ligation
Fallopian Tube��00851
Lithotripsy��00872-00873
Liver��00702, 00796
Transplant��00796
Liver Hemorrhage��00792
Lumbar Puncture��00635
Lungs��00522, 00539, 00540-00548
Transplant��00580
Lymphadenectomy��00934, 00936
Lymphatic System��00320
Mammoplasty��00402
Manipulation of Temporomandibular
Joint(s) (TMJ)
Therapeutic��21073
Mediastinoscopy��00528-00529
Mediastinum00528-00529, 00540-00541
Mouth��00170, 00172
Neck00300, 00320-00322, 00350-00352
Nephrectomy��00862
D
RA
FT
Shoulder��01622-01638
Wrist��01829-01830
Axilla��00400, 01610-01682
Back Skin��00300
Batch-Spittler-McFaddin Operation
��01404
Biopsy
Ear��00120
Liver��00702
Salivary Glands��00100
Bladder��00870, 00912
Brain�� 00210-00218, 00220-00222
Breast��00402-00406
Bronchi��00542
Intrathoracic Repair of Trauma� 00548
Reconstruction��00539
Bronchoscopy��00520
Burns
Debridement and/or Excision��0195101953
Burr Hole��00214
Bypass Graft
Leg, Lower��01500
Leg, Upper��01270
Shoulder, Axillary��01654, 01656
Cardiac Catheterization��01920
Cast
Knee��01420
Cast Application
Forearm, Wrist and Hand��01860
Leg��01490
Pelvis�� 01130
Shoulder��01680, 01682
Central Venous Circulation��00532
Cervical Cerclage��00948
Cervix��00948
Cesarean Section��01961, 01963
Chemonucleolysis��00634
Chest��00410, 00470-00474, 00522,
00530-00539, 00542-00548, 00550
Chest Skin��00400
Childbirth
Cesarean Delivery��01961, 01963,
01968-01969
External Cephalic Version��01958
Vaginal Delivery��01960, 01967
Clavicle��00450-00454
Cleft Lip Repair��00102
Cleft Palate Repair��00172
Colpectomy��00942
Colporrhaphy��00942
Colpotomy��00942
Corneal Transplant��00144
Craniectomy�� 00211
Cranioplasty��00215
Craniotomy�� 00211
Culdoscopy��00950
Cystectomy��00864
Cystolithotomy��00870
Decortication��00542
Defibrillator��00534, 00560
Diaphragm��00540-00541
Disarticulation
Hip��01212
Knee��01404
Shoulder��01634
Drug Administration
Epidural or Subarachnoid��01996
Index
767
2014 PROCEDURAL CODING ADVISOR
Anesthesia - Neuraxial
Aneurysm Repair - Celiac Artery
Ankle��01486
Elbow��01760
Hip��01212, 01214-01215
Knee��01402
Shoulder��01638
Wrist��01832
Restriction
Gastric
for Obesity��00797
Retropharyngeal Tumor Excision��00174
Rib Resection��00470-00474
Sacroiliac Joint�� 01160, 01170
Salivary Glands��00100
Scheie Procedure��00147
Sedation
Moderate��99148-99150
with Independent Observation
��99143-99145
Seminal Vesicles��00922
Shoulder��00400, 00450-00454,
01610-01682
Shunt
Spinal Fluid��00220
Sinuses
Accessory��00160-00164
Skull��00190
Skull Fracture
Elevation��00215
Special Circumstances
Emergency��99140
Extreme Age��99100
Hypotension��99135
Hypothermia�� 99116
Spinal Instrumentation��00670
Spinal Manipulation��00640
Spine and Spinal Cord��00600-00604,
00620, 00670
Cervical�00600-00604, 00640, 00670
Injection��62310-62319
Lumbar��00630-00635, 00640, 00670
Percutaneous Image Guided��0193501936
Thoracic�00620-00626, 00640, 00670
Vascular��00670
Sternoclavicular Joint��01620
Sternum��00550
Stomach
Restriction
for Obesity��00797
Strayer Procedure��01474
Subdural Taps��00212
Suture Removal��15850-15851
Sympathectomy
Lumbar��00632
Thoracolumbar��00622
Symphysis Pubis�� 01160, 01170
Tenodesis��01716
Tenoplasty��01714
Tenotomy��01712
Testis��00924-00928, 00930
Thoracoplasty��00472
Thoracoscopy��00528-00529,
00540-00541
Thoracotomy��00540-00541
Thorax�� 00400-00410, 00450-00454,
00470-00474
Thromboendarterectomy��01442
Thyroid��00320-00322
Tibia��01390-01392, 01484
Trachea��00320, 00326, 00542
Reconstruction��00539
Transplantation
Cornea��00144
Heart��00580
Kidney��00868
Liver��00796, 01990
Lungs��00580
Organ Harvesting��01990
Transurethral Procedures��00910-00918
Tubal Ligation��00851
Tuffier Vaginal Hysterectomy��00944
TURP��00914
Tympanostomy��00120
Tympanotomy��00126
Unlisted Services and Procedures01999
Urethra��00910, 00918-00920, 00942
Urethrocystoscopy��00910
Urinary Bladder��00864, 00870, 00912
Urinary Tract��00860
Uterus��00952
Vagina��00940-00942, 00950
Vaginal Delivery��01960
Vas Deferens
Excision��00921
Vascular Access��00532
Vascular Shunt��01844
Vascular Surgery
Abdomen, Lower��00880-00882
Abdomen, Upper��00770
Arm, Lower��01840-01852
Arm, Upper��01770-01782
Brain��00216
Elbow��01770-01782
Hand��01840-01852
Knee��01430-01444
Leg, Lower��01500-01522
Leg, Upper��01260, 01270-01274
Neck��00350-00352
Shoulder��01650-01670
Wrist��01840-01852
Vasectomy��00921
Venography��01916
Ventriculography��00214, 01920
Vertebroplasty��01936
Vitrectomy��00145
Vitreoretinal Surgery��00145
Vitreous Body��00145
Vulva��00906
Vulvectomy��00906
Wertheim Operation��00846
Wrist��00400, 01810-01860
Index
D
RA
FT
Neuraxial
Cesarean Delivery��01968-01969
Labor��01967-01969
Vaginal Delivery��01967
Neurectomy�� 01180, 01190
Nose��00160-00164
Removal
Foreign Body��30310
Omphalocele��00754
Ophthalmoscopy��00148
Orchiectomy��00926, 00928
Orchiopexy��00930
Torek Procedure��00930
Organ Harvesting
Brain-Dead Patient��01990
Osteoplasty
Tibia/Fibula��01484
Osteotomy
Humerus��01742
Tibia/Fibula��01484
Other Procedures��01990, 01996-01999
Otoscopy��00124
Pacemaker Insertion��00530
Pacing Cardioverter/Defibrillator��00534
Pancreas��00794
Pancreatectomy��00794
Panniculectomy��00802
Patella��01390-01392
Pectus Excavatum��00474
Pelvic Exenteration��00848
Pelvis��00400, 00865, 01112, 01190
Amputation�� 01140
Bone�� 01120
Bone Marrow�� 01112
Examination��57400
Extraperitoneal��00864
Intraperitoneal��00844-00848
Repair�� 01173
Skin��00300, 00400
Penis��00932-00938
Pericardial Sac��00560-00563
Perineum��00904-00908
Pharynx��00174, 00176
Phleborrhaphy
Arm, Upper��01782
Forearm, Wrist and Hand��01852
Pleura��00540-00541
Needle Biopsy��00522
Pneumocentesis��00524
Popliteal Area��00400, 01320,
01430-01444
Prognathism��00192
Prostate��00865, 00908, 00914
Prostatectomy
Perineal��00908
Radical��00865
Walsh Modified Radical��00865
Radiologic Procedures��01916-01936
Arterial
Therapeutic��01924-01926
Spine and Spinal Cord
Percutaneous Image Guided0193501936
Venous/Lymphatic
Therapeutic��01930-01933
Renal Procedures��00862
Repair of Skull��00215
Replacement
768
Anesthesia Local
See Anesthesia, Local
Aneurysm Repair
See Aorta; Artery
Abdominal Aorta��0081T, 34800-34805,
34825-34832, 35081-35103, 7595275953
Axillary Artery�� 35011, 35013
Basilar Artery��61698, 61702
Brachial Artery�� 35011, 35013
Carotid Artery��35001-35002, 61613,
61697, 61700, 61703
Celiac Artery��35121-35122
Index
Aneurysm Repair - Femoral Artery
Femoral Artery��35141-35142
Hepatic Artery��35121-35122
Iliac Artery��34900, 35131-35132,
75953-75954
Innominate Artery��35021-35022
Intracranial Artery��61705-61708
Mesenteric Artery��35121-35122
Popliteal Artery��35151-35152
Radial Artery��35045
Renal Artery��35121-35122
Splenic Artery�� 35111-35112
Subclavian Artery��35001-35002,
35021-35022
Thoracoabdominal Aorta��33877
Ulnar Artery��35045
Vertebral Artery��61698, 61702
Blood Vessel��35201-35286
Vein��35879
Percutaneous Transluminal
See Angioplasty; Percutaneous,
Transluminal
Coronary��92920-92921
Pulmonary��92997-92998
Perineal Artery��37228
Popliteal Artery
Intraoperative��37224
Pulmonary Artery
Percutaneous Transluminal��9299792998
Renal Artery
Intraoperative��35450
Percutaneous��35471
Subclavian Artery
Intraoperative��35458
Tibial/peroneal Artery
Intraoperative��37228
Transluminal
Arterial
Radiological Supervision��7596275968
Balloon
Open��35450-35460
Percutaneous��35471-35476
Venous��75978
Venous
Open��35460
Percutaneous��35476
Visceral Artery
Open��35450
Percutaneous��35471
With Endovascular Repair��34841-34848
with Intravascular Stent Placement
��37217,37236-37239
RA
FT
Angel Dust
Ankle - See Fibula; Leg, Lower; Tibia; Tibiofibular Joint
Injection��93565
See Cardiac Catheterization,
Injection
Leg Artery��73706, 75635, 75710-75716
Lung
Injection��93568
See Cardiac Catheterization,
Injection
Magnetic Resonance (MRA)
See Magnetic Resonance
Angiography (MRA)
Mammary Artery��75756
See Aortography
Neck��70498, 70547-70549
Non-Cardiac Vascular Flow��78445
Other Artery��75774
Pelvis��72191, 72198, 74174, 75736
Pulmonary��75741-75746, 93568
Renal Artery��36251-36254
Right Heart
Injection��93566
Selective Catheterization
See Angiography (select vessel
name)
Shunt��75791
Spinal Artery��75705
Spinal Canal��72159
Thorax��71275
Transcatheter Therapy
Embolization��75894, 75898
Infusion��75896, 75898
Ventricular��93565-93566
Vertebral Artery��36221, 36225-36226,
36228
See Phencyclidine
Angina Assessment
See Performance Measure, Patient
History
Angiocardiographies
See Heart, Angiography
Angiography
D
Angioma
See Lesion, Skin
Angioplasties, Coronary
Balloon
See Percutaneous Transluminal
Angioplasty
Angioplasty
Aorta
Intraoperative��35452
Percutaneous��35472
Axillary Artery
Intraoperative��35458
Brachiocephalic Artery
Intraoperative��35458
Percutaneous��35475
Coronary Artery
Percutaneous Transluminal��9292092921
with Atherectomy��92937-92938,
92941, 92943-92944
with Stent Placement��92928-92929,
92937-92938, 92941, 92943-92944
Femoral Artery
Intraoperative��37224
for Revascularization
Intracoronary��92937-92938, 92941,
92943-92944
Iliac Artery
Intraoperative��37220, 37222
Intracranial
Percutaneous��61630
Patch
Angioscopy
Noncoronary vessels��35400
Angiotensin Converting Enzyme
(ACE)82164
See Performance Measures
Angiotensin Forming Enzyme
See Renin
Angiotensin I84244
Riboflavin��84252
Angiotensin II
Blood or Urine��82163
Angle Deformity
Toe
Reconstruction��28313
Anhydrides, Acetic
See Acetic Anhydrides
Anhydrides,Carbonic
See Carbon Dioxide
Animal Inoculation87001-87003,
87250
Ankle
See Fibula; Leg, Lower; Tibia;
Tibiofibular Joint
769
Index
See Aortography
Abdomen��74174-74175, 74185, 75635,
75726
Abdominal Aorta��75635, 75952-75953
Adrenal��75731, 75733
Aorta
Injection��93567
Arm Artery��73206, 75710, 75716
Arteriovenous Shunt��75791
Atrial��93565-93566
Brachial Artery��75658
Brain��70496
Bypass Graft��93455, 93457, 93459,
93461
Carotid Artery��36221, 36222, 36223,
36224, 36225, 36226, 36227, 36228
Cervicocerebral Arch��36221, 36222,
36223, 36224, 36225, 36226
Chest��71275, 71555
Common Carotid
Selective Catheterization��36222,
36223
Congenital Heart��93563-93564
Coronary Artery��93454-93461, 93563
Flow Velocity Measurement��9357193572
Endovascular Repair��75952-75957
Extracranial Carotid
Non-Selective��36221
Selective��36222, 36223, 36224
Extremity, Lower��73725
Extremity, Upper��73225
Fluorescein��92235
Head��70496, 70544-70546
Heart Vessels
Injection��93454-93461, 93563,
93565-93566
Indocyanine-Green��92240
Innominate Artery��36222-36223, 36225
Intracranial��36221, 36223-36224
Left Heart
2014 PROCEDURAL CODING ADVISOR
Ankle - Abscess
Antibody - Detection
Anorectal Exam (Surgical)45990
Anorectal Fistula
Repair��46706-46707
Anorectal Myectomy
See Myomectomy, Anorectal
Anorectovaginoplasty4674446746
Anoscopy
Ablation
Polyp��46615
Tumor��46615
Biopsy��46606
Dilation��46604
Exploration��46600
Hemorrhage��46614
High Resolution Anoscopy (HRA)
Diagnostic��0226T
with Biopsy(ies)��0227T
Removal
Foreign Body��46608
Polyp��46610-46612
Tumor��46610-46612
with Delivery of Thermal Energy��0288T
Minimum Lethal Concentration� 87187
Antibodies, Thyroid-Stimulating
See Immunoglobulin, ThyroidStimulating
Antibodies, Viral
See Viral Antibodies
Antibody
See Antibody Identification; Microsomal
Antibody
Detection
Actinomyces��86602
Adenovirus��86603
Antinuclear��86038-86039
AntiPhosphatidylserine
(Phospholipid)��86148
Antistreptolysin 0��86060, 86063
Aspergillus��86606
Bacterium��86609
Bartonella�� 86611
Beta-2 Glycoprotein I��86146
Blastomyces��86612
Blood Crossmatch��86920-86923
Bordetella��86615
Borrelia��86617-86619
Brucella��86622
C-Reactive Protein (CRP)��8614086141
Campylobacter��86625
Candida��86628
Cardiolipin��86147
Chlamydia��86631-86632
Coccidioides��86635
Coxiella Burnetii��86638
Cryptococcus��86641
Cyclic Citrullinated Peptide (CCP)
��86200
Cytomegalovirus (CMV)86644-86645
Cytotoxic Screen��86807-86808
Deoxyribonuclease��86215
Deoxyribonucleic Acid (DNA)��8622586226
Diphtheria��86648
Ehrlichia��86666
Encephalitis��86651-86654
Enterovirus��86658
Epstein-Barr Virus��86663-86665
Fc Receptor��86243
Fluorescent��86255-86256
Francisella Tularensis��86668
Fungus, Other��86671
Giardia Lamblia��86674
Growth Hormone��86277
Helicobacter Pylori��86677
Helminth��86682
Hemophilus Influenzae��86684
Hepatitis
Delta Agent��86692
Hepatitis A��86708-86709
Hepatitis B
Core��86704
IgM��86705
Surface��86706
Hepatitis Be��86707
Hepatitis C��86803-86804
Herpes Simplex��86694-86696
Heterophile��86308-86310
D
RA
FT
Abscess
Incision and Drainage��27603
Amputation��27888
Arthrocentesis��20605
Arthrodesis��27870
Arthrography��73615
Arthroplasty��27700, 27702-27703
Arthroscopy
Surgical��29891, 29894-29899
Arthrotomy�� 27610-27612, 27620-27626
Biopsy��27613-27614, 27620
Bursa
Incision and Drainage��27604
Disarticulation��27889
Dislocation
Closed Treatment��27840, 27842
Open Treatment��27846, 27848
Exploration��27610, 27620
Fracture
Bimalleolar��27808-27814
Lateral��27786-27814
Medial�� 27760-27766, 27808-27814
Posterior27767-27769, 27808-27814
Trimalleolar��27816-27823
Fusion��27870
Hematoma
Incision and Drainage��27603
Incision��27607
Injection
Radiologic��27648
Lesion
Excision��27630
Magnetic Resonance Imaging (MRI)
��73721-73723
Manipulation��27860
Removal
Foreign Body��27610, 27620
Implant��27704
Loose Body��27620
Repair
Achilles Tendon��27650-27654
Ligament��27695-27698
Tendon��27612, 27680-27687
Strapping��29540
Synovium
Excision��27625-27626
Tenotomy��27605-27606
Tumor
Radical Resection��27615-27616
Soft Tissue Excision��27618-27619,
27630,27632,27634
Unlisted Services and Procedures27899
X-ray��73600-73610
with Contrast��73615
Ankylosis (Surgical)
See Arthrodesis
Annuloplasty
See Forearm
Antecedent, Plasma
Thromboplastin
See Plasma Thromboplastin, Antecedent
Antepartum Care
Cesarean Delivery��59510
Previous��59610, 59618
Vaginal Delivery��59400, 59425-59426
Anterior Chamber Fluid,Eye
See Paracentasis,Eye
Anterior Ramus of Thoracic
Nerve
See Intercostal Nerve
Anthrax Vaccine
See Vaccines
Anthrogon
See Follicle Stimulating Hormone (FSH)
Anti Australia Antigens
See Antibody, Hepatitis B
Anti D Immunoglobulin
See Immune Globulins, Rho (D)
Antiactivator, Plasmin
See Alpha-2 Antiplasmin
Antibiotic Administration
Intradiscal
Percutaneous��22526-22527
Injection��96372-96379
Prescribed or Dispensed��4120F, 4124F
Anogenital Region
Antibiotic Sensitivity
See Perineum
Anoplasty
Stricture��46700, 46705
Index
Antebrachium
Anorectal Biofeedback90911
770
Susceptibility Studies��87181-87184,
87188
Enzyme Detection��87185
Minimum Inhibitory Concentration
��87186
Index
Antibody - Detection
Antihuman Globulin Consumption Test - See Coombs Test
Solid Phase Assay��86828-86835
Antibody Neutralization Test
See Neutralization Test
Antibody Receptor
See Fc Receptor
Antibody Screening
Cytotoxic Percent Reactive Antibody
(PRA)��86807-86808
Fluorescent Noninfectious��86255
Anticoagulant
See Clotting Inhibitors
Anticoagulant Management
Outpatient��99363-99364
Antidiabetic Hormone
Respiratory Syncytial Virus��87420
Rotavirus��87425
Shigella-like Toxin��87427
Streptococcus, Group A��87430
Immunoassay
Direct Optical
Clostridium Difficile Toxin A��87803
Influenza��87804
Respiratory Syncytial Virus��87807
Streptococcus, Group B��87802
Trichomonas Vaginalis��87808
Immunofluorescence
Adenovirus��87260
Bordetella Pertussis��87265
Chlamydia Trachomatis��87270
Cryptosporidium��87272
Giardia��87269
Herpes Simplex��87273-87274
Influenza A��87276
Influenza B��87275
Legionella Micdadei��87277
Legionella Pneumophila��87278
Organism, other��87299
Parainfluenza Virus��87279
Pneumocystis Carinii��87281
Polyvalent��87300
Respiratory Syncytial Virus��87280
Rubeola��87283
Treponema Pallidum��87285
Varicella Zoster��87290
D
RA
FT
Histoplasma��86698
HIV��86689, 86701-86703
HIV-1��86701, 86703
HIV-2��86702-86703
HTLV-I��86687, 86689
HTLV-II��86688
Human Leukocyte Antigens (HLA)
��86828-86835
Infectious Agent, Other��86317
Influenza Virus��86710
Insulin��86337
Intrinsic Factor��86340
Islet Cell��86341
JC (John Cunningham) Virus�� 86711
Legionella��86713
Leishmania��86717
Leptospira��86720
Listeria Monocytogenes��86723
Lyme Disease��86617
Lymphocytic Choriomeningitis��86727
Lymphogranuloma Venereum��86729
Malaria��86750
Microsomal��86376
Mucormycosis��86732
Mumps��86735
Mycoplasma��86738
Neisseria Meningitidis��86741
Nocardia��86744
Nuclear Antigen��86235
Parvovirus��86747
Phospholipid��85597, 86147
Neutralization��85597-85598
Plasmodium��86750
Platelet��85597, 86022-86023
Protozoa��86753
Red Blood Cell�86850, 86860, 86870
Respiratory Syncytial Virus��86756
Rickettsia��86757
Rotavirus��86759
Rubella��86762
Rubeola��86765
Salmonella��86768
Shigella��86771
Sperm��89325
Streptokinase��86590
Tetanus��86774
Thyroglobulin��86800
Toxoplasma��86777-86778
Treponema Pallidum��86780
Trichinella��86784
Tuberculosis��86580
Varicella-Zoster��86787
Virus, Other��86790
West Nile Virus��86788-86789
White Blood Cell��86021
Yersinia��86793
Antibody Identification
Antidiuretic Hormone
Measurement
Vasopressin��84588
AntiDNA Autoantibody
See Antinuclear Antibodies (ANA)
Antigen
See Antigen Detection
Allergen Immunotherapy��95144-95149,
95165, 95170
Carcinoembryonic��82378
Prostate Specific��84152-84153
Antigen Bronchial Provocation
Tests
See Bronchial Challenge Test
Antigen Detection
Direct Fluorescence
Cytomegalovirus��87271
Enterovirus��87267
Enzyme Immunoassay
Adenovirus��87301
Aspergillus��87305
Chlamydia Trachomatis��87320
Clostridium Difficile��87324
Cryptococcus Neoformans��87327
Cryptosporidium��87328
Cytomegalovirus��87332
Entamoeba Histolytica Dispar Group
��87336
Entamoeba Histolytica Group��87337
Escherichia Coli 0157��87335
Giardia��87329
Helicobacter Pylori��87338-87339
Hepatitis B Surface Antigen (HBsAg)
��87340
Neutralization��87341
Hepatitis Be Antigen (HBeAg)��87350
Hepatitis Delta Agent��87380
Histoplasma Capsulatum��87385
HIV-1��87389-87390
HIV-2��87391
Infectious agent, Otherwise��87449,
87451
Influenza A��87400
Influenza B��87400
Polyvalent��87451
Antigen, Australia
See Hepatitis Antigen, B Surface
Antigen, CD4
See CD4
Antigen, CD8
See CD8
Antigens, CD142
See Thromboplastin
Antigens, CD143
See Angiotensin Converting Enzyme
(ACE)
Antigens, E
See Hepatitis Antigen, Be
Antigens, Hepatitis
See Hepatitis Antigen
Antigens, Hepatitis B
See Hepatitis Antigen, B
Antihemophilic Factor B
See Christmas Factor
Antihemophilic Factor C
See Plasma Thromboplastin, Antecedent
Antihemophilic Globulin (AHG)
85240
Antihuman Globulin86880-86886
Antihuman Globulin
Consumption Test
See Coombs Test
771
Index
Fluorescent��86255-86256
Immunoassay��83516, 83518-83520
Immunoelectrophoresis��86320, 96325,
86327, 86334-86335
Leukocyte Antibodies��86021,
96828-86835
Platelet��86022-86023
Red Blood Cell��86850,86860,86870
Pretreatment��86970-86972,
86975-86978
See Glucagon
2014 PROCEDURAL CODING ADVISOR
Antimony
Aortic Sinus - See Sinus/Sinuses, Sinus of Valsalva
Antimony83015
Antinuclear Antibodies (ANA)
86038-86039
Antiphospholipid Antibody
See Antibody, Phospholipid
Antiplasmin, Alpha-285410
Antiplatelet Therapy
See Performance Measures,
Interventions
Antiprotease, Alpha 1
See Alpha-1 Antitrypsin
Antistreptococcal Antibody86215
Antistreptolysin 086060-86063
Antithrombin III85300-85301
Antithrombin VI
See Fibrin Degradation Products
Antitoxin Assay87230
Antiviral Antibody
See Viral Antibodies
Antrostomy
Sinus
Maxillary��31256, 31267
Antrotomy
Sinus
Maxillary��31020. 31030, 31032
Transmastoid��69501
Antrum of Highmore
See Sinus, Maxillary
Antrum Puncture
D
Sinus
Maxillary��31000
Sphenoid��31002
Index
Anus
See Hemorrhoids; Rectum
Ablation��46615
Abscess
Incision and Drainage��46045, 46050
Anal Canal
Delivery of Thermal Energy��0288T
Anoscopy
See Anoscopy
Biofeedback�� 90911
Biopsy
Endoscopy��46606
Crypt
Excision��46999
Dilation
Endoscopy��46604
Endoscopy
Biopsy��46606
Dilation��46604
Exploration��46600
Hemorrhage��46614
High Resolution Anoscopy (HrA)
�� 0226T-0227T
772
to Pulmonary Artery��33606
Angiogram
Radiologic Injection��93567
See Cardiac Catheterization,
Injection
Angioplasty��35452, 35472
Aortography��75600, 75605, 75625,
75630
Ascending
Graft��33864
Balloon Assist Device
Insertion��33967, 33970, 33973
Removal��33968, 33971, 33974
Catheterization
Catheter��36200
Intracatheter/Needle��36160
Circulation Assist Device
Insertion��33967, 33970, 33973
Removal��33968, 33971, 33974
Conduit to Heart��33404
Excision
Coarctation��33840, 33845, 33851
Infrarenal Abdominal
Repair Endovascular��34845-34848
Insertion
Balloon Device�33967, 33970, 33973
Catheter��36200
Graft��33330, 33332, 33335, 33864
Intracatheter/Needle��36160
Removal
Balloon Assist Device��33968, 33971,
33974
Repair�� 33320-33322, 33802-33803
Aneurysm
Ascending��33860, 33863-33864
Sinus of Valsalva��33720
Thoracic��33875, 33877
Transverse Arch��33870
Coarctation��33840, 33845, 33851
Hypoplastic or Interrupted Aortic Arch
��33852-33853
Sinus of Valsalva��33702, 33710,
33720
Suspension��33800
Suture��33320-33322
Thoracic
Catheterization��36221
Repair��33875, 33877, 75956-75959
Endovascular��33880-33881,
33883-33884, 33886, 33889, 33891
Translocation
Aortic Root��33782-33783
Valve
Implantation��33361-33369
Incision��33415
Repair��33400-33401, 33403
Left Ventricle��33414
Supravalvular Stenosis��33417
Replacement
See Heart, Aortic Valve
Visceral
Repair Endovascular��34841-34848
X-ray with Contrast��75600, 75605,
75625, 75630
RA
FT
Antistreptokinase Titer86590
Removal
Foreign Body��46608
Polyp��46610, 46612
Tumor��46610, 46612
Excision
Tag��46220, 46230
Exploration
Endoscopy��46600
Surgical��45990
Fissure
Destruction��46940, 46942
Excision��46200
Fistula
Closure��46288
Excision��46270-46285
Repair��46706
Hemorrhage
Endoscopic Control��46614
Hemorrhoids
Clot Excision��46320
Destruction��46930
Excision��46250-46262
Injection��46500
Ligation��0249T, 46221, 46945-46946
Stapling��46947
Suture��46945-46946
Imperforated
Repair��46715-46742
Incision
Septum��46070
Sphincterotomy��46200
Lesion
Destruction��46900-46917, 46924
Excision��45108, 46922
Manometry�� 91122
Placement
Seton��46020
Reconstruction��46742
Congenital Absence��46730-46740
Sphincter46750-46751, 46760-46762
with Graft��46753
with Implant��46762
Removal
Foreign Body��46608
Seton��46030
Suture��46754
Wire��46754
Repair
Anoperineal Fistula��46715-46716
Cloacal Anomaly��46744, 46746,
46748
Fistula��46706
Stricture��46700, 46705
Sphincter
Chemodenervation��46505
Electromyography��51784-51785
Needle��51785
Sphincterotomy��46200
Unlisted services or procedures��46999
Aorta
Abdominal
Aneurysm
See Aneurysm repair, Abdominal
Aorta
Angiography��75635
Thromboendarterectomy��35331
Anastomosis
Aortic Sinus
See Sinus/Sinuses, Sinus of Valsalva
Index
Aortic Stenosis - Repair
Aortic Stenosis
Repair��33415
Nikaidoh Procedure��33782-33783
Supravalvular��33417
Aortic Valve
Apert-Gallais Syndrome
See Adrenogenital Syndrome
Aphasia Testing
See Neurology, Diagnostic
Speech and Language Function��96105
Apheresis
Therapeutic��36511-36516
Application of External Fixation
Device
See Fixation (Device)
APPT (Activated Partial
Thromboplastin Time)
See Thromboplastin, Partial, Time
Aquatic Therapy
Apical-Aortic Conduit33404
See Physical Medicine/Therapy/
Occupational Therapy
Apicectomy
Aqueous Shunt
with Mastoidectomy��69605
Petrous��69530
Apoaminotransferase, Aspartate
to Extraocular Reservoir��66180
without Extraocular Reservoir��66183
Revision��66185
See Transaminase, GlutamicOxaloacetic
Arch Ligament
Apolipoprotein
Arch, Zygomatic
See Coracoacromial Ligament
RA
FT
Construction
Apical-Aortic Conduit��33404
Implantation
Transcatheter��33361-33369
Repair
Gusset Aortoplasty��33417
Open, with Inflow Occlusion��33401
Outflow Tract Obstruction
Left Ventricle��33414
Stenosis
Idiopathic Hypertrophic��33416
Subvalvular��33415
Supravalvular��33417
Using Transventrical Dilation��33403
Valvuloplasty
Open, with Cardiopulmonary
Bypass��33400
Replacement
See Aortic Valve Replacement
Arm - Lower
Aortic Valve Replacement
Ross Procedure��33413
Transcatheter
See Transcatheter Aortic Valve
Replacement (TAVR/TAVI)
with Allograft Valve��33406
with Aortic Annulus Enlargement��3341133412
with Cardiopulmonary Bypass��3336733369, 33405-33406, 33410
with Prosthetis��33405, 33361-33369
with Stentless Tissue Valve��33410
with Translocation, Pulmonary Valve
��33413
Aortocoronary Bypass
D
See Coronary Artery Bypass Graft
(CABG)
Aortocoronary Bypass for Heart
Revascularization
See Artery, Coronary, Bypass
Aortography
See Angiography
Aorta Imaging��75600-75630, 93567
Serial��75625
with Ileofemoral Artery��75630, 75635
Aortoiliac
Embolectomy��34151, 34201
Thrombectomy��34151, 34201
Aortopexy
Tracheal Decompression��33800
Aortoplasty
Supravalvular Stenosis��33417
Aortopulmonary Transposition
See Transposition, Great Arteries
AP (Abdominal Pressure)
Appendectomy
Appendix Excision�44950, 44955, 44960
Laparoscopic��44970
Appendiceal Abscess
See Abscess, Appendix
Appendico-Vesicostomy
Cutaneous��50845
Appendix
Abscess
Incision and Drainage��44900
Open��44900
Excision��44950, 44955, 44960, 44970
Application
Allergy (percutaneous) Tests��95044
Bone Fixation Device
Multiplane��20692
Stereotactic Computer Assisted
��20696-20697
Uniplane��20690
Caliper��20660
Cranial Tongs��20660
Fixation Device
See Fixation (Device)
Halo
Cranial��20661
Thin Skull Osteology��20664
Femoral��20663
Maxillofacial Fixation
See Fixation (Device), Maxillofacial
Pelvic��20662
Interdental Fixation Device�� 21110
Intervertebral Device��22851
Neurostimulation��64550, 64566
Radioelement��77750, 77761-77763,
77776-77778, 77789, 77790, 77799
Surface��77789
with Ultrasound��76965
Stereotactic Frame��20660
Headframe��61800
Strapping
Multi-layer Compression System
Arm��29583-29584
Leg��29581-29582
See Zygomatic Arch
Arm
See Radius; Ulna; Wrist
Lower
Abscess��25028
Amputation��25900, 25905, 25909,
25915
Cineplasty��24940
Revision��25907, 25909
Angiography��73206
Artery
Ligation��37618
Biopsy��25065-25066
Bursa
Incision and Drainage��25031
Bypass Graft��35903
Cast��29075
CT Scan��73200, 73202, 73206
Decompression25020, 25023, 25025
Exploration
Blood Vessel��35860
Fasciotomy��24495, 25020, 25023,
25025
Hematoma��25028
Implant��24931
Lesion, Tendon Sheath
Excision�� 25110
Magnetic Resonance Imaging (MRI)
�� 73218-73220, 73221-73223, 73225
Reconstruction
Ulna��25337
Removal
Foreign Body��25248
Repair
Blood Vessel with Other Graft35266
Blood Vessel with Vein Graft��35236
Decompression��24495
Muscle��25260-25263, 25270
Secondary��25265
Secondary
Muscle��25272-25274
Tendon��25272-25274
Tendon��25260-25263, 25270,
25280-25295, 25310-25316
Secondary��25265
Tendon Sheath��25275
Replantation��20805
773
Index
See Voiding Pressure Studies
Blood or Urine��82172
2014 PROCEDURAL CODING ADVISOR
Arm - Lower
Artery - Aortobi-iliac
Limited��76882
Unlisted Services and Procedures
��24999
Wound Exploration
Penetrating��20103
X-ray
Infant��73092
Arnold-Chiari Malformation
Repair
See Decompression, Skull
Arrest, Epiphyseal
See Epiphyseal Arrest
Arrhythmogenic Focus
Heart
Ablation��33250-33251, 33261,
93653-93654, 93656
Catheter��93655
Repair
Abdomen��35182, 35189
Head��35180, 35188
Lower Extremity��35184, 35190
Neck��35180, 35188
Thorax��35182, 35189
Upper Extremity��35184, 35190
Revision
with Thrombectomy��36833
without Thrombectomy��36832
Thrombectomy
Dialysis Graft
without Revision��36831
Graft��36870
Arteriovenous Malformation
Carotid
Obliteration��61613
Occlusion��61705
Cranial
Repair
Carotid Artery Occlusion��61705
Dural��61690, 61692
Electrothrombosis��61708
Infratentorial��61684, 61686
Supratentorial��61680, 61682
Iliac Artery
Repair�� 0254T, 34900
Spinal
Excision��63250-63252
Occlusion��63250-63252, 62294
Index
D
RA
FT
Splint��29125-29126
Tendon
Excision��25109
Lengthening��25280
Shortening��25280
Transplantation��25310-25312
Tenotomy��25290
Tumor
Excision��25071-25076
Radical Resection��25077-25078
Ultrasound��76881-76882
Complete��76881
Limited��76882
Unlisted Services and Procedures
��25999
X-ray��73090
with Upper Arm��73092
Removal
Foreign Body
Forearm or Wrist��25248
Repair
Muscle��24341
Tendon��24341
Strapping
Multi-layer Compression System
��29583-29584
Upper
Abscess
Incision and Drainage��23930
See Elbow; Humerus
Amputation��2390023920,24900,24920,24930-24931
Cineplasty��24940
Revision��23921, 24925, 24935
with Implant��24931
Angiography��73206
Artery
Ligation��37618
Biopsy��24065-24066
Bypass Graft��35903
Cast��29065
CT Scan��73200-73206
Exploration
Blood Vessel��35860
Hematoma
Incision and Drainage��23930
Magnetic Resonance Imaging (MRI)
��73218-73223
Muscle Revision��24330-24331
Removal
Cast��29705
Foreign Body��24200-24201
Repair
Blood Vessel with Other Graft35266
Blood Vessel with Vein Graft��35236
Muscle Transfer��24301, 24320
Tendon��24332
Tendon Lengthening��24305
Tendon Revision��24320
Tendon Transfer��24301
Tenotomy��24310
Replantation��20802
Splint��29105
Tumor
Radical Resection��24077-24079
Soft Tissue Excision��24071-24076
Ultrasound
Complete��76881
774
Arsenic
Blood or Urine��82175
Detection��83015
Measurement��82175, 83018
ART (Automated Reagin Test)
See Syphilis Test
Arterial Catheterization
See Cannulation, Arterial
Arterial Dilatation, Transluminal
See Angioplasty, Transluminal
Arterial Grafting for Coronary
Artery Bypass
See Bypass Graft, Coronary Artery,
Arterial
Arterial Infusions Thrombolysis
See Transcatheter, Therapy, Infusion
Arterial Pressure
See Blood Pressure
Non-invasive Calculation/Analysis0311T
Arterial Puncture
For diagnosis��36600
Arteriography, Aorta
See Aortography
Arteriosus, Ductus
Closure
Transcatheter Percutaneous��93582
Repair��33820-33824
Arteriosus, Truncus
Repair��33786
Arteriotomy
See Incision, Artery; Transection, Artery
Arteriovenous Anastomosis
for Increased Blood Flow��36818-36821
Arteriovenous Fistula
Cannulization
Vein��36815
Creation��36825-36830
Hemodialysis via Fistula��4052F
Referral��4051F
Arteriovenous Shunt
Angiography��75791
Aorta to Pulmonary Artery�33755, 33762
Blalock-Taussig Shunt��33750
Dialysis Catheterization��36147-36148
Intrahepatic Portosystemic
Insertion��37182
Revision��37183
Patency��78291
Peritoneal-Venous
Evaluation��49427
Insertion��49425
Ligation��49428
Removal��49429
Revision��49426
Potts-Smith Shunt��33762
Subclavian to pulmonary Artery��33750
Thomas Shunt��36835
Waterston Shunt��33755
Artery
Abdomen
Angiography��75726
Catheterization��36245-36248
Ligation��37617
Adrenal
Angiography��75731-75733
Anastomosis
Cranial�� 61711
Angioplasty
See Angioplasty
Radiological Supervision��7596275968
Aorta
Angioplasty��35452
Aortobi-iliac
Bypass Graft��35538, 35638
Index
Artery - Aortobifemoral
Artery - Innominate
Aneurysm��35001-35002, 61697,
61700, 61703, 61705, 61708, 61710
Baroreflex Activation Device
Implantation/Replacement
�� 0266T-0268T
Interrogation Evaluation
�� 0272T-0273T
Revision/Removal�� 0269T-0271T
Bypass Graft��33891, 35501-35510,
35601-35606, 35642
Carotid Cavernous Fistula��61705,
61708, 61710
Catheterization�36100, 36221-36224,
36227-36228
Decompression�61590-61591, 61596
Embolectomy��34001
Excision��60605
Exploration��35701
Ligation��37600-37606, 61611-61612
Reimplantation��35691, 35694-36595
Stenosis
Imaging Study Measurement�3100F
Stent Placement Transcatheter37217
Thrombectomy��34001
Thromboendarterectomy��35301,
35390
Transection��61611-61612
Transposition��33889, 35691,
35694-35695
Vascular Malformation�61705, 61708,
61710
Carotid, Common
Intima-Media Thickness (IMT) Study
��0126T
Celiac
Aneurysm��35121-35122
Bypass Graft��35531, 35631
Embolectomy��34151
Endoprosthesis��34841-34848
Thrombectomy��34151
Thromboendarterectomy��35341
Chest
Ligation��37616
Coronary
Angiography��93454-93461,
92924-92295, 92933-92934
Atherectomy��92924-92295,
92933-92934
Bypass��33510-33536
Internal Mammary Artery Graft
��4110F
Graft��33503-33504
Ligation��33502
Obstruction Severity Assessment
��0206T
Repair��33500-33507
Thrombectomy��92973
Thrombolysis��92975, 92977
Translocation��33506-33507
Unroofing��33507
Digital
Sympathectomy��64820
Ethmoidal
Ligation��30915
Extracorporeal Circulation
for Regional Chemotherapy of
Extremity��36823
Extracranial
Anastomosis�� 61711
Extremities
Bypass Grafts��93925-93931
Vascular Studies��93922-93931
Extremity
Angioplasty��75962-75964
Bypass Graft Revision��35879-35884
Catheterization��36140, 36245-36248
Ligation��37618
Femoral
Aneurysm��35141-35142
Angiography��73706
Angioplasty��37224
Approach
Transcatheter Aortic Valve
Replacement��33361-33366
Atherectomy��37225, 37227
Bypass Graft
See bypass Graft, Femoral Artery
Revision��35883-35884
Bypass In Situ��35583-35585
Embolectomy��34201
Exploration��35721
Exposure��34812
Thrombectomy��34201
Thromboendarterectomy��3537135372
Great Vessel
Repair��33770-33781
Hepatic
Aneurysm��35121-35122
Bypass Graft��35535
Iliac
Aneurysm��35131-35132,
75953-75954
Angioplasty��37220-37222
Atherectomy��0238T
Bypass Graft��35563, 35632-35634,
35637, 35663
Embolectomy��34151-34201
Endoprosthesis�� 0254T-0255T
Exposure��34820, 34833
Occlusion Device��34808
Revascularization��37220-37222
Thrombectomy��34151-34201
Thromboendarterectomy��35351,
35361-35363
Tube Endoprosthesis��34900, 75954
Ilio-celiac
Bypass Graft��35632
Ilio-mesentric
Bypass Graft��35633
Iliofemoral
Bypass Graft��35565
Thromboendarterectomy��35355,
35363
X-ray with Contrast��75630
Iliorenal
Bypass Graft��35634
Innominate
Aneurysm��35021-35022
Catheterization��36222-36223, 36225
Embolectomy��34001-34101
Stent Placement Transcatheter37217
Thrombectomy��34001-34101
Thromboendarterectomy�� 35311
D
RA
FT
Aortobifemoral
Bypass Graft��35540
Aortocarotid
Bypass Graft��35526, 35626
Aortofemoral
Bypass Graft��35539
Aortoiliac
Bypass Graft��35537, 35637
Embolectomy��34151-34201
Thrombectomy��34151-34201
Aortoiliofemoral
Thromboendarterectomy��35363
Aortoinnominate
Bypass Graft��35526, 35626
Aortosubclavian
Bypass Graft��35526, 35626
Arm
Angiography��75710-75716
Harvest��35600
Atherectomy
Brachiocephalic��0237T
Coronary��92924-92925,
92933-92934, 92937-92938, 92941,
92943-92944
Femoral��37225, 37227
Iliac��0238T
Peroneal��37229, 37231, 37333,
37335
Popliteal��37225, 37227
Renal��0234T
Tibial��37229, 37231, 37333, 37335
Transluminal��0234T-0238T,
92924-92925, 92933-92934, 9293792938, 92941, 92943-92944
Visceral��0235T
Axillary
Aneurysm��35011-35013
Angioplasty��35458
Bypass Graft
See Bypass Graft, Axillary Artery
Embolectomy��34101
Thrombectomy��34101
Thromboendarterectomy��35321
Basilar
Aneurysm��61698, 61702
Biopsy��75970
Brachial
Aneurysm��35011-35013
Angiography��75658
Bypass Graft��35510, 35512,
35522-35525
Catheterization��36120
Embolectomy��34101
Exploration��24495
Exposure��34834
Thrombectomy��34101
Thromboendarterectomy��35321
Brachiocephalic
Angioplasty��35458
Atherectomy��0237T
Catheterization��36215-36218
Bypass Graft
with Composite Graft��35681-35683
Cannulization
for Extracorporeal Circulation��36823
to Vein��36810-36815
Carotid
Index
775
2014 PROCEDURAL CODING ADVISOR
Artery - Intracranial
Arthrodesis - Carpometacarpal Joint
Bypass Graft��35523
Embolectomy�� 34111
Sympathectomy��64821
Thrombectomy�� 34111
Rehabilitation��93668
Reimplantation
Carotid��35691, 35694-35695
Subclavian��35693-35695
Vertebral��35691-35693
Visceral��35697
Renal
Aneurysm��35121-35122
Angiography��36251-36254
Angioplasty��35450, 35471, 75966
Atherectomy��0234T
Bypass Graft
See Bypass Graft, Renal Artery
Catheterization��36251-36254
Embolectomy��34151
Endoprosthesis��34841-34848
Fluoroscopy (included)��36251-36254
Thrombectomy��34151
Thromboendarterectomy��35341
Repair
Aneurysm��61697-61708
Angioplasty
Radiological Supervision��7596275968
Revision
Hemodialysis Graft or Fistula��3683136833
Spine
Angiography��75705
Splenic
Aneurysm�� 35111-35112
Bypass Graft��35536, 35636
Subclavian
Aneurysm��35001-35002,
35021-35022
Angioplasty��35458
Bypass Graft��35506, 35511-35516,
35606-35616, 35645
Catheterization��36225
Embolectomy��34001-34101
Reimplantation��35693-35695
Thrombectomy��34001-34101
Thromboendarterectomy��35301,
35311
Transposition��33889, 35693-35695
Unlisted Services and Procedures
��37799
Superficial Femoral
Thromboendarterectomy��35302
Superficial Palmar Arch
Sympathectomy��64823
Temporal
Biopsy��37609
Ligation��37609
Thoracic
Catheterization��33621, 36215-36218
Thrombectomy��37184-37186
Hemodialysis Graft or Fistula��36831
Other than Hemodialysis Graft or
Fistula��35875, 36870
Thrombolysis
Non-coronary��37211, 37213-37214
Tibial
Angiography��73706
Angioplasty��37228
Atherectomy��37229, 37231, 37333,
37335
Bypass Graft��35566-35571, 35623,
35666-35671
Bypass In Situ��35585-35587
Embolectomy��34203
Thrombectomy��34203
Thromboendarterectomy��3530535306
Tibial-Tibial Bypass Graft��35570
Tibial/Peroneal Trunk-Tibial Bypass
graft��35570
Tibioperoneal
Angioplasty��37228-37235
Atherectomy��37233, 37235
Tibioperoneal Trunk
Thromboendarterectomy��35304
Transcatheter Therapy
with Angiography��75894-75898
Transposition
Carotid��33889, 35691, 35694-35695
Subclavian��33889, 35693-35695
Vertebral��35691-35693
Ulnar
Aneurysm��35045
Bypass Graft��35523
Embolectomy�� 34111
Sympathectomy��64822
Thrombectomy�� 34111
Umbilical
Vascular Study��76820
Unlisted Services and Procedures37799
Vertebral
Aneurysm��35005, 61698, 61702
Bypass Graft��35508, 35515,
35642-35645
Catheterization��36100, 36221,
36225-36226, 36228
Decompression��61597
Reimplantation��35691-35693
Thromboendarterectomy��35301
Trnasposition��35691-35693
Visceral
Angioplasty��35450, 35471, 75968
Atherectomy��0235T
Reimplantation��35697
Index
D
RA
FT
Intracranial
Anastomosis��33606
Aneurysm��61705, 61708
Angioplasty��61630
Leg
Angiography��73706, 75710-75716
Catheterization��36245-36248
Mammary
Angiography��75756
Maxillary
Ligation��30920
Mesenteric
Aneurysm��35121-35122
Bypass Graft��35531, 35631
Embolectomy��34151
Endoprosthesis��34841-34848
Thrombectomy��34151
Thromboendarterectomy��35341
Middle Cerebral Artery, Fetal
Ligation��37615
Vascular Studies��76821
Nose
Incision��30915-30920
Other Angiography��75774
Other Artery
Angiography��75774
Exploration��35761
Pelvic
Angiography��72198, 75736
Catheterization��36245-36248
Peripheral Arterial Rehabilitation��93668
Peroneal
Angioplasty��37228-37235
Atherectomy��37229, 37231, 37333,
37335
Bypass Graft��35566-35571,
35666-35671
Bypass In Situ��35585-35587
Embolectomy��34203
Thrombectomy��34203
Thromboendarterectomy��3530535306
Popliteal
Aneurysm��35151-35152
Angioplasty��37224
Atherectomy��37225, 37227
Bypass Graft
See Bypass Graft, Popliteal Artery
Bypass In Situ��35583, 35587
Embolectomy��34201-34203
Exploration��35741
Thrombectomy��34201-34203
Thromboendarterectomy��35303
Pulmonary
Anastomosis��33606
Angiography��75741-75746
Angioplasty��92997-92998
Banding��33620, 33622, 33690
Embolectomy��33910, 33915-33916
Endarterectomy��33916
Ligation��33924
Repair
Arborization Anomalies��3392599326
Atresia��33920
Stenosis��33917
Radial
Aneurysm��35045
776
Artery Catheterization,
Pulmonary
See Catheterization, Pulmonary Artery
Arthrectomy
Elbow��24155
Arthrocentesis
Bursa��20600
Intermediate Joint��20605
Large Joint��20610
Small Joint��20600
Arthrodeses
See Arthrodesis
Arthrodesis
Ankle��27870
Carpometacarpal Joint
Hand��26843-26844
Thumb��26841-26842
Index
Arthrodesis - Cervical
Arthrotomy - Temporomandibular Joint
Spinal Deformity
Anterior Approach��22808-22812
Posterior Approach��22800-22804
Spinal Fusion
Exploration��22830
Thoracic
Anterior/Anterolateral Approach
��22556
Lateral Extracavitary��22532, 22534
Posterior/Posterolateral/Lateral
Traverse��22610
Wrist��25800-25825
Arthrography
Ankle��73615
Injection��27648
Elbow��73085
Injection��24220
Hip��73525
Injection��27093-27095
Knee��73580
Injection��27370
Sacroiliac Joint��73542
Injection��27096
Shoulder��73040
Injection��23350
Temporomandibular Joint (TMJ)��70332
Injection�� 21116
Wrist�� 73115
Injection��25246
Ulna��25442
with Implant��25441-25445
Arthroplasty, Hip, Total
See Hip, Total Replacement
Arthroplasty, Shoulder
See Repair, Shoulder
Arthropods
Examination��87168
Arthroscopy
Diagnostic
Elbow��29830
Hip��29860
Knee��29870
Metacarpophalangeal Joint��29900
Shoulder��29805
Temporomandibular Joint��29800
Wrist��29840
Surgical
Ankle��29891-29899
Elbow��29834-29838
Hip��29861-29916
Knee��29871-29889
Metacarpophalangeal Joint��2990129902
Shoulder��29806-29828
Subtalar Joint��29904-29907
with Acetabuloplasty��29915
Temporomandibular Joint��29804
Wrist��29843-29847
Unlisted Services and Procedures29999
D
RA
FT
Cervical
Atlas-Axis��22548, 22585, 22595
below C2��22551-22554, 22585,
22595, 22600
Clivus-C1-C2��22548, 22585, 22595
Occiput-C2��22590
Elbow��24800-24802
Finger Joint��26850-26852
Interphalangeal��26860-26863
Metacarpophalangeal��26850
Foot Joint��28730-28735, 28740
Implant for Stabilization��0335T
Pantalar��28705
Subtalar��28725
Triple��28715
with Advancement��28737
with Lengthening��28737
Hand Joint��26843-26844
Hip Joint��27284-27286
Intercarpal Joint��25800-25820
with Autograft��25825
Interphalangeal Joint��26860-26863
Great Toe��28755
with Tendon Transfer��28760
Knee��27580
Metacarpophalangeal Joint26850-26852
Metatarsophalangeal Joint
Great Toe��28750
Pubic Symphysis��27282
Radioulnar Joint��25830
Sacroiliac Joint��27280
Joint Stabilization��0334T
Shoulder
See Shoulder, Arthrodesis
Shoulder Joint��23800-23802
Subtalar Joint��29907
Talus
Pantalar��28705
Subtalar��28725
Triple��28715
Tarsal Joint��28730-28737, 28740
Tarsometatarsal Joint��28730-28735,
28740
Thumb Joint��26841-26842
Tibiofibular Joint��27871
Vertebra
Additional Interspace
Anterior/Anterolateral Approach
��22585
Lateral Extracavitary��22534
Posterior��22614, 22634
Cervical
Anterior/Anterolateral Approach
��22548
Posterior/Posterolateral/Lateral
Transverse��22590-22600
Lumbar
Anterior/Anterolateral Approach
��22558
Lateral Extracavitary��22533-22534
Posterior/Interbody��22630
Posterior/Posterolateral and/
or Lateral Transverse Technique
��22612, 22633-22634
Pre-sacral Interbody��0195T-0196T,
0309T, 22586
Sacroilliac
Pre-sacral Interbody��0195T
Arthroplasties, Knee
Replacement
See Prosthesis, Knee
Arthroplasty
See Ankle, Arthroscopy
Arthrotomy
Acromioclavicular Joint��23044
Ankle��27610-27612, 27620
Ankle Joint��27625-27626
Carpometacarpal Joint��26070, 26100
Elbow��24000
Capsular Release��24006
with Joint Exploration��24101
with Synovectomy��24102
with Synovial Biopsy��24100
Finger Joint��26075
Interphalangeal�� 26110
Metacarpophalangeal��26105
Glenohumeral Joint��23040, 23100,
23105, 23800
Hip��27030, 27033, 27054
Interphalangeal Joint�� 26080, 26110
Toe��28024, 28054
Intertarsal Joint��28020, 28050
Knee��27310, 27330-27335, 27403,
29868
Metacarpophalangeal Joint��26075,
26105
Metatarsophalangeal Joint28022, 28052
Shoulder��23044, 23105-23107
Shoulder Joint��23100-23101
Sternoclavicular Joint��23044, 23101,
23106
Tarsometatarsal Joint��28020, 28050
Temporomandibular Joint��21010
777
Index
Ankle��27700-27703
Elbow��24360-24363
Revision��24370-24371
Hip��27132
Partial Replacement��27125
Revision��27134-27138
Total Replacement��27130
Interphalangeal Joint��26535-26536
Intervertebral Disc
Cervical��22856
Removal�� 0095T, 22864
Revision�� 0098T, 22861
Lumbar�� 0163T, 22857
Removal�� 0164T, 22865
Revision�� 0165T, 22862
Knee��27437-27447
Revision��27486-27487
Metacarpophalangeal Joint26530-26531
Radius��24365-24366
Shoulder Joint��23470, 23472-23474
Subtalar Joint
Implant for Stabilization��0335T
Temporomandibular Joint��21240-21243
Vertebral Joint
Lumber Spine��0202T
Wrist��25332
Carpal��25443
Lunate��25444
Navicular��25443
Radius��25441
Revision��25449
Total Replacement��25446
Trapezium��25445
Arthroscopy of Ankle
2014 PROCEDURAL CODING ADVISOR
Arthrotomy - with Biopsy
with Biopsy
Acromioclavicular Joint��23101
Glenohumeral Joint��23100
Hip Joint��27052-27054
Knee Joint��27330
Sacroiliac Joint��27050
Sternoclavicular Joint��23101
with Synovectomy
Glenohumeral Joint��23105
Sternoclavicular Joint��23106
Wrist��25040, 25100-25107
See Liposuction
Aspiration
See Bone Marrow Harvesting
See Transaminase, GlutamicOxaloacetic
Abdomen��49322
Amniotic Fluid
Diagnostic��59000
Therapeutic��59001
Aspirate Evaluation88172-88173, 88177
Bladder�� 51100-51102
Bone Marrow��38220
Brain Lesion��61750-61751
Breast��19000-19001
Bronchi��31629, 31633, 31645-31646,
31725
Bursa��20600, 20605, 20610
Catheter
Nasotracheal��31720
Tracheobronchial��31725
Cyst
Bone��20615
Breast��19000-19001
Ganglion��20612
Kidney��50390
Pelvis��50390
Spinal Cord��62268
Thyroid��60300
Duodenal��43756-43757
Fetal Fluid��59074
Fine Needle��10021-10022, 67415
Aspirate Evaluation��88172-88173,
88177
Gastric��43753-43754
Hydrocele
Tunica Vaginalis��55000
Joint��20600-20610
Laryngoscopy��31515
Lens Material��66840
Liver��47015
Orbital Contents��67415
Pericardium��33010-33011
Pleural Cavity��32554-32555
with Imaging Guidance��32555
Puncture
See Puncture Aspiration
Spinal Cord��63615
Diagnostic��43754-43755
Stereotaxis
Stomach
Syrinx��62268
Therapeutic��43753
Syrinx
Spinal Cord��62268
Thyroid��60300
Trachea��31612, 31629
Nasotracheal��31720
Tracheobronchial��31645-31646,
31725
Tunica Vaginalis
Hydrocele��55000
Vertebral
Disc��62267
Nucleus Pulposus��62267
Tissue��62267
Vitreous��67015
Aspergillus
Aspiration Lipectomies
Arthrotomy for Removal of
Prosthesis of Ankle
See Ankle, Removal, Implant
Arthrotomy for Removal of
Prosthesis of Hip
Arthrotomy for Removal of
Prosthesis of Wrist
See Prosthesis, Wrist, Removal
Articular Ligament
See Ligament
Artificial Abortion
See Abortion
Artificial Cardiac Pacemaker
See Heart, Pacemaker
Artificial Eye
See Prosthesis
Artificial Genitourinary
Sphincter
See Prosthesis, Urethral Sphincter
Artificial Insemination
Intracervical��58321
Intrauterine��58322
Sperm Washing��58323
Artificial Knee Joints
D
See Prosthesis, Knee
Artificial Penis
See Penile Prosthesis
Artificial Pneumothorax
See Pneumothorax, Therapeutic
Arytenoid
Excision��31400, 31560
Fixation��31400
Arytenoidectomy
Arytenoid Excision��31400
Endoscopic��31560
Arytenoidopexy
Arytenoid Fixation��31400
Ascorbic Acid
Blood��82180
Aspartate Aminotransferase
778
Aspiration of Bone Marrow from
Donor for Transplant
Aspiration, Chest
Thoracentesis��32554-32555
with Imaging Guidance��32555
Aspiration, Nail
See Evacuation, Hematoma, Subungual
Aspiration, Spinal Puncture
See Spinal Tap
Assay, Tobramycin
See Tobramycin
Assay, Very Long Chain Fatty
Acids
RA
FT
See Hip, Removal, Prosthesis
Index
Atomic Absorption Spectroscopy - Each Analyte
Antigen��87305
Detection
Antibody��86606
See Fatty Acid, Very Long Chain
Assisted Circulation
See Circulation Assist
AST
See Transaminase, GlutamicOxaloacetic
Astragalectomy
Talectomy��28130
Astragalus
See Talus
Asymmetry, Face
See Hemifacial Microsomia
Ataxia Telangiectasia
Chromosome Analysis��88248
Ataxy, Telangiectasia
See Ataxia Telangiectasia
Atherectomies, Coronary
See Artery, Coronary, Atherectomy
Atherectomy
See Revascularization, Artery
See X-ray, Artery
Abdominal Aorta��0236T
Brachiocephalic��0237T
Coronary�� 92924-92295, 92937-92938,
92941, 92943-92944
Femoral��37225, 37227
Iliac��0238T
Peroneal��37229, 37231, 37333, 37335
Popliteal��37225, 37227
Renal��0234T
Tibial��37229, 37231, 37333, 37335
Visceral��0235T
ATLV (Adult T Cell Leukemia
Virus)
See HTLV I
ATLV Antibodies
See Antibody, HTLV-I
Atomic Absorption
Spectroscopy
Each Analyte��82190
Index
ATP Creatine Phosphotransferase - See CPK
ATP Creatine
Phosphotransferase
See CPK
Atresia
Choanal��30540-30545
Congenital
Auditory Canal, External��69320
Bile Duct��47700
Small Intestine��44126-44127
Pulmonary artery��33920
Tetralogy of Fallot��33697
Tricuspid��33615
Atria
Autograft - Spine
Decompression��69960
Exploration��69440
Auditory Canal Atresia, External
See Atresia, Congenital, Auditory Canal,
External
Auditory Evoked Otoacoustic
Emission
Screening��92558, 92587-92588
Auditory Evoked Potentials
See Audiometry
Auditory Labyrinth
See Ear, Inner
Auditory Meatus
X-ray��70134
D
RA
FT
Ablation
Operative Tissue��33254-33256,
33265-33266
Baffle Procedure��33774
Blalock-Hanlon Operation��33735
Cor Triatriatum
Repair��33732
Cuff Preparation��32855-32856
Electrogram��93615-93616
Endoscopy��33265-33266
Fibrillation
See Fibrillation, Atrial
Hemodynamic Monitor System
�� 0293T-0294T
Left Atrial Appendage��0281T
Membrane Resection��33732
Pacemaker
Electrode
Removal��33229, 33236
Repositioning��33215
Insertion��33206, 33208
Rashkind Procedure��92992
Reconstruction��33254-33256,
33265-33266
Septal Defect
See Septal Defect, Atrial
Septectomy��33735, 92992-92993
Septostomy��33735, 92992-92993
Shunt��62190, 62220
Thrombus��33310
Bekesy��92560-92561
Comprehensive�� 0212T, 92557
Conditioning Play��92582
Groups��92559
Pure Tone��0208T-0209T,
92552-92553
Select Picture��92583
Speech��0210T-0211T, 92555-92556
Visual Reinforcement (VRA)��92579
Auditory Brainstem Implant��92640
Auditory Processing
Treatment��92507-92508
Central Auditory Function��92620-92621
Ear Protector Attenuation��92596
Electrocochleography��92584
Evoked Otoacoustic Emissions��92558,
92587-92588
Filtered Speech��92571
Hearing Aid Evaluation��92590-92595
Loudness Balance��92562
Screening��92551
Sensorineural Acuity��92575
Short Increment Sensitivity Index (SISI)
��92564
Staggered Spondaic Word Test��92572
Stenger Test��92565, 92577
Synthetic Sentence Test��92576
Tinnitus Assessment��92625
Tone Decay��92563
Tympanometry��92550, 92567, 92570
Atrial Electrogram
See Cardiology, Diagnostic
Esophageal Recording��93615-93616
Atrial Fibrillation
See Fibrillation, Atrial
Atrioseptopexy
See Septal Defect, Atria
Atrioseptoplasty
See Septal Defect, Atria
Attachment
See Fixation
Atticotomy
Tympanic Incision��69631, 69635
Audiologic Function Tests
Bekesy��92560-92561
Brainstem Evoked Response��9258592586
Comprehensive�� 0212T, 92557
Conditioning Play��92582
Groups��92559
See Ear, Nose, and Throat
Pure Tone��92552-92553
Automated�� 0208T-0209T
Select Picture��92583
Speech��0210T-0211T, 92555-92556
Tympanometry��92550, 92567, 92570
Voice Prosthesis Fitting��92597
Auditory Brain Stem Evoked
Response
See Evoked Potential, Auditory
Brainstem
Auditory Canal
Decompression��61591
External
Abscess
Incision and Drainage��69000,
69005, 69020
Biopsy��69105
Excision�� 69110, 69120
Lesion69140, 69145, 69150, 69155
Hematoma��69000, 69005
Reconstruction��69310, 69320
for Congenital Atresia��69320
for Stenosis��69310
Removal
Cerumen��69210
Ear Wax��69210
Foreign Body��69200-69205
Internal
See Eustachian Tube
Augmentation
Breast
See Breast, Augmentation
Chin�� 21120, 21123
Cruciate Ligament��29888-29889
Facial Bones��21208
Knee Ligament��27427, 27556-27558
Malar��21210, 21270
Mandibular Body�� 21127-21125
Palate��21082
Pulmonary valve Outflow��33478
Spine��22523-22525
Augmentation Mammoplasty
See Breast, Augmentation
Aural Rehabilitation
Status Evaluation��92626-92627, 92630,
92633
Auricle (Heart)
See Atria
Auricular Fibrillation
See Fibrillation, Atrial
Auricular Prosthesis
Custom Preparation��21086
Australia Antigen
See Hepatitis Antigen, B Surface
Autograft
Bone��20936-20938
For Stabilization��0334T
Sacroiliac Joint
Chondrocytes
Knee��27412
Osteochondral
Knee��27416
Talus��28446
Skin
Dermal��15130-15136
Epidermal�� 15110-15116
Tissue Cultured��15150-15157
Harvesting��15040
Spine��20936-20938
779
Index
Acoustic Immittance��92570
Acoustic Reflex��92568,92570
Audiometry
Automated�� 0208T-0212T
Audiometry
Auditory Tube
2014 PROCEDURAL CODING ADVISOR
Autologous Blood Transfusion - See Autotransfusion
Axis, Dens - See Odontoid Process
Autologous Blood Transfusion
See Autotransfusion
Autologous Transplantation
See Autograft
See Hematopoietic Progenitor Cells
Hematopoietic Progenitor Cells
Autonomic Nervous System
Function
See Neurology, Diagnostic;
Neurophysiologic Testing
Autoprothrombin C
See Thrombokinase
Autoprothrombin I
See Proconvertin
RA
FT
Autoprothrombin II
See Christmas Factor
Autoprothrombin III
See Stuart-Prower Factor
Autopsy
Coroner's Exam��88045
Forensic Exam��88040
Gross and Micro Exam��88020-88037
Gross Exam��88000-88016
Organ��88037
Regional��88036
Unlisted Services and Procedures88099
Autotransfusion
Blood��86890-86891
Autotransplant
See Autograft
Autotransplantation
Renal��50380
AV Fistula
See Arteriovenous Fistula
D
AV Shunt
See Arteriovenous Shunt
Avulsion
Nails�� 11730-11732
Nerve��64732-64772
Axilla
Artery
See Artery, Axillary
Injection
Anesthetic��64417
Nerve
Skin Graft
Dermal��15130, 15131
Full-thickness��15200, 15201
Tissue Cultured��15150-15152
Tissue Transfer
Adjacent��14040-14041
Flap��15574, 15620
Wound Repair��13131-13133
Axis, Dens
Index
See Odontoid Process
780
2014 Procedural Coding Advisor
99201 - 99205
New Patient Office or Other Outpatient Services
(99201-99205)
99201 Office or other outpatient visit for the evaluation and
management of a new patient, which requires these 3 key
components:
• A
problem focused history;
• A problem focused examination;
• Straightforward medical decision making.
• A
detailed history;
• A detailed examination;
• Medical decision making of low complexity.
Counseling and/or coordination of care with other
physicians, other qualified health care professionals,
or agencies are provided consistent with the nature of
the problem(s) and the patient's and/or family's needs.
Usually, the presenting problem(s) are of moderate
severity. Typically, 30 minutes are spent face-to-face with
the patient and/or family.
RA
FT
Counseling and/or coordination of care with other
physicians, other qualified health care professionals,
or agencies are provided consistent with the nature of
the problem(s) and the patient's and/or family's needs.
Usually, the presenting problem(s) are self limited or
minor. Typically, 10 minutes are spent face-to-face with
the patient and/or family.
99203 Office or other outpatient visit for the evaluation and
management of a new patient, which requires these 3 key
components:
99201 - 99205
Evaluation and Management
FRVU 0.74 NFRVU 1.21 GD XXX MUE 1
MOD 24, 25, 32, 57, 80, 81, 82, GA, GE, GZ
CPT® Asst: DEC 2009; Vol 19: Issue 12, AUG 2009; Vol 19: Issue
8, MAR 2009; Vol 19: Issue 3, NOV 2008; Vol 18: Issue 11, APR
2007; Vol 17: Issue 4, SEP 2007; Vol 17: Issue 9, OCT 2006;
Vol 16: Issue 10, AUG 2006; Vol 16: Issue 8, JUN 2006; Vol 16:
Issue 6, MAY 2006; Vol 16: Issue 5, FEB 2006; Vol 16: Issue 2,
FEB 2006; Vol 16: Issue 2, JUN 2005; Vol 15: Issue 6, MAY 2005;
Vol 15: Issue 5, APR 2005; Vol 15: Issue 4, MAR 2005; Vol 15:
Issue 3, NOV 2004; Vol 14: Issue 11, AUG 2004; Vol 14: Issue
8, FEB 2000; Vol 10: Issue 2, FEB 2000; Vol 10: Issue 2, FEB
2000; Vol 10: Issue 2, JUL 2010; Vol 20: Issue 7, FEB 2011; Vol
21: Issue 2, JUN 2011; Vol 21: Issue 6, APR 2012; Vol 22: Issue
4, JAN 2012; Vol 22: Issue 1, AUG 2013; Vol 23: Issue 8, AUG
2013; Vol 23: Issue 8
99202 Office or other outpatient visit for the evaluation and
management of a new patient, which requires these 3 key
components:
D
• A
n expanded problem focused history;
• An expanded problem focused examination;
• Straightforward medical decision making.
FRVU 1.41 NFRVU 2.08 GD XXX MUE 1
MOD 24, 25, 32, 57, 80, 81, 82, GA, GE, GZ
CPT® Asst: DEC 2009; Vol 19: Issue 12, AUG 2009; Vol 19: Issue
8, MAR 2009; Vol 19: Issue 3, NOV 2008; Vol 18: Issue 11, APR
2007; Vol 17: Issue 4, SEP 2007; Vol 17: Issue 9, OCT 2006;
Vol 16: Issue 10, JUN 2006; Vol 16: Issue 6, MAY 2006; Vol 16:
Issue 5, JUN 2005; Vol 15: Issue 6, APR 2005; Vol 15: Issue 4,
AUG 2004; Vol 14: Issue 8, FEB 2000; Vol 10: Issue 2, FEB 2011;
Vol 21: Issue 2, JUN 2011; Vol 21: Issue 6, JAN 2012; Vol 22:
Issue 1, AUG 2013; Vol 23: Issue 8, AUG 2013; Vol 23: Issue 8
99204 Office or other outpatient visit for the evaluation and
management of a new patient, which requires these 3 key
components:
• A
comprehensive history;
• A comprehensive examination;
• Medical decision making of moderate complexity.
Counseling and/or coordination of care with other
physicians, other qualified health care professionals,
or agencies are provided consistent with the nature of
the problem(s) and the patient's and/or family's needs.
Usually, the presenting problem(s) are of moderate to
high severity. Typically, 45 minutes are spent face-to-face
with the patient and/or family.
FRVU 3.68 NFRVU 4.64 GD XXX MUE 1
MOD 24, 25, 32, 57, 80, 81, 82, GA, GZ
CPT® Asst: DEC 2009; Vol 19: Issue 12, AUG 2009; Vol 19: Issue
8, MAR 2009; Vol 19: Issue 3, APR 2007; Vol 17: Issue 4, SEP
2007; Vol 17: Issue 9, OCT 2006; Vol 16: Issue 10, JUN 2006;
Vol 16: Issue 6, MAY 2006; Vol 16: Issue 5, JUN 2005; Vol 15:
Issue 6, APR 2005; Vol 15: Issue 4, AUG 2004; Vol 14: Issue 8,
FEB 2000; Vol 10: Issue 2, FEB 2011; Vol 21: Issue 2, JUN 2011;
Vol 21: Issue 6, JAN 2012; Vol 22: Issue 1, AUG 2013; Vol 23:
Issue 8, AUG 2013; Vol 23: Issue 8
99205 Office or other outpatient visit for the evaluation and
management of a new patient, which requires these 3 key
components:
• A
comprehensive history;
• A comprehensive examination;
• Medical decision making of high complexity.
FRVU Facility total RVU NFRVU Non-facility total RVU MUE Medically Unlikely Edit GD Global Days MOD Modifier crosswalk Male Female Maternity New Code Revised Code Add-On Code # Resequenced Code Conscious Sedation FDA Approval Pending Modifier 63 Exempted Modifier 51 Exempted
61
Evaluation and Management
Counseling and/or coordination of care with other
physicians, other qualified health care professionals,
or agencies are provided consistent with the nature of
the problem(s) and the patient's and/or family's needs.
Usually, the presenting problem(s) are of low to moderate
severity. Typically, 20 minutes are spent face-to-face with
the patient and/or family.
FRVU 2.15 NFRVU 3.02 GD XXX MUE 1
MOD 24, 25, 32, 57, 80, 81, 82, GA, GE, GZ
CPT® Asst: DEC 2009; Vol 19: Issue 12, AUG 2009; Vol 19: Issue
8, MAR 2009; Vol 19: Issue 3, NOV 2008; Vol 18: Issue 11, APR
2007; Vol 17: Issue 4, SEP 2007; Vol 17: Issue 9, OCT 2006;
Vol 16: Issue 10, JUN 2006; Vol 16: Issue 6, MAY 2006; Vol 16:
Issue 5, JUN 2005; Vol 15: Issue 6, APR 2005; Vol 15: Issue 4,
FEB 2005; Vol 15: Issue 2, AUG 2004; Vol 14: Issue 8, FEB 2000;
Vol 10: Issue 2, FEB 2011; Vol 21: Issue 2, JUN 2011; Vol 21:
Issue 6, JAN 2012; Vol 22: Issue 1, AUG 2013; Vol 23: Issue 8,
AUG 2013; Vol 23: Issue 8
2014 Procedural Coding Advisor
Evaluation and Management
99211 - 99214
99211 - 99214
Counseling and/or coordination of care with other
physicians, other qualified health care professionals,
or agencies are provided consistent with the nature of
the problem(s) and the patient's and/or family's needs.
Usually, the presenting problem(s) are of moderate to
high severity. Typically, 60 minutes are spent face-to-face
with the patient and/or family.
99213 Office or other outpatient visit for the evaluation and
management of an established patient, which requires at
least 2 of these 3 key components:
• A
n expanded problem focused history;
• An expanded problem focused examination;
• Medical decision making of low complexity.
RA
FT
FRVU 4.75 NFRVU 5.78 GD XXX MUE 1
MOD 24, 25, 32, 57, 80, 81, 82, GA, GZ
CPT® Asst: DEC 2009; Vol 19: Issue 12, AUG 2009; Vol 19: Issue
8, MAR 2009; Vol 19: Issue 3, APR 2007; Vol 17: Issue 4, SEP
2007; Vol 17: Issue 9, OCT 2006; Vol 16: Issue 10, JUN 2006;
Vol 16: Issue 6, MAY 2006; Vol 16: Issue 5, JUN 2005; Vol 15:
Issue 6, APR 2005; Vol 15: Issue 4, AUG 2004; Vol 14: Issue 8,
FEB 2000; Vol 10: Issue 2, FEB 2011; Vol 21: Issue 2, JUN 2011;
Vol 21: Issue 6, JAN 2012; Vol 22: Issue 1, AUG 2013; Vol 23:
Issue 8, AUG 2013; Vol 23: Issue 8
2007; Vol 17: Issue 9, JUL 2007; Vol 17: Issue 7, OCT 2006; Vol
16: Issue 10, SEP 2006; Vol 16: Issue 9, JUN 2006; Vol 16: Issue
6, JUN 2006; Vol 16: Issue 6, MAY 2006; Vol 16: Issue 5, JUN
2005; Vol 15: Issue 6, APR 2005; Vol 15: Issue 4, AUG 2004; Vol
14: Issue 8, APR 2004; Vol 14: Issue 4, JUN 2000; Vol 10: Issue
6, FEB 2000; Vol 10: Issue 2, SEP 2010; Vol 20: Issue 9, FEB
2010; Vol 20: Issue 2, FEB 2011; Vol 21: Issue 2, JUN 2011; Vol
21: Issue 6, MAY 2009; Vol 19: Issue 5, JAN 2012; Vol 22: Issue
1, MAR 2013; Vol 23: Issue 3, AUG 2013; Vol 23: Issue 8, AUG
2013; Vol 23: Issue 8
Established Patient Office or Other Outpatient
Services (99211-99215)
99211 Office or other outpatient visit for the evaluation and
management of an established patient, that may not
require the presence of a physician or other qualified
health care professional. Usually, the presenting
problem(s) are minimal. Typically, 5 minutes are spent
performing or supervising these services.
D
FRVU 0.26 NFRVU 0.56 GD XXX MUE 1
MOD 24, 25, 32, 57, 80, 81, 82, GA, GE, GZ, TS
CPT® Asst: AUG 2009; Vol 19: Issue 8, MAR 2009; Vol 19: Issue
3, AUG 2008; Vol 18: Issue 8, APR 2007; Vol 17: Issue 4, MAR
2008; Vol 18: Issue 3, DEC 2007; Vol 17: Issue 12, SEP 2007; Vol
17: Issue 9, JUL 2007; Vol 17: Issue 7, NOV 2006; Vol 16: Issue
11, OCT 2006; Vol 16: Issue 10, JUL 2006; Vol 16: Issue 7, JUN
2006; Vol 16: Issue 6, MAY 2006; Vol 16: Issue 5, FEB 2006; Vol
16: Issue 2, NOV 2005; Vol 15: Issue 11, JUN 2005; Vol 15: Issue
6, MAY 2005; Vol 15: Issue 5, APR 2005; Vol 15: Issue 4, MAR
2005; Vol 15: Issue 3, FEB 2005; Vol 15: Issue 2, AUG 2004; Vol
14: Issue 8, APR 2004; Vol 14: Issue 4, JUN 2000; Vol 10: Issue
6, FEB 2000; Vol 10: Issue 2, APR 2010; Vol 20: Issue 4, FEB
2011; Vol 21: Issue 2, APR 2012; Vol 22: Issue 4, JAN 2012; Vol
22: Issue 1, MAR 2013; Vol 23: Issue 3, AUG 2013; Vol 23: Issue
8, AUG 2013; Vol 23: Issue 8
Evaluation and Management
99212 Office or other outpatient visit for the evaluation and
management of an established patient, which requires at
least 2 of these 3 key components:
• A
problem focused history;
• A problem focused examination;
• Straightforward medical decision making.
Counseling and/or coordination of care with other
physicians, other qualified health care professionals,
or agencies are provided consistent with the nature of
the problem(s) and the patient's and/or family's needs.
Usually, the presenting problem(s) are self limited or
minor. Typically, 10 minutes are spent face-to-face with
the patient and/or family.
FRVU 0.71 NFRVU 1.22 GD XXX MUE 1
MOD 24, 25, 32, 57, 80, 81, 82, GA, GE, GZ, TS
CPT® Asst: AUG 2009; Vol 19: Issue 8, MAR 2009; Vol 19: Issue
3, APR 2007; Vol 17: Issue 4, MAR 2008; Vol 18: Issue 3, SEP
Counseling and coordination of care with other
physicians, other qualified health care professionals,
or agencies are provided consistent with the nature of
the problem(s) and the patient's and/or family's needs.
Usually, the presenting problem(s) are of low to moderate
severity. Typically, 15 minutes are spent face-to-face with
the patient and/or family.
FRVU 1.44 NFRVU 2.04 GD XXX MUE 1
MOD 24, 25, 32, 57, 80, 81, 82, GA, GE, GZ, TS
CPT® Asst: AUG 2009; Vol 19: Issue 8, MAR 2009; Vol 19: Issue
3, APR 2007; Vol 17: Issue 4, MAR 2008; Vol 18: Issue 3, SEP
2007; Vol 17: Issue 9, JUL 2007; Vol 17: Issue 7, OCT 2006; Vol
16: Issue 10, SEP 2006; Vol 16: Issue 9, JUN 2006; Vol 16: Issue
6, JUN 2006; Vol 16: Issue 6, MAY 2006; Vol 16: Issue 5, JUN
2005; Vol 15: Issue 6, APR 2005; Vol 15: Issue 4, MAR 2005; Vol
15: Issue 3, AUG 2004; Vol 14: Issue 8, APR 2004; Vol 14: Issue
4, OCT 2003; Vol 13: Issue 10, JUN 2000; Vol 10: Issue 6, FEB
2000; Vol 10: Issue 2, SEP 2010; Vol 20: Issue 9, FEB 2011; Vol
21: Issue 2, JUN 2011; Vol 21: Issue 6, MAY 2009; Vol 19: Issue
5, JAN 2012; Vol 22: Issue 1, MAR 2013; Vol 23: Issue 3, AUG
2013; Vol 23: Issue 8, AUG 2013; Vol 23: Issue 8
99214 Office or other outpatient visit for the evaluation and
management of an established patient, which requires at
least 2 of these 3 key components:
• A
detailed history;
• A detailed examination;
• Medical decision making of moderate complexity.
Counseling and/or coordination of care with other
physicians, other qualified health care professionals,
or agencies are provided consistent with the nature of
the problem(s) and the patient's and/or family's needs.
Usually, the presenting problem(s) are of moderate to
high severity. Typically, 25 minutes are spent face-to-face
with the patient and/or family.
FRVU 2.21 NFRVU 3.01 GD XXX MUE 1
MOD 24, 25, 32, 57, 80, 81, 82, GA, GZ, TS
CPT® Asst: AUG 2009; Vol 19: Issue 8, MAR 2009; Vol 19: Issue
3, APR 2007; Vol 17: Issue 4, MAR 2008; Vol 18: Issue 3, SEP
2007; Vol 17: Issue 9, JUL 2007; Vol 17: Issue 7, OCT 2006; Vol
16: Issue 10, SEP 2006; Vol 16: Issue 9, JUN 2006; Vol 16: Issue
6, JUN 2006; Vol 16: Issue 6, MAY 2006; Vol 16: Issue 5, JUN
2005; Vol 15: Issue 6, APR 2005; Vol 15: Issue 4, AUG 2004; Vol
14: Issue 8, APR 2004; Vol 14: Issue 4, OCT 2003; Vol 13: Issue
FRVU Facility total RVU NFRVU Non-facility total RVU MUE Medically Unlikely Edit GD Global Days MOD Modifier crosswalk Male Female Maternity New Code Revised Code Add-On Code # Resequenced Code Conscious Sedation FDA Approval Pending Modifier 63 Exempted Modifier 51 Exempted
62 2014 Procedural Coding Advisor
10021 - 10060
Fine Needle Aspiration Surgical Procedures
(10021-10022)
Incision and Drainage Procedures on the Skin,
Subcutaneous and Accessory Structures (10040-10180)
10021 Fine needle aspiration; without imaging guidance
10040 Acne surgery (eg, marsupialization, opening or removal
of multiple milia, comedones, cysts, pustules)
FRVU 2.49 NFRVU 2.84 GD 010 MUE 1
MOD 22, 47, 51, 52, 53, 54, 55, 56, 58, 59, 76, 77, 78, 79, 81,
99, AS, GA, GZ
ASC PI: P3 ASC Sep. Pay: Yes APC SI: T APC: 0013
CPT® Asst: FEB 2008; Vol 18: Issue 2
RA
FT
FRVU 2.03 NFRVU 4.20 GD XXX MUE None
MOD 47, 52, 53, 54, 56, 59, 76, 77, 78, 79, 80, 81, 82, 99, GA, GZ
ASC PI: P3 ASC Sep. Pay: Yes APC SI: T APC: 0015
CPT® Asst: MAR 2005; Vol 15: Issue 3, NOV 2002; Vol 12: Issue
11, AUG 2002; Vol 12: Issue 8
10021 - 10060
Integumentary System
Thyroid gland
Larynx
Thyroid
gland
Acne
Fine needle
aspiration
Lesion
FRVU 2.72 NFRVU 3.25 GD 010 MUE 1
MOD 22, 47, 51, 52, 53, 54, 55, 56, 58, 59, 76, 77, 78, 79, 81,
99, AS, GA, GZ
ASC PI: P3 ASC Sep. Pay: Yes APC SI: T APC: 0006
CPT® Asst: DEC 2006; Vol 16: Issue 12, APR 2010; Vol 20: Issue
4, SEP 2012; Vol 22: Issue 9
D
Trachea
10060 Incision and drainage of abscess (eg, carbuncle,
suppurative hidradenitis, cutaneous or subcutaneous
abscess, cyst, furuncle, or paronychia); simple or single
10021
10022 Fine needle aspiration; with imaging guidance
FRVU 1.88 NFRVU 3.94 GD XXX MUE None
MOD 47, 52, 53, 54, 56, 59, 76, 77, 78, 79, 80, 81, 82, 99, GA,
GZ
ASC PI: G2 ASC Sep. Pay: Yes APC SI: T APC: 0004
CPT® Asst: JUN 2007; Vol 17: Issue 6, NOV 2002; Vol 12:
Issue 11
Introduction and Removal Procedures (10030)
FRVU 4.45 NFRVU 22.07 GD XXX MUE None
MOD 22, 47, 51, 52, 53, 54, 55, 56, 58, 59, 77, 78, 79, 80, 81,
82, 99, AS, GA, GZ
ASC PI: P2 ASC Sep. Pay: Yes APC SI: T APC: 0006
CPT® Asst: NOV 2013; Vol 23: Issue 11
10060
FRVU Facility total RVU NFRVU Non-facility total RVU MUE Medically Unlikely Edit GD Global Days MOD Modifier crosswalk Male Female Maternity New Code Revised Code Add-On Code # Resequenced Code Conscious Sedation FDA Approval Pending Modifier 63 Exempted Modifier 51 Exempted
83
Integumentary System
10030 Image-guided fluid collection drainage by catheter (eg,
abscess, hematoma, seroma, lymphocele, cyst), soft tissue
(eg, extremity, abdominal wall, neck), percutaneous
2014 Procedural Coding Advisor
Integumentary System
10061 - 11005
10061 - 11005
10061 Incision and drainage of abscess (eg, carbuncle,
suppurative hidradenitis, cutaneous or subcutaneous
abscess, cyst, furuncle, or paronychia); complicated or
multiple
FRVU 5.07 NFRVU 5.78 GD 010 MUE 1
MOD 22, 47, 51, 52, 53, 54, 55, 56, 58, 59, 76, 77, 78, 79, 81,
99, AS, GA, GZ
ASC PI: P3 ASC Sep. Pay: Yes APC SI: T APC: 0006
CPT® Asst: DEC 2006; Vol 16: Issue 12, SEP 2012; Vol 22:
Issue 9
10080 Incision and drainage of pilonidal cyst; simple
RA
FT
FRVU 2.93 NFRVU 5.02 GD 010 MUE 1
MOD 22, 47, 51, 52, 53, 54, 55, 56, 58, 59, 76, 77, 78, 79, 81,
99, AS, GA, GZ
ASC PI: P2 ASC Sep. Pay: Yes APC SI: T APC: 0006
CPT® Asst: MAY 2007; Vol 17: Issue 5, DEC 2006; Vol 16:
Issue 12
10081 Incision and drainage of pilonidal cyst; complicated
FRVU 4.91 NFRVU 7.61 GD 010 MUE 1
MOD 22, 47, 51, 52, 53, 54, 55, 56, 58, 59, 76, 77, 78, 79, 81,
99, AS, GA, GZ
ASC PI: P3 ASC Sep. Pay: Yes APC SI: T APC: 0007
CPT® Asst: MAY 2007; Vol 17: Issue 5, DEC 2006; Vol 16:
Issue 12
10120 Incision and removal of foreign body, subcutaneous
tissues; simple
FRVU 2.93 NFRVU 4.26 GD 010 MUE None
MOD 22, 47, 51, 52, 53, 54, 55, 56, 58, 59, 76, 77, 78, 79, 81,
99, AS, GA, GZ
ASC PI: P3 ASC Sep. Pay: Yes APC SI: T APC: 0016
CPT® Asst: DEC 2006; Vol 16: Issue 12, SEP 2012; Vol 22: Issue
9, APR 2013; Vol 23: Issue 4
10121 Incision and removal of foreign body, subcutaneous
tissues; complicated
D
FRVU 5.29 NFRVU 7.72 GD 010 MUE None
MOD 22, 47, 51, 52, 53, 54, 55, 56, 58, 59, 76, 77, 78, 79, 81,
99, AS, GA, GZ
ASC PI: A2 ASC Sep. Pay: Yes APC SI: T APC: 0021
CPT® Asst: DEC 2006; Vol 16: Issue 12, SEP 2012; Vol 22:
Issue 9
10140 Incision and drainage of hematoma, seroma or fluid
collection
FRVU 3.36 NFRVU 4.57 GD 010 MUE None
MOD 22, 47, 51, 52, 53, 54, 55, 56, 58, 59, 76, 77, 78, 79, 81,
99, AS, GA, GZ
ASC PI: P3 ASC Sep. Pay: Yes APC SI: T APC: 0007
CPT® Asst: DEC 2006; Vol 16: Issue 12
Integumentary System
10160 Puncture aspiration of abscess, hematoma, bulla, or cyst
FRVU 2.72 NFRVU 3.65 GD 010 MUE None
MOD 22, 47, 51, 52, 53, 54, 55, 56, 58, 59, 76, 77, 78, 79, 81,
99, AS, GA, GZ
ASC PI: P3 ASC Sep. Pay: Yes APC SI: T APC: 0006
CPT® Asst: APR 2010; Vol 20: Issue 4
10160
10180 Incision and drainage, complex, postoperative wound infection
FRVU 5.08 NFRVU 6.94 GD 010 MUE 3
MOD 22, 47, 51, 52, 53, 54, 55, 56, 58, 59, 76, 77, 78, 79, 81,
99, AS, GA, GZ
ASC PI: A2 ASC Sep. Pay: Yes APC SI: T APC: 0008
CPT® Asst: DEC 2006; Vol 16: Issue 12
Debridement Procedures on the Skin (11000-11047)
11000 Debridement of extensive eczematous or infected skin; up
to 10% of body surface
FRVU 0.82 NFRVU 1.53 GD 000 MUE 1
MOD 22, 47, 51, 52, 53, 54, 56, 59, 76, 77, 78, 79, 81, 99, AS,
GA, GZ
ASC PI: P3 ASC Sep. Pay: Yes APC SI: T APC: 0016
CPT® Asst: MAY 2011; Vol 21: Issue 5
11001 Debridement of extensive eczematous or infected skin; each
additional 10% of the body surface, or part thereof (List
separately in addition to code for primary procedure)
FRVU 0.41 NFRVU 0.60 GD ZZZ MUE None
MOD 47, 52, 53, 54, 56, 59, 76, 77, 78, 79, 81, 99, AS, GA, GZ
ASC PI: N1 ASC Sep. Pay: No CPT® Asst: MAY 2011; Vol 21: Issue 5
11004 Debridement of skin, subcutaneous tissue, muscle
and fascia for necrotizing soft tissue infection; external
genitalia and perineum
FRVU 16.60 NFRVU 16.60 GD 000 MUE 1
MOD 22, 47, 51, 52, 53, 54, 56, 59, 76, 77, 78, 79, 81, 99, AS,
GA, GZ
CPT® Asst: MAY 2011; Vol 21: Issue 5, JAN 2012; Vol 22: Issue
1, OCT 2013; Vol 23: Issue 10
11005 Debridement of skin, subcutaneous tissue, muscle and
fascia for necrotizing soft tissue infection; abdominal wall,
with or without fascial closure
FRVU 22.36 NFRVU 22.36 GD 000 MUE 1
MOD 22, 47, 52, 53, 54, 56, 59, 76, 77, 78, 79, 80, 81, 82, 99,
GA, GZ
CPT® Asst: MAY 2011; Vol 21: Issue 5, JAN 2012; Vol 22: Issue
1, OCT 2013; Vol 23: Issue 10
FRVU Facility total RVU NFRVU Non-facility total RVU MUE Medically Unlikely Edit GD Global Days MOD Modifier crosswalk Male Female Maternity New Code Revised Code Add-On Code # Resequenced Code Conscious Sedation FDA Approval Pending Modifier 63 Exempted Modifier 51 Exempted
84 2014 Procedural Coding Advisor
80047 - 80061
80047 - 80061
Pathology and Laboratory Procedures
Organ or Disease Oriented Panels (80047-80076)
80047 Basic metabolic panel (Calcium, ionized)
This panel must include the following:
Calcium, ionized (82330)
Carbon dioxide (bicarbonate) (82374)
Chloride (82435)
Creatinine (82565)
Glucose (82947)
Potassium (84132)
Albumin (82040)
Bilirubin, total (82247)
Calcium, total (82310)
Carbon dioxide (bicarbonate) (82374)
Chloride (82435)
Creatinine (82565)
Glucose (82947)
Phosphatase, alkaline (84075)
RA
FT
Sodium (84295)
80053 Comprehensive metabolic panel
This panel must include the following:
Urea Nitrogen (BUN) (84520)
Potassium (84132)
NATIONAL LIMIT: 11.54 MID POINT: 15.59 FLOOR: 0.00
MOD 52, 53, 59, 79, 90, 91, GA, GZ, QW
CPT® Asst: APR 2008; Vol 18: Issue 4, APR 2013; Vol 23: Issue 4
Sodium (84295)
80048 Basic metabolic panel (Calcium, total)
This panel must include the following:
Calcium, total (82310)
Carbon dioxide (bicarbonate) (82374)
Chloride (82435)
Creatinine (82565)
Glucose (82947)
Potassium (84132)
Sodium (84295)
Urea nitrogen (BUN) (84520)
NATIONAL LIMIT: 11.54 MID POINT: 15.59 FLOOR: 0.00
MOD 52, 53, 59, 79, 90, 91, GA, GZ, QW
CPT® Asst: AUG 2005; Vol 15: Issue 8, JAN 2000; Vol 10: Issue 1
D
80050 General health panel
This panel must include the following:
Pathology and Laboratory Procedures
Comprehensive metabolic panel (80053)
Blood count, complete (CBC), automated and automated
differential WBC count (85025 or 85027 and 85004)
OR
Blood count, complete (CBC), automated (85027) and
appropriate manual differential WBC count (85007 or 85009)
Thyroid stimulating hormone (TSH) (84443)
FRVU 0.00 NFRVU 0.00 GD XXX MUE None
MOD 52, 53, 59, 79, 90, 91, GA, GX, GY, GZ
80051 Electrolyte panel
This panel must include the following:
Carbon dioxide (bicarbonate) (82374)
Chloride (82435)
Potassium (84132)
Sodium (84295)
NATIONAL LIMIT: 9.57 MID POINT: 12.93 FLOOR: 0.00
MOD 52, 53, 59, 79, 90, 91, GA, GZ, QW
Protein, total (84155)
Transferase, alanine amino (ALT) (SGPT) (84460)
Transferase, aspartate amino (AST) (SGOT) (84450)
Urea nitrogen (BUN) (84520)
NATIONAL LIMIT: 14.41 MID POINT: 19.48 FLOOR: 0.00
MOD 52, 53, 59, 79, 90, 91, GA, GZ, QW
CPT® Asst: APR 2008; Vol 18: Issue 4, JAN 2005; Vol 15: Issue 1,
MAY 2000; Vol 10: Issue 5, JAN 2000; Vol 10: Issue 1, APR 2010;
Vol 20: Issue 4
80055 Obstetric panel
This panel must include the following:
Blood count, complete (CBC), automated and automated
differential WBC count (85025 or 85027 and 85004)
OR
Blood count, complete (CBC), automated (85027) and
appropriate manual differential WBC count (85007 or 85009)
Hepatitis B surface antigen (HBsAg) (87340)
Antibody, rubella (86762)
Syphilis test, non-treponemal antibody; qualitative (eg,
VDRL, RPR, ART) (86592)
Antibody screen, RBC, each serum technique (86850)
Blood typing, ABO (86900) AND
Blood typing, Rh (D) (86901)
FRVU 0.00 NFRVU 0.00 GD XXX MUE None
MOD 52, 53, 59, 79, 90, 91, GA, GX, GY, GZ
80061 Lipid panel
This panel must include the following:
Cholesterol, serum, total (82465)
Lipoprotein, direct measurement, high density cholesterol
(HDL cholesterol) (83718)
Triglycerides (84478)
NATIONAL LIMIT: 0.00 MID POINT: 0.00 FLOOR: 0.00
MOD 52, 53, 59, 79, 90, 91, GA, GZ, QW
CPT® Asst: FEB 2005; Vol 15: Issue 2, MAR 2000; Vol 10: Issue 3
FRVU Facility total RVU NFRVU Non-facility total RVU MUE Medically Unlikely Edit GD Global Days MOD Modifier crosswalk Male Female Maternity New Code Revised Code Add-On Code # Resequenced Code Conscious Sedation FDA Approval Pending Modifier 63 Exempted Modifier 51 Exempted
502 2014 Procedural Coding Advisor
Pathology and Laboratory Procedures
80069 - 80169
Albumin (82040)
Calcium, total (82310)
Carbon dioxide (bicarbonate) (82374)
Chloride (82435)
Creatinine (82565)
Glucose (82947)
Phosphorus inorganic (phosphate) (84100)
Potassium (84132)
Sodium (84295)
Urea nitrogen (BUN) (84520)
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: MAR 2000; Vol 10: Issue 3, AUG 2013; Vol 23: Issue 8
80103 Tissue preparation for drug analysis
FRVU 0.00 NFRVU 0.00 GD XXX MUE 2
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: AUG 2005; Vol 15: Issue 8, MAR 2000; Vol 10: Issue 3
80104 Code is out of numerical sequence.
Therapeutic Drug Assays (80150-80299)
80150 Amikacin
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: AUG 2005; Vol 15: Issue 8, MAR 2000; Vol 10: Issue 3,
DEC 2010; Vol 20: Issue 12, MAR 2011; Vol 21: Issue 3
RA
FT
NATIONAL LIMIT: 11.85 MID POINT: 16.01 FLOOR: 0.00
MOD 52, 53, 59, 79, 90, 91, GA, GZ, QW
CPT® Asst: JAN 2000; Vol 10: Issue 1
80102 Drug confirmation, each procedure
80069 - 80169
80069 Renal function panel
This panel must include the following:
80074 Acute hepatitis panel
This panel must include the following:
Hepatitis A antibody (HAAb), IgM antibody (86709)
Hepatitis B core antibody (HBcAb), IgM antibody (86705)
Hepatitis B surface antigen (HBsAg) (87340)
Hepatitis C antibody (86803)
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: JAN 2000; Vol 10: Issue 1
80076 Hepatic function panel
This panel must include the following:
Albumin (82040)
Bilirubin, total (82247)
Bilirubin, direct (82248)
Phosphatase, alkaline (84075)
Protein, total (84155)
Transferase, alanine amino (ALT) (SGPT) (84460)
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: AUG 2005; Vol 15: Issue 8, JAN 2000; Vol 10: Issue 1
Drug Testing Procedures (80100-80104)
80100 Drug screen, qualitative; multiple drug classes
chromatographic method, each procedure
FRVU 0.00 NFRVU 0.00 GD XXX MUE 0
MOD 52, 53, 59, 79, 90, 91, GA, GX, GY, GZ
CPT® Asst: AUG 2005; Vol 15: Issue 8, MAR 2000; Vol 10: Issue 3
80101 Drug screen, qualitative; single drug class method (eg,
immunoassay, enzyme assay), each drug class
FRVU 0.00 NFRVU 0.00 GD XXX MUE 0
MOD 52, 53, 59, 79, 90, 91, GA, GX, GY, GZ
CPT® Asst: NOV 2006; Vol 16: Issue 11, MAR 2000; Vol 10: Issue
3, DEC 2010; Vol 20: Issue 12
80104 Drug screen, qualitative; multiple drug classes other than
chromatographic method, each procedure
#
FRVU 0.00 NFRVU 0.00 GD XXX MUE 1
MOD 52, 53, 59, 79, 90, 91, GA, GX, GY, GZ
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: MAR 2000; Vol 10: Issue 3, MAR 2011; Vol 21: Issue 3
80154 Benzodiazepines
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: MAR 2000; Vol 10: Issue 3, MAR 2011; Vol 21: Issue 3
80155 Caffeine
MOD 59, 79, 90, 91, GA, GZ
80156 Carbamazepine; total
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: MAR 2000; Vol 10: Issue 3, MAR 2011; Vol 21: Issue 3
80157 Carbamazepine; free
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: MAR 2011; Vol 21: Issue 3
80158 Cyclosporine
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: MAR 2000; Vol 10: Issue 3, MAR 2011; Vol 21: Issue 3
80159 Clozapine
MOD 59, 79, 90, 91, GA, GZ
80160 Desipramine
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: MAR 2000; Vol 10: Issue 3, MAR 2011; Vol 21: Issue 3
80162 Digoxin
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: MAR 2000; Vol 10: Issue 3, MAR 2011; Vol 21: Issue 3
80164 Dipropylacetic acid (valproic acid)
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: MAR 2000; Vol 10: Issue 3, MAR 2011; Vol 21: Issue 3
80166 Doxepin
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: MAR 2000; Vol 10: Issue 3, MAR 2011; Vol 21: Issue 3
80168 Ethosuximide
MOD 52, 53, 59, 79, 90, 91, GA, GZ
CPT® Asst: MAR 2000; Vol 10: Issue 3, MAR 2011; Vol 21: Issue 3
80169 Everolimus
MOD 59, 79, 90, 91, GA, GZ
FRVU Facility total RVU NFRVU Non-facility total RVU MUE Medically Unlikely Edit GD Global Days MOD Modifier crosswalk Male Female Maternity New Code Revised Code Add-On Code # Resequenced Code Conscious Sedation FDA Approval Pending Modifier 63 Exempted Modifier 51 Exempted
503
Pathology and Laboratory Procedures
D
Transferase, aspartate amino (AST) (SGOT) (84450)
80152 Amitriptyline
Appendix A: CPT® Changes 2014 (New and Revised)
New Codes
Code
Descriptor
Code
Descriptor
99446
Interprofessional telephone/internet assessment
and management service provided by a consultative
physician including a verbal and written report to
the patient’s treating/requesting physician or other
qualified health care professional; 5-10 minutes of
medical consultative discussion and review
Interprofessional telephone/internet assessment
and management service provided by a consultative
physician including a verbal and written report to
the patient’s treating/requesting physician or other
qualified health care professional; 11-20 minutes of
medical consultative discussion and review
Interprofessional telephone/internet assessment
and management service provided by a consultative
physician including a verbal and written report to
the patient’s treating/requesting physician or other
qualified health care professional; 21-30 minutes of
medical consultative discussion and review
Interprofessional telephone/internet assessment
and management service provided by a consultative
physician including a verbal and written report to
the patient’s treating/requesting physician or other
qualified health care professional; 31 minutes or more
of medical consultative discussion and review
Total body systemic hypothermia in a critically ill
neonate per day (List separately in addition to code
for primary procedure)
Selective head hypothermia in a critically ill neonate per day
(List separately in addition to code for primary procedure)
Image-guided fluid collection drainage by catheter (eg,
abscess, hematoma, seroma, lymphocele, cyst), soft
tissue (eg, extremity, abdominal wall, neck), percutaneous
Biopsy, breast, with placement of breast localization
device(s) (eg, clip, metallic pellet), when performed,
and imaging of the biopsy specimen, when performed,
percutaneous; first lesion, including stereotactic guidance
Biopsy, breast, with placement of breast localization device(s)
(eg, clip, metallic pellet), when performed, and imaging
of the biopsy specimen, when performed, percutaneous;
each additional lesion, including stereotactic guidance (list
separately in addition to code for primary procedure)
Biopsy, breast, with placement of breast localization
device(s) (eg, clip, metallic pellet), when performed,
and imaging of the biopsy specimen, when performed,
percutaneous; first lesion, including ultrasound guidance
Biopsy, breast, with placement of breast localization
device(s) (eg, clip, metallic pellet), when performed,
and imaging of the biopsy specimen, when performed,
percutaneous; each additional lesion, including
ultrasound guidance (list separately in addition to
code for primary procedure)
Biopsy, breast, with placement of breast localization device(s)
(eg, clip, metallic pellet), when performed, and imaging of the
biopsy specimen, when performed, percutaneous; first lesion,
including magnetic resonance guidance
Biopsy, breast, with placement of breast localization
device(s) (eg, clip, metallic pellet), when performed,
and imaging of the biopsy specimen, when performed,
percutaneous; each additional lesion, including
magnetic resonance guidance (list separately in
addition to code for primary procedure)
19281
Placement of breast localization device(s) (eg, clip, metallic
pellet, wire/needle, radioactive seeds), percutaneous; first
lesion, including mammographic guidance
Placement of breast localization device(s) (eg, clip,
metallic pellet, wire/needle, radioactive seeds),
percutaneous; each additional lesion, including
mammographic guidance (list separately in addition to
code for primary procedure)
Placement of breast localization device(s) (eg, clip,
metallic pellet, wire/needle, radioactive seeds),
percutaneous; first lesion, including stereotactic guidance
Placement of breast localization device(s) (eg, clip,
metallic pellet, wire/needle, radioactive seeds),
percutaneous; each additional lesion, including
stereotactic guidance (list separately in addition to
code for primary procedure)
Placement of breast localization device(s) (eg, clip,
metallic pellet, wire/needle, radioactive seeds),
percutaneous; first lesion, including ultrasound guidance
Placement of breast localization device(s) (eg, clip,
metallic pellet, wire/needle, radioactive seeds),
percutaneous; each additional lesion, including
ultrasound guidance (list separately in addition to
code for primary procedure)
Placement of breast localization device(s) (eg clip,
metallic pellet, wire/needle, radioactive seeds),
percutaneous; first lesion, including magnetic
resonance guidance
Placement of breast localization device(s) (eg clip,
metallic pellet, wire/needle, radioactive seeds),
percutaneous; each additional lesion, including
magnetic resonance guidance (list separately in
addition to code for primary procedure)
Removal of foreign body, shoulder; deep (subfascial
or intramuscular)
Removal of prosthesis, includes debridement and
synovectomy when performed; humeral or glenoid
component
Removal of prosthesis, includes debridement and
synovectomy when performed; humeral and glenoid
components (eg, total shoulder)
Transcatheter aortic valve replacement (tavr/tavi) with
prosthetic valve; transapical exposure (eg, left thoracotomy)
Endovascular repair of visceral aorta (eg, aneurysm,
pseudoaneurysm, dissection, penetrating ulcer,
intramural hematoma, or traumatic disruption) by
deployment of a fenestrated visceral aortic endograft
and all associated radiological supervision and
interpretation, including target zone angioplasty, when
performed; including one visceral artery endoprosthesis
(superior mesenteric, celiac or renal artery)
Endovascular repair of visceral aorta (eg, aneurysm,
pseudoaneurysm, dissection, penetrating ulcer,
intramural hematoma, or traumatic disruption) by
deployment of a fenestrated visceral aortic endograft
and all associated radiological supervision and
interpretation, including target zone angioplasty, when
performed; including two visceral artery endoprostheses
(superior mesenteric, celiac and/or renal artery[s])
99448
99449
99481
99482
10030
D
19081
Appendix A: CPT® Changes 2014 (New and Revised)
19082
19083
19084
19085
19086
664
19283
RA
FT
99447
19282
19284
19285
19286
19287
19288
23333
23334
23335
33366
34841
34842
2014 PROCEDURAL CODING ADVISOR
Appendix A: CPT® Changes 2014 (New and Revised)
Code
Descriptor
Code
Descriptor
34843
Endovascular repair of visceral aorta (eg, aneurysm,
pseudoaneurysm, dissection, penetrating ulcer,
intramural hematoma, or traumatic disruption) by
deployment of a fenestrated visceral aortic endograft and
all associated radiological supervision and interpretation,
including target zone angioplasty, when performed;
including three visceral artery endoprostheses (superior
mesenteric, celiac and/or renal artery[s])
Endovascular repair of visceral aorta (eg, aneurysm,
pseudoaneurysm, dissection, penetrating ulcer,
intramural hematoma, or traumatic disruption) by
deployment of a fenestrated visceral aortic endograft
and all associated radiological supervision and
interpretation, including target zone angioplasty,
when performed; including four or more visceral
artery endoprostheses (superior mesenteric, celiac
and/or renal artery[s])
Endovascular repair of visceral aorta and infrarenal
abdominal aorta (eg, aneurysm, pseudoaneurysm,
dissection, penetrating ulcer, intramural hematoma,
or traumatic disruption) with a fenestrated visceral
aortic endograft and concomitant unibody or modular
infrarenal aortic endograft and all associated
radiological supervision and interpretation, including
target zone angioplasty, when performed; including
one visceral artery endoprosthesis (superior
mesenteric, celiac or renal artery)
Endovascular repair of visceral aorta and infrarenal
abdominal aorta (eg, aneurysm, pseudoaneurysm,
dissection, penetrating ulcer, intramural hematoma,
or traumatic disruption) with a fenestrated visceral
aortic endograft and concomitant unibody or modular
infrarenal aortic endograft and all associated
radiological supervision and interpretation, including
target zone angioplasty, when performed; including
two visceral artery endoprostheses (superior
mesenteric, celiac and/or renal artery[s])
Endovascular repair of visceral aorta and
infrarenal abdominal aorta (eg, aneurysm,
pseudoaneurysm, dissection, penetrating ulcer,
intramural hematoma, or traumatic disruption)
with a fenestrated visceral aortic endograft
and concomitant unibody or modular infrarenal
aortic endograft and all associated radiological
supervision and interpretation, including target
zone angioplasty, when performed; including
three visceral artery endoprostheses (superior
mesenteric, celiac and/or renal artery[s])
Endovascular repair of visceral aorta and infrarenal
abdominal aorta (eg, aneurysm, pseudoaneurysm,
dissection, penetrating ulcer, intramural hematoma,
or traumatic disruption) with a fenestrated
visceral aortic endograft and concomitant
unibody or modular infrarenal aortic endograft
and all associated radiological supervision and
interpretation, including target zone angioplasty,
when performed; including four or more visceral
artery endoprostheses (superior mesenteric, celiac
and/or renal artery[s])
Transcatheter placement of an intravascular stent(s),
intrathoracic common carotid artery or innominate
artery by retrograde treatment, via open ipsilateral
cervical carotid artery exposure, including angioplasty,
when performed, and radiological supervision and
interpretation
37236
Transcatheter placement of an intravascular stent(s)
(except lower extremity, cervical carotid, extracranial
vertebral or intrathoracic carotid, intracranial, or coronary),
open or percutaneous, including radiological supervision
and interpretation and including all angioplasty within the
same vessel, when performed; initial artery
Transcatheter placement of an intravascular
stent(s) (except lower extremity, cervical carotid,
extracranial vertebral or intrathoracic carotid,
intracranial, or coronary), open or percutaneous,
including radiological supervision and interpretation
and including all angioplasty within the same
vessel, when performed; each additional artery (list
separately in addition to code for primary procedure)
Transcatheter placement of an intravascular stent(s),
open or percutaneous, including radiological
supervision and interpretation and including angioplasty
within the same vessel, when performed; initial vein
Transcatheter placement of an intravascular stent(s),
open or percutaneous, including radiological
supervision and interpretation and including
angioplasty within the same vessel, when performed;
each additional vein (list separately in addition to code
for primary procedure)
Vascular embolization or occlusion, inclusive of
all radiological supervision and interpretation,
intraprocedural roadmapping, and imaging guidance
necessary to complete the intervention; venous, other
than hemorrhage (eg, congenital or acquired venous
malformations, venous and capillary hemangiomas,
varices, varicoceles)
Vascular embolization or occlusion, inclusive of
all radiological supervision and interpretation,
intraprocedural roadmapping, and imaging guidance
necessary to complete the intervention; arterial, other
than hemorrhage or tumor (eg, congenital or acquired
arterial malformations, arteriovenous malformations,
arteriovenous fistulas, aneurysms, pseudoaneurysms)
Vascular embolization or occlusion, inclusive of
all radiological supervision and interpretation,
intraprocedural roadmapping, and imaging guidance
necessary to complete the intervention; for tumors,
organ ischemia, or infarction
Vascular embolization or occlusion, inclusive of
all radiological supervision and interpretation,
intraprocedural roadmapping, and imaging guidance
necessary to complete the intervention; for arterial
or venous hemorrhage or lymphatic extravasation
Esophagoscopy, rigid, transoral; diagnostic, including
collection of specimen(s) by brushing or washing
when performed (separate procedure)
Esophagoscopy, rigid, transoral; with directed
submucosal injection(s), any substance
Esophagoscopy, rigid, transoral; with biopsy, single or
multiple
Esophagoscopy, rigid, transoral; with removal of foreign body
Esophagoscopy, rigid, transoral; with balloon dilation
(less than 30 mm diameter)
Esophagoscopy, rigid, transoral; with insertion of
guide wire followed by dilation over guide wire
Esophagoscopy, flexible, transnasal; diagnostic,
includes collection of specimen(s) by brushing or
washing when performed (separate procedure)
34845
34846
34848
37217
37239
37241
37242
37243
37244
43191
43192
43193
43194
43195
43196
43197
665
Appendix A: CPT® Changes 2014 (New and Revised)
D
34847
37238
RA
FT
34844
37237
Appendix A: CPT® Changes 2014 (New and Revised)
2014 PROCEDURAL CODING ADVISOR
Code
Descriptor
Code
Descriptor
43198
Esophagoscopy, flexible, transnasal; with biopsy,
single or multiple
Esophagoscopy, flexible, transoral; with endoscopic
mucosal resection
Esophagoscopy, flexible, transoral; with placement of
endoscopic stent (includes pre- and post-dilation and
guide wire passage, when performed)
Esophagoscopy, flexible, transoral; with dilation of
esophagus, by balloon or dilator, retrograde (includes
fluoroscopic guidance, when performed)
Esophagoscopy, flexible, transoral; with dilation of
esophagus with balloon (30 mm diameter or larger)
(includes fluoroscopic guidance, when performed)
Esophagoscopy, flexible, transoral; with ablation of
tumor(s), polyp(s), or other lesion(s) (includes pre- and
post-dilation and guide wire passage, when performed)
Esophagogastroduodenoscopy, flexible, transoral; with
dilation of esophagus with balloon (30 mm diameter or
larger) (includes fluoroscopic guidance, when performed)
Esophagogastroduodenoscopy, flexible, transoral;
with transendoscopic ultrasound-guided transmural
injection of diagnostic or therapeutic substance(s)
(eg, anesthetic, neurolytic agent) or fiducial marker(s)
(includes endoscopic ultrasound examination of the
esophagus, stomach, and either the duodenum or
a surgically altered stomach where the jejunum is
examined distal to the anastomosis)
Esophagogastroduodenoscopy, flexible, transoral;
with endoscopic mucosal resection
Esophagogastroduodenoscopy, flexible, transoral; with
placement of endoscopic stent (includes pre- and postdilation and guide wire passage, when performed)
Esophagogastroduodenoscopy, flexible, transoral;
with ablation of tumor(s), polyp(s), or other lesion(s)
(includes pre- and post-dilation and guide wire
passage, when performed)
Endoscopic retrograde cholangiopancreatography
(ercp); with placement of endoscopic stent into biliary
or pancreatic duct, including pre- and post-dilation
and guide wire passage, when performed, including
sphincterotomy, when performed, each stent
Endoscopic retrograde cholangiopancreatography
(ercp); with removal of foreign body(s) or stent(s) from
biliary/pancreatic duct(s)
Endoscopic retrograde cholangiopancreatography
(ercp); with removal and exchange of stent(s), biliary
or pancreatic duct, including pre- and post-dilation
and guide wire passage, when performed, including
sphincterotomy, when performed, each stent exchanged
Endoscopic retrograde cholangiopancreatography
(ercp); with trans-endoscopic balloon dilation of biliary/
pancreatic duct(s) or of ampulla (sphincteroplasty),
including sphincterotomy, when performed, each duct
Endoscopic retrograde cholangiopancreatography
(ercp); with ablation of tumor(s), polyp(s), or other
lesion(s), including pre- and post-dilation and guide
wire passage, when performed
Image-guided fluid collection drainage by catheter (eg,
abscess, hematoma, seroma, lymphocele, cyst); visceral
(eg, kidney, liver, spleen, lung/mediastinum), percutaneous
Image-guided fluid collection drainage by catheter
(eg, abscess, hematoma, seroma, lymphocele, cyst);
peritoneal or retroperitoneal, percutaneous
49407
Image-guided fluid collection drainage by catheter
(eg, abscess, hematoma, seroma, lymphocele, cyst);
peritoneal or retroperitoneal, transvaginal or transrectal
Cystourethroscopy, with ureteroscopy and/or
pyeloscopy; with lithotripsy including insertion of
indwelling ureteral stent (eg, Gibbons or
Double-J type)
Chemodenervation of muscle(s); neck muscle(s),
excluding muscles of the larynx, unilateral (eg, for
cervical dystonia, spasmodic torticollis)
Chemodenervation of muscle(s); larynx, unilateral,
percutaneous (eg, for spasmodic dysphonia),
includes guidance by needle electromyography,
when performed
Chemodenervation of one extremity; 1-4 muscle(s)
Chemodenervation of one extremity; each additional
extremity, 1-4 muscle(s) (list separately in addition to
code for primary procedure)
Chemodenervation of one extremity; 5 or more
muscle(s)
Chemodenervation of one extremity; each additional
extremity, 5 or more muscle(s) (list separately in
addition to code for primary procedure)
Chemodenervation of trunk muscle(s); 1-5 muscle(s)
Chemodenervation of trunk muscle(s); 6 or more muscle(s)
Insertion of anterior segment aqueous drainage
device, without extraocular reservoir, external
approach
Respiratory motion management simulation (list
separately in addition to code for primary procedure)
Caffeine
Clozapine
Everolimus
Gabapentin
Lamotrigine
Levetiracetam
Mycophenolate (mycophenolic acid)
Oxcarbazepine
Tiagabine
Zonisamide
MGMT (O-6-methylguanine-DNA methyltransferase)
(eg, glioblastoma multiforme), methylation analysis
Oncology (tissue of origin), microarray gene
expression profiling of > 2000 genes, utilizing
formalin-fixed paraffin-embedded tissue, algorithm
reported as tissue similarity scores
Fetal aneuploidy (trisomy 21, 18, and 13) DNA sequence
analysis of selected regions using maternal plasma,
algorithm reported as a risk score for each trisomy
Trichomonas vaginalis, amplified probe technique
Immunohistochemistry or immunocytochemistry, each
separately identifiable antibody per block, cytologic
preparation, or hematologic smear; each additional
separately identifiable antibody per slide (list
separately in addition to code for primary procedure)
Influenza virus vaccine, trivalent, derived from recombinant
DNA (RIV3), hemagglutinin (HA) protein only, preservative
and antibiotic free, for intramuscular use
Influenza virus vaccine, quadrivalent, split virus,
preservative free, when administered to children 6-35
months of age, for intramuscular use
43212
43213
43214
43229
43233
43253
43254
43266
43270
D
Appendix A: CPT® Changes 2014 (New and Revised)
43274
43275
43276
43277
43278
49405
49406
666
52356
64616
64617
64642
64643
RA
FT
43211
64644
64645
64646
64647
66183
77293
80155
80159
80169
80171
80175
80177
80180
80183
80199
80203
81287
81504
81507
87661
88343
90673
90685
2014 PROCEDURAL CODING ADVISOR
Appendix A: CPT® Changes 2014 (New and Revised)
Code
Descriptor
Code
Descriptor
90686
Influenza virus vaccine, quadrivalent, split virus,
preservative free, when administered to individuals 3
years of age and older, for intramuscular use
Influenza virus vaccine, quadrivalent, split virus, when
administered to children 6-35 months of age, for
intramuscular use
Influenza virus vaccine, quadrivalent, split virus, when
administered to individuals 3 years of age and older,
for intramuscular use
Evaluation of speech fluency (eg, stuttering, cluttering)
Evaluation of speech sound production (eg,
articulation, phonological process, apraxia, dysarthria);
Evaluation of speech sound production (eg,
articulation, phonological process, apraxia, dysarthria);
with evaluation of language comprehension and
expression (eg, receptive and expressive language)
Behavioral and qualitative analysis of voice and resonance
Percutaneous transcatheter closure of patent ductus
arteriosus
Percutaneous transcatheter septal reduction therapy
(eg, alcohol septal ablation) including temporary
pacemaker insertion when performed
Mechanical chest wall oscillation to facilitate lung
function, per session
Low frequency, non-contact, non-thermal ultrasound,
including topical application(s), when performed, wound
assessment, and instruction(s) for ongoing care, per day
Multidisciplinary care plan developed or updated
(ALS)[AAN]
Patient transferred directly from anesthetizing location
to critical care unit (Peri2)[ASA]
Patient not transferred directly from anesthetizing
location to critical care unit (Peri)[ASA]
Transfer of care checklist used(Peri2)[ASA]
Transfer of care checklist not used(Peri2)[ASA]
Symptoms and signs of distal symmetric
polyneuropathy reviewed and documented (DSP)[AAN]
Not initial evaluation for condition (DSP)[AAN]
Patient queried about pain and pain interference with
function using a valid and reliable instrument (DSP)[AAN]
Patient queried about symptoms of respiratory
insufficiency (ALS)[AAN]
Patient has respiratory insufficiency (ALS)[AAN]
Patient does not have respiratory insufficiency
(ALS)[AAN]
Electrodiagnostic studies for distal symmetric
polyneuropathy conducted (or requested),
documented, and reviewed within 6 months of initial
evaluation for condition (DSP)[AAN]
Electrodiagnostic studies for distal symmetric
polyneuropathy not conducted (or requested),
documented, or reviewed within 6 months of initial
evaluation for condition (DSP)[AAN]
Patient has clear clinical symptoms and signs that
are highly suggestive of neuropathy AND cannot be
attributed to another condition, AND has an obvious
cause for the neuropathy (DSP)[AAN]
Screening tests for diabetes mellitus reviewed,
requested, or ordered (DSP)[AAN]
Cognitive and behavioral impairment screening
performed (ALS)[AAN]
3756F
Patient has pseudobulbar affect, sialorrhea, or ALSrelated symptoms (ALS)[AAN]
Patient does not have pseudobulbar affect, sialorrhea,
or ALS related symptoms (ALS)[AAN]
Patient referred for pulmonary function testing or peak
cough expiratory flow (ALS)[AAN]
Patient screened for dysphagia, weight loss,
and impaired nutrition, and results documented
(ALS)[AAN]
Patient exhibits dysphagia, weight loss, or impaired
nutrition (ALS)[AAN]
Patient does not exhibit dysphagia, weight loss, or
impaired nutrition (ALS)[AAN]
Patient is dysarthric (ALS)[AAN]
Patient is not dysarthric (ALS)[AAN]
Disease modifying pharmacotherapy discussed
(ALS)[AAN]
Patient offered treatment for pseudobulbar affect,
sialorrhea, or ALS-related symptoms (ALS)[AAN]
Options for noninvasive respiratory support discussed
with patient (ALS)[AAN]
Nutritional support offered (ALS)[AAN]
Patient offered referral to a speech language
pathologist (ALS)[AAN]
Patient offered assistance in planning for end of life
issues (ALS)[AAN]
Patient received inhalational anesthetic agent
90688
92521
92522
92523
92524
93582
93583
94669
97610
0580F
0581F
0582F
0583F
0584F
1500F
1503F
1504F
1505F
3751F
3752F
3753F
3754F
3755F
3758F
3759F
3760F
3761F
3762F
3763F
4540F
4541F
4550F
4551F
4552F
4553F
4554F
4555F
4556F
4557F
4558F
4559F
4560F
4561F
4562F
4563F
9001F
9002F
9003F
9004F
(Peri2){ASA}
Patient did not receive inhalational anesthetic agent
(Peri2)[ASA]
Patient exhibits 3 or more risk factors for postoperative nausea and vomiting (Peri2)[ASA]
Patient does not exhibit 3 or more risk factors for postoperative nausea and vomiting (Peri2)[ASA]
Patient received at least 2 prophylactic pharmacologic
anti-emetic agents of different classes preoperatively
and intraoperatively (Peri2)[ASA]
At least 1 body temperature measurement equal
to or greater than 35.5 degrees Celsius (or 95.9
degrees Fahrenheit) recorded within the 30 minutes
immediately before or the 15 minutes immediately
after anesthesia end time (Peri2)[ASA]
Anesthesia technique did not involve general or
neuraxial anesthesia (Peri2)[ASA]
Patient has a coronary artery stent (Peri2)[ASA]
Patient does not have a coronary artery stent
(Peri2)[ASA]
Patient received aspirin within 24 hours prior to
anesthesia start time (Peri2)[ASA]
Aortic aneurysm less than 5.0 cm maximum diameter
on centerline formatted CT or minor diameter on axial
formatted CT (NMA – No Measure Associated)
Aortic aneurysm 5.0 - 5.4 cm maximum diameter on
centerline formatted CT or minor diameter on axial
formatted CT (NMA – No Measure Associated)
Aortic aneurysm 5.5 - 5.9 cm maximum diameter on
centerline formatted CT or minor diameter on axial
formatted CT (NMA – No Measure Associated)
Aortic aneurysm 6.0 cm or greater maximum diameter
on centerline formatted CT or minor diameter on axial
formatted CT (NMA – No Measure Associated)
667
Appendix A: CPT® Changes 2014 (New and Revised)
D
1501F
1502F
3757F
RA
FT
90687
Appendix A: CPT® Changes 2014 (New and Revised)
2014 PROCEDURAL CODING ADVISOR
Code
Descriptor
Code
Descriptor
9005F
Asymptomatic carotid stenosis: No history of any
transient ischemic attack or stroke in any carotid or
vertebrobasilar territory (NMA – No Measure Associated)
Symptomatic carotid stenosis: Ipsilateral carotid
territory TIA or stroke less than 120 days prior to
procedure (NMA – No Measure Associated)
Other carotid stenosis: Ipsilateral TIA or stroke
120 days or greater prior to procedure or any prior
contralateral carotid territory or vertebrobasilar TIA or
stroke (NMA – No Measure Associated)
Insertion or replacement of subcutaneous implantable
defibrillator system with subcutaneous electrode
Insertion of subcutaneous defibrillator electrode
Insertion of subcutaneous implantable defibrillator pulse
generator only with existing subcutaneous electrode
Removal of subcutaneous implantable defibrillator
pulse generator only
Removal of subcutaneous implantable defibrillator
pulse generator with replacement of subcutaneous
implantable defibrillator pulse generator only
Removal of subcutaneous defibrillator electrode
Repositioning of subcutaneous implantable
defibrillator electrode and/or pulse generator
Electrophysiologic evaluation of subcutaneous
implantable defibrillator (includes defibrillation threshold
evaluation, induction of arrhythmia, evaluation of
sensing for arrhythmia termination, and programming or
reprogramming of sensing or therapeutic parameters)
Interrogation device evaluation (in person) with
analysis, review and report, includes connection,
recording and disconnection per patient encounter,
implantable subcutaneous lead defibrillator system
Programming device evaluation (in person) with
iterative adjustment of the implantable device to
test the function of the device and select optimal
permanent programmed values with analysis,
implantable subcutaneous lead defibrillator system
Monitoring of intraocular pressure for 24 hours or longer,
unilateral or bilateral, with interpretation and report
0330T
Tear film imaging, unilateral or bilateral, with
interpretation and report
Myocardial sympathetic innervation imaging, planar
qualitative and quantitative assessment; 
Myocardial sympathetic innervation imaging, planar
qualitative and quantitative assessment; with
tomographic spect
Visual evoked potential, screening of visual acuity,
automated
Sacroiliac joint stabilization for arthrodesis, percutaneous
or minimally invasive (indirect visualization), includes
obtaining and applying autograft or allograft (structural or
morselized), when performed, includes image guidance
when performed (eg, CT or fluoroscopic)
Extra-osseous subtalar joint implant for talotarsal
stabilization
Laparoscopy, surgical, ablation of uterine fibroid(s),
including intraoperative ultrasound guidance and
monitoring, radiofrequency
Endothelial function assessment, using peripheral
vascular response to reactive hyperemia, noninvasive (eg, brachial artery ultrasound, peripheral
artery tonometry), unilateral or bilateral
Transcatheter renal sympathetic denervation,
percutaneous approach including arterial
puncture, selective catheter placement(s) renal
artery(ies), fluoroscopy, contrast injection(s),
intraprocedural roadmapping and radiological
supervision and interpretation, including pressure
gradient measurements, flush aortogram
and diagnostic renal angiography when
performed; unilateral
Transcatheter renal sympathetic denervation,
percutaneous approach including arterial puncture,
selective catheter placement(s) renal artery(ies),
fluoroscopy, contrast injection(s), intraprocedural
roadmapping and radiological supervision
and interpretation, including pressure gradient
measurements, flush aortogram and diagnostic renal
angiography when performed; bilateral
9007F
0319T
0320T
0321T
0322T
0323T
0324T
0325T
0326T
0327T
0328T
D
Appendix A: CPT® Changes 2014 (New and Revised)
0329T
Code
13151
13152
13153
15777
21015
21016
668
0331T
0332T
0333T
0334T
0335T
RA
FT
9006F
0336T
0337T
0338T
0339T
Revised Codes
Descriptor
Repair, complex, eyelids, nose, ears and/or lips; 1.1
cm to 2.5 cm
Repair, complex, eyelids, nose, ears and/or lips; 2.6
cm to 7.5 cm
Repair, complex, eyelids, nose, ears and/or lips; each
additional 5 cm or less (List separately in addition to
code for primary procedure)
Implantation of biologic implant (eg, acellular dermal
matrix) for soft tissue reinforcement (egie, breast,
trunk) (List separately in addition to code for primary
procedure)
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of face or scalp; less
than 2 cm
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of face or scalp; 2 cm
or greater
Code
21557
21558
21935
21936
22904
22905
Descriptor
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of neck or anterior
thorax; less than 5 cm
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of neck or anterior
thorax; 5 cm or greater
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of back or flank; less
than 5 cm
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of back or flank; 5 cm
or greater
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of abdominal wall; less
than 5 cm
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of abdominal wall; 5
cm or greater
2014 PROCEDURAL CODING ADVISOR
23077
23078
24077
24079
24160
24164
25077
25078
26117
26118
27049
27059
27329
27615
27616
28046
28047
33222
33223
33282
33284
43200
Code
43201
43202
43204
43205
43206
43215
43216
Descriptor
Esophagoscopy, rigid or flexible, transoral; with
directed submucosal injection(s), any substance
Esophagoscopy, rigid or flexible, transoral; with
biopsy, single or multiple
Esophagoscopy, rigid or flexible, transoral; with
injection sclerosis of esophageal varices
Esophagoscopy, rigid or flexible, transoral; with band
ligation of esophageal varices
Esophagoscopy, rigid or flexible, transoral; with
optical endomicroscopy
Esophagoscopy, rigid or flexible, transoral; with
removal of foreign body
Esophagoscopy, rigid or flexible, transoral; with
removal of tumor(s), polyp(s), or other lesion(s) by hot
biopsy forceps or bipolar cautery
Esophagoscopy, rigid or flexible, transoral; with
removal of tumor(s), polyp(s), or other lesion(s) by
snare technique
Esophagoscopy, rigid or flexible, transoral; with
transendoscopic balloon dilation (less than 30 mm
diameter)
Esophagoscopy, rigid or flexible, transoral; with
insertion of guide wire followed by dilationpassage of
dilator(s) over guide wire
Esophagoscopy, rigid or flexible, transoral; with
control of bleeding (eg, injection, bipolar cautery,
unipolar cautery, laser, heater probe, stapler, plasma
coagulator), any method
Esophagoscopy, rigid or flexible, transoral; with
endoscopic ultrasound examination
Esophagoscopy, rigid or flexible, transoral; with
transendoscopic ultrasound-guided intramural or
transmural fine needle aspiration/biopsy(s)
Upper gastrointestinal endoscopy including
esophagusEsophagogastroduodenoscopy,
stomachflexible, and either the duodenum and/or
jejunum as appropriatetransoral; diagnostic, with or
withoutincluding collection of specimen(s) by brushing
or washing, when performed (separate procedure)
Upper gastrointestinal endoscopy including
esophagusEsophagogastroduodenoscopy,
stomachflexible, and either the duodenum and/or
jejunum as appropriatetransoral; with directed
submucosal injection(s), any substance
Upper gastrointestinal endoscopy including
esophagusEsophagogastroduodenoscopy,
stomachflexible, and either the duodenum and/or
jejunum as appropriatetransoral; with endoscopic
ultrasound examination limited to the esophagus,
stomach or duodenum, and adjacent structures
Upper gastrointestinal endoscopy including
esophagusEsophagogastroduodenoscopy,
stomachflexible, and either the duodenum
and/or jejunum as appropriatetransoral; with
transendoscopic ultrasound-guided intramural
or transmural fine needle aspiration/biopsy(s),
esophagus (includes endoscopic ultrasound
examination limited to the esophagus, stomach or
duodenum, and adjacent structures)
Upper gastrointestinal endoscopy including
esophagusEsophagogastroduodenoscopy,
stomachflexible, and either the duodenum and/or jejunum
as appropriatetransoral; with biopsy, single or multiple
43217
43220
43226
43227
43231
43232
43235
43236
43237
43238
43239
669
Appendix A: CPT® Changes 2014 (New and Revised)
D
27364
Descriptor
Radical resection of tumor (eg, malignant neoplasmsarcoma),
soft tissue of shoulder area; less than 5 cm
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of shoulder area; 5 cm
or greater
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of upper arm or elbow
area; less than 5 cm
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of upper arm or elbow
area; 5 cm or greater
Implant removalRemoval of prosthesis, includes
debridement and synovectomy when performed;
elbow jointhumeral and ulnar components
Implant removalRemoval of prosthesis, includes
debridement and synovectomy when performed;
radial head
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of forearm and/or wrist
area; less than 3 cm
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of forearm and/or wrist
area; 3 cm or greater
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of hand or finger; less
than 3 cm
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of hand or finger; 3 cm
or greater
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of pelvis and hip area;
less than 5 cm
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of pelvis and hip area;
5 cm or greater
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of thigh or knee area;
less than 5 cm
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of thigh or knee area;
5 cm or greater
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of leg or ankle area;
less than 5 cm
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of leg or ankle area; 5
cm or greater
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of foot or toe; less than 3 cm
Radical resection of tumor (eg, malignant
neoplasmsarcoma), soft tissue of foot or toe; 3 cm or
greater
Revision or relocationRelocation of skin pocket for
pacemaker
RevisionRelocation of skin pocket for cardioverterdefibrillator
Implantation of patient-activated cardiac event recorder
Removal of an implantable, patient-activated cardiac
event recorder
Esophagoscopy, rigid or flexible, transoral; diagnostic, with
or withoutincluding collection of specimen(s) by brushing
or washing, when performed (separate procedure)
RA
FT
Code
Appendix A: CPT® Changes 2014 (New and Revised)
Crosswalk (as per CPT®)
None
19081-19086
19081-19086
19081-19086, 19281-19288
19081-19086, 19281-19288
None
23330, 23333
23330, 23333
49405
37241, 37242, 37243, 37244, 61624
37236-37239
37236-37239
37236-37239
37236-37239
37243
31510, 31535, 31536, 31576
43212
43229
43266
43270
43274
43274
43275, 43276
43277
43278
43213
43214, 43233
49406
49405
49405
49406
49406
49406
49405
49407
64616
64642, 64643
None
19081, 19283
19281
92521, 92522, 92523, 92524
34841-34848
34841-34848
34841-34848
34841-34848
68399
97610
99199
67299
66183
99481, 99482
686
Deleted Code
0261T
0318T
Crosswalk (as per CPT®)
99481, 99482
33366
RA
FT
Deleted Code
13150
19102
19103
19290
19291
19295
23331
23332
32201
37204
37205
37206
37207
37208
37210
42802
43219
43228
43256
43258
43267
43268
43269
43271
43272
43456
43458
44901
47011
48511
49021
49041
49061
50021
58823
64613
64614
75960
77031
77032
92506
0078T
0079T
0080T
0081T
0124T
0183T
0185T
0186T
0192T
0260T
D
Appendix B: Deleted Codes with Crosswalk
Appendix B: Deleted Codes with Crosswalk
Appendix C: New/Revised Codes Additional Information
CODE
Additional Information
33366
PT®
C
34842
34843
34844
34845
34846
34847
34848
37217
37236
37237
D
37239
37241
37242
37243
37244
93582
99446
99447
sedation is included in this code.
PT® 2014 added 93583 to represent shrinking a lower
C
heart chamber defect using a percutaneous approach.
Moderate sedation is included in this code.
You’ll use this code when your physician is asked to
provide a consult by telephone or internet by a requesting
provider. Because this is a time-based code the
documentation must indicate the physician spent 5-10
minutes of medical consultative discussion and review.
You’ll use this code when your physician is asked to
provide a consult by telephone or internet by a requesting
provider. Because this is a time-based code the
documentation must indicate the physician spent 11-20
minutes of medical consultative discussion and review.
You’ll use this code when your physician is asked to
provide a consult by telephone or internet by a requesting
provider. Because this is a time-based code the
documentation must indicate the physician spent 21-30
minutes of medical consultative discussion and review.
You’ll use this code when your physician is asked to provide
a consult by telephone or internet by a requesting provider.
Because this is a time-based code the documentation must
indicate the physician spent 31 minutes or more of medical
consultative discussion and review.
The implementation date for Category III code 0337T is
Jan. 1, 2014. The code represents using a noninvasive
method to evaluate the functioning of the inner lining of
blood vessels (endothelium), which may help predict a
patient’s risk of future cardiovascular problems.
Code 0338T was released
July 1, 2013 and implemented
January 1, 2014.
Code 0339T was released
July 1, 2013 and implemented
January 1, 2014.
CPT® 2014 deleted the term “Revision” from 33222’s
descriptor, clarifying the code is intended for pacemaker
pocket relocation.
CPT® 2014 deleted the term “Revision” from 33223’s
descriptor, clarifying the code is intended for ICD pocket
relocation.
CPT® 2014 added the moderate (conscious) sedation
symbol to 33282, indicating moderate sedation is included
in this code and not reported separately.
CPT® 2014 added the moderate (conscious) sedation
symbol to 33284, indicating moderate sedation is included
in this code and not reported separately.
CPT® 2014 deleted 37204. See 37241-37244 to
report vascular embolization or occlusion,including all
radiological supervision and interpretation, roadmapping,
and imaging guidance required for the service. Choose
37241 if the service is venous (other than hemorrhage),
and choose 37242 for an arterial service (other than
hemorrhage or tumor). Code 37243 is appropriate for
treatment of tumors, organ ischemia, or infarction. And
code 37244 applies to treatment of hemorrhage (arterial or
venous) or lymphatic extravasation.
99448
99449
0337T
0338T
0339T
33222
33223
33282
33284
37204
721
Appendix C: New/Revised Codes Additional Information
37238
93583
Additional Information
RA
FT
34841
2014 introduced 33366 to replace Category III code
0318T.
CPT® 2014 introduced codes 34841-34848 to replace the
previously available Category III codes 0078T-0081T.
CPT® 2014 introduced codes 34841-34848 to replace the
previously available Category III codes 0078T-0081T.
CPT® 2014 introduced codes 34841-34848 to replace the
previously available Category III codes 0078T-0081T.
CPT® 2014 introduced codes 34841-34848 to replace the
previously available Category III codes 0078T-0081T.
CPT® 2014 introduced codes 34841-34848 to replace the
previously available Category III codes 0078T-0081T.
CPT® 2014 introduced codes 34841-34848 to replace the
previously available Category III codes 0078T-0081T.
CPT® 2014 introduced codes 34841-34848 to replace the
previously available Category III codes 0078T-0081T.
CPT® 2014 introduced codes 34841-34848 to replace the
previously available Category III codes 0078T-0081T.
The creation of 37217 provides a code specific to
retrograde treatment of a lesion in either the intrathoracic
common carotid or innominate artery, using an open
cervical carotid approach.
CPT® 2014 deleted 37205-37208 and 75960. In their
place, you have codes 37236-+37239, which bundle
in stent placement, radiological supervision and
interpretation, and (if performed) same-vessel angioplasty.
Code 37236 is used for treatment of the first artery.
CPT® 2014 deleted 37205-37208 and 75960. In their
place, you have codes 37236-+37239, which bundle
in stent placement, radiological supervision and
interpretation, and (if performed) same-vessel angioplasty.
Code +37237 is used as an add-on code for treatment of
each additional artery.
CPT® 2014 deleted 37205-37208 and 75960. In their
place, you have codes 37236-+37239, which bundle
in stent placement, radiological supervision and
interpretation, and (if performed) same-vessel angioplasty.
Code 37238 is used for treatment of the first vein.
CPT® 2014 deleted 37205-37208 and 75960. In their
place, you have codes 37236-+37239, which bundle
in stent placement, radiological supervision and
interpretation, and (if performed) same-vessel angioplasty.
Code +37239 is used as an add-on code for treatment of
each additional vein.
CPT® 2014 deleted 37204 and 37210 and replaced them
with 37241-37244. Use 37241 for venous embolization or
occlusion unrelated to hemorrhage.
CPT® 2014 deleted 37204 and 37210 and replaced them
with 37241-37244. Use 37242 for arterial embolization or
occlusion unrelated to hemorrhage or tumor treatment.
CPT® 2014 deleted 37204 and 37210 and replaced them with
37241-37244. Use 37243 for vascular embolization or occlusion
related to treating tumors, organ ischemia, or infarction.
CPT® 2014 deleted 37204 and 37210 and replaced them
with 37241-37244. Use 37244 for venous or arterial
embolization or occlusion related to hemorrhage or
lymphatic extravasation.
CPT® 2014 added 93582 to represent closing the ductus
arteriosus by a percutaneous approach. Moderate
CODE
2014 Procedural Coding ADVISOR
37206
37207
37208
D
Appendix C: New/Revised Codes Additional Information
37210
PT® 2014 deleted 37205. See 37236-+37239 to report
C
open or percutaneous transcather placement of one or
more stents in an artery or vein. Angioplasty in the target
vessel and radiological supervision and interpretation are
also included. Code 37236 is for the initial artery treated,
with +37237 for each additional artery. For stenting of
veins, use 37238 for the initial vein and +37239 for each
additional vein.
CPT® 2014 deleted 37206. See 37236-+37239 to report
open or percutaneous transcather placement of one or
more stents in an artery or vein. Angioplasty in the target
vessel and radiological supervision and interpretation are
also included. Code 37236 is for the initial artery treated,
with +37237 for each additional artery. For stenting of
veins, use 37238 for the initial vein and +37239 for each
additional vein.
CPT® 2014 deleted 37207. See 37236-+37239 to report
open or percutaneous transcather placement of one or
more stents in an artery or vein. Angioplasty in the target
vessel and radiological supervision and interpretation are
also included. Code 37236 is for the initial artery treated,
with +37237 for each additional artery. For stenting of
veins, use 37238 for the initial vein and +37239 for each
additional vein.
CPT® 2014 deleted 37208. See 37236-+37239 to report
open or percutaneous transcather placement of one or more
stents in an artery or vein. Angioplasty in the target vessel
and radiological supervision and interpretation are also
included. Code 37236 is for the initial artery treated, with
+37237 for each additional artery. For stenting of veins, use
37238 for the initial vein and +37239 for each additional vein.
CPT® 2014 deleted 37210. See new code 37243 to report
this service. CPT® added 37241-37244 to report vascular
embolization or occlusion, including all radiological
supervision and interpretation, roadmapping, and imaging
guidance required for the service. Choose 37241 if the
service is venous (other than hemorrhage), and choose
37242 for an arterial service (other than hemorrhage or
tumor). Code 37243 is appropriate for tumors (malignant
or benign), organ ischemia, or infarction. And code 37244
applies to treatment of hemorrhage (arterial or venous) or
lymphatic extravasation. For laparoscopic surgical ablation
of uterine fibroids, see 0336T.
CPT® 2014 deleted 75960 as part of an introduction of a
new range of transcatheter intravascular stent placement
codes. New codes 37236-+37239 include radiological
supervision and interpretation along with stent placement
and any angioplasty performed.
The revisions to 93653 reflect changes made in the 2013
errata document. The code is marked as revised in CPT®
2014 to indicate the definition differs from the original
2013 published code definition. The changes clarify that
RV pacing and recording and His bundle recording aren’t
required for a service to meet the code definition, but they
are included when the physician performs them because
they’re necessary for the patient.
The revisions to 93654 reflect changes made in the 2013
errata document. The code is marked as revised in CPT®
2014 to indicate the definition differs from the original
2013 published code definition. The changes clarify that
RV pacing and recording and His bundle recording aren’t
required for a service to meet the code definition, but they
are included when the physician performs them because
they’re necessary for the patient.
The revisions to 93656 reflect changes made in the 2013
errata document. The code is marked as revised in CPT®
75960
93653
93654
93656
722
0318T
10030
19081
19082
2014 to indicate the definition differs from the original
2013 published code. The changes clarify that LA, RA,
and RV pacing and recording, and His bundle recording
aren’t required for a service to meet the code definition,
but they are included when the physician performs them
because they’re necessary for the patient.
CPT® 2014 introduced 33366 to replace Category III
code 0318T.
You’ll use this code when your physician uses a catheter
to drain fluid from soft tissue that has formed an abscess,
hematoma, cyst, etc. This procedure includes conscious
sedation as an inherent part of providing the procedure.
You’ll use this code when your Provider biopsies a
breast and places breast localization devices when its
performed. Imaging of biospsy specimen when performed
percutaneously. First lesion, includes stereotactic guidance.
This is an add-on code to 19081; each additional lesion,
also includes stereotactic guidance.
You’ll use this code when your Provider biopsies a
breast and places breast localization devices when its
performed. Imaging of biospsy specimen when performed
percutaneously. First lesion, includes ultrasound guidance.
This is an add-on code to 19083; each additional lesion,
also includes ultrasound guidance.
RA
FT
37205
Appendix C: New/Revised Codes Additional Information
19083
19084
19085
19086
19281
19282
19283
19284
19285
19286
19287
19288
97610
99446
You’ll use this code when your Provider biopsies a breast
and places breast localization devices when its performed.
Imaging of biospsy specimen when performed percutaneously.
First lesion, includes magnetic resonance guidance.
This is an add-on code to 19085; each additional lesion,
also includes magnetic resonance guidance.
You’ll use this code when your Provider places a breast
localizaiton device, percutneous; first lesion, including
mammographic guidance.
This is an add on code to 19281. You’ll use this code
when your Provider places a breast localizaiton
device, percutaneous; each additional lesion, including
mammographic guidance.
You’ll use this code when your Provider places a breast
localizaiton device, percutaneous; first lesion, including
stereotactic guidance.
This is an add on code to 19283. You’ll use this code
when your Provider places a breast localizaiton
device, percutaneous; each additional lesion, including
stereotactic guidance.
You’ll use this code when your Provider places a breast
localizaiton device, percutaneous; first lesion, including
ultrasound guidance.
This is an add on code to 19285. You’ll use this code when your
Provider places a breast localizaiton device, percutaneous;
each additional lesion, including ultrasound guidance.
You’ll use this code when your Provider places a breast
localizaiton device, percutaneous; first lesion, including
magnetic resonance guidance.
This is an add on code to 19287. You’ll use this code when your
Provider places a breast localizaiton device, percutaneous;
each additional lesion, including magnetic guidance.
You’ll use this code when performing non-contact, low
frequency ultrasound therapy for healing of chronic
wounds. This code replaces Cat. III code 0183T.
You’ll use this code when your physician is asked to
provide a consult by telephone or internet by a requesting
provider. Because this is a time-based code the
documentation must indicate the physician spent 5-10
minutes of medical consultative discussion and review.
Appendix D: New Code Articles
99446-99449: New E/M Codes Capture
Documentation Discussions
Make Sure to Include a Written Report
Who knows if Medicare will pay, but you should be able to
bill some payers for your general surgeon’s interprofessional
consultation services beginning Jan. 1, 2014.
That’s because CPT® 2014 introduces four new codes that
describe the work of two medical professionals who discuss a
patient’s condition via phone or Internet, as follows:
•
•
•
99446 — Interprofessional telephone/Internet
assessment and management service provided by a
consultative physician including a verbal and written
report to the patient’s treating/requesting physician or
other qualified health care professional; 5-10 minutes of
medical consultative discussion and review
99447 — … 11-20 minutes of medical consultative
discussion and review
99448 — … 21-30 minutes of medical consultative
discussion and review
99449 — … 31 minutes or more of medical consultative
discussion and review.
These codes make sense as more and more health plans allow
for communication between physicians and patients via the
Internet. Codes 99446-99449 appear to be in recognition of
these situations. It affords the physician the ability to forward
patient information (securely) to another physician for opinion
and insight without having the patient come to all the different
appointments.
99481/99482 Replace Category III Codes
You’ll find two new neonate hypothermia codes among the E/M
code changes as well. CPT® 2014 adds the following:
•
99481 — Total body systemic hypothermia in a critically
ill neonate per day (List separately in addition to code for
primary procedure)
99482 — Selective head hypothermia in a critically ill
neonate per day (List separately in addition to code for
primary procedure).
D
•
These are highly specialized neonatal codes and are not used by
most pediatricians.
Appendix D: New Code Articles
These new codes seem to replace Category III codes 0260T
(Total body systemic hypothermia, per day, in the neonate 28
days of age or younger) and 0261T (Selective head hypothermia,
per day, in the neonate 28 days of age or younger), which will be
deleted in 2014.
Reminder: When a category III code exists to describe a service
or procedure, you must use that category III code — rather than an
unlisted procedure code — to describe the service when placing a
claim. So, why is this so important?
Category III CPT codes are temporary codes that describe
emerging technology, services, and procedures.
The primary purpose of these codes is to allow for data
collection, which in turn provides information for evaluating the
effectiveness of new technologies and the formation of public and
private policy. In other words, category III codes give insurers and
government policy makers a way to track the effectiveness and
rate-of-use of as yet unproven technologies, which could affect
future coverage decisions.
746
Last year, the CPT® Editorial panel announced four influenza vaccine
codes that went into effect in January, but they weren’t printed in the
CPT® book. However, this manual includes the codes, as follows:
•
•
•
90685 — Influenza virus vaccine, quadrivalent, split
virus, preservative free, when administered to children
6-35 months of age, for intramuscular use
90686 — Influenza virus vaccine, quadrivalent, split
virus, preservative free, when administered to individuals
3 years of age and older, for intramuscular use
90687 — Influenza virus vaccine, quadrivalent, split
virus, when administered to children 6-35 months of age,
for intramuscular use
90688 — Influenza virus vaccine, quadrivalent, split
virus, when administered to individuals 3 years of age
and older, for intramuscular use.
RA
FT
•
New Vaccine Codes Help With Flu Shot Coding
•
These codes are essentially the quadrivalent version of codes
90655-90658, and most practices are looking forward to
administering them. Keep in mind, however, that there will be
supply and payment issues related to these new vaccine and it’s
unclear whether insurers will recognize them, and whether they
will pay enough to cover the cost given that the quadrivalent
vaccine will cost your practice more money. Medicare recently
assigned the prices of $23.228 to 90685 and $19.409 to 90686,
but payment amounts for 90687 and 90688 are still pending.
Although pediatric practices don’t typically bill Medicare, many
private payers do follow the agency’s lead on setting prices.
Caveat: Both 90687 and 90688 carry the lightning bolt symbol indicating
that FDA approval is pending. So check for FDA approval of each
vaccine represented by the code before using the associated code.
In addition, CPT® 2014 introduces new code 90673 (Influenza
virus vaccine, trivalent, derived from recombinant DNA (RIV3),
hemagglutinin (HA) protein only, preservative and antibiotic free,
for intramuscular use), which was released on July 1 of 2013.
Speech Evaluation Gets Specific
CPT® will also eliminate the vague code 92506 (Evaluation
of speech, language, voice, communication, and/or auditory
processing) that you’ve been using to evaluate patients’ speech
issues. Instead, 2014 brings heightened specificity to these
options, with the following new codes:
•
•
•
•
92521 — Evaluation of speech fluency (eg, stuttering,
cluttering)
92522 — Evaluation of speech sound production (eg,
articulation, phonological process, apraxia, dysarthria);
92523 — with evaluation of language comprehension
and expression (eg, receptive and expressive language)
92524 — Behavioral and qualitative analysis of voice
and resonance
Going forward, you will be able to more clearly differentiate
between your evaluations of stuttering (92521) and evaluations of
apraxia (92522) thanks to the new codes.
Stop Reporting 52332 With 52353 Starting in
January, Thanks to CPT® 2014
A new code will change your cystourethroscopy + lithotripsy +
stent coding.
Because there is a hold on diagnosis code changes until the
ICD-10 implementation, you escaped ICD-9 code changes in 2013.
But you won’t be able to avoid updating your coding entirely. CPT®
2014 brings changes you’ll need to implement in your practice.
2014 Procedural Coding ADVISOR
Good news: Unlike some other specialties, urology coders won’t
have a slew of changes to learn. There are seven code changes
that pertain to urology. You’ll have five new codes to learn and two
deleted code to cross off your code lists. There are no revised codes
that will affect your urology practices. Our experts have scoured the
code changes and honed in on the ones that you’ll need to know.
Appendix D: New Code Articles
Drop Deleted Codes
CPT® 2014 removes the following codes, effective Jan. 1, 2014:
•
•
Get to Know 52356
CPT® 2014 adds one code that experts say will have a significant
impact on urology practices 52356 — Cystourethroscopy, with ureteroscopy and/or
pyeloscopy; with lithotripsy including insertion of indwelling ureteral
stent [eg, Gibbons or double-J type].
•
Old way: Currently when you bill for ureteroscopic fragmentation
of a renal pelvic or ureteral stone followed by a double J
stent insertion, you report 52353 — Cystourethroscopy, with
ureteroscopy and/or pyeloscopy; with lithotripsy [ureteral
catheterization is included] and 52332 — Cystourethroscopy, with
insertion of indwelling ureteral stent [eg, Gibbons or double-J type].
These two codes are separately billable and payable.
•
•
19102 — Biopsy of breast; percutaneous, needle core,
using imaging guidance
19103 — Biopsy of breast; percutaneous, automated
vacuum assisted or rotating biopsy device, using
imaging guidance
19290 — Preoperative placement of needle localization
wire, breast
+19291 — Preoperative placement of needle localization
wire, breast; each additional lesion (List separately in
addition to code for primary procedure)
+19295 — Image guided placement, metallic localization
clip, percutaneous, during breast biopsy/aspiration (List
separately in addition to code for primary procedure).
RA
FT
Read on for expert guidance on how to report these services in
2014, once the preceding codes are no longer valid.
New way: As of January 1, for the same procedures, you’ll only be
able to bill 52356. This change was originally slated to take effect
in mid-2013, but will now be implemented in the new year.
These are very common procedures for urologists to perform
at the same operative session. Most times when a urologist
ureteroscopically fragments a stone, he places a stent to ensure
passage of fragments without causing obstruction.
Note: If your urologist performs the cystourethroscopy with
lithotripsy but does not place a stent, you’ll still report just 52353.
Since this is a common code combination, it appears they are
trying to combine the 52353 and 52332 procedures as they’ve
done with other procedures in the past.
This new code is another example of Medicare looking at two procedures
performed together very frequently and creating a compound code.
This is the only real change for urology this coming year with all for 2014.
You surgeon may use one of several types of imaging guidance
when placing a localization device. Your first step for choosing
the right code is to confirm the type of guidance used. Then you
should look at the new 2014 CPT® code set to assign a code for
the first and each additional lesion.
You’ll select from the following localization techniques:
•
•
•
•
Mammographic guidance: using radiation/X-ray image of
breast tissue to verify the placement of the localization
device near the targeted tissue
Stereotactic guidance: a special mammography machine
using x-rays to help guide the provider’s instruments to
the site of the abnormal growth
Ultrasound guidance: high frequency sound waves
(ultrasound) are sent and received by a machine,
creating image used to guide needle placement
Magnetic resonance guidance: use of powerful magnetic
fields and radiofrequency pulses to create detailed images.
The following table shows how the new CPT® 2014 codes capture the
guidance type and number of lesions for breast localization procedures.
D
Additionally: There is one other new code that you might use
in the new year 10030 — Image-guided fluid collection drainage
by catheter [eg, abscess, hematoma, seroma, lymphocele, cyst],
soft tissue [eg, extremity, abdominal wall, neck], percutaneous
— which would provide a code to use when your physician needs
to drain a fluid collection using catheterization.
Confirm Image Guidance for Localization Devices
Three Codes Replace 50021, 58823
CPT® 2014 also deletes 50021 — Drainage of perirenal or renal
abscess; percutaneous and 58823 — Drainage of pelvic abscess,
transvaginal or transrectal approach, percutaneous ([g, ovarian,
pericolic]). But CPT® adds the following three new codes, which
seem to replace the two deleted codes:
•
These codes may be used in urology and urogynecology.
Look for New Breast Localization and Biopsy
Codes Next Year
Focus on Guidance to Select the Proper Code
Five codes for percutaneous breast biopsy and placement of
localization devices won’t cut the mustard in 2014. Instead, CPT®
2014 deletes the existing five codes and replaces them with 14
new, more specific codes that you need to know.
Keep in mind: CPT® codes +19282, +19284, +19286 and +19288
are add-on codes, so you should report them only in addition to the
primary procedure code.
Check to Ensure Documentation Supports Breast Biopsy
747
Appendix D: New Code Articles
•
•
49405 — Image-guided fluid collection drainage by
catheter [eg, abscess, hematoma, seroma, lymphocele,
cyst]; visceral [eg, kidney, liver, spleen, lung/
mediastinum], percutaneous
49406 — …peritoneal or retroperitoneal, percutaneous
49407 — …peritoneal or retroperitoneal, transvaginal or
transrectal.
Appendix F: Inpatient - Only Procedures
Medicare does not pay ASCs or hospitals under OPPS if these services are performed on Medicare patients as outpatients.
Physicians need to refer this list when providing services to Medicare patients. These services should be billed for inpatients only.
19305
19306
19361
19364
19367
19368
19369
20661
20664
20802
20805
20808
20816
20824
20827
20838
20936
20937
20938
20955
20956
20957
20962
20969
20970
21045
21141
21142
21143
21145
21146
21147
21151
21154
21155
21159
21160
21179
21180
21182
21183
21184
21188
21194
21196
21247
21255
21268
21343
21344
21347
21348
21366
21422
21423
21431
21432
21433
21435
21436
21510
21615
21616
21620
21627
21630
21632
21705
21740
21750
21810
21825
22010
22015
22110
22112
22114
22116
22206
22207
22208
22210
22212
22214
22216
22220
22224
22226
22318
22319
22325
22326
22327
22328
22532
22533
22534
22548
22552
22556
22558
22585
22586
22590
22595
22600
22610
22630
22632
22633
22634
22800
22802
22804
22808
22810
22812
22818
22819
22830
22840
22841
22842
22843
22844
22845
22846
22847
22848
22849
22850
22852
22855
22857
22861
22862
22864
22865
23200
23210
23220
23332
23472
23474
23900
23920
24900
24920
24930
24931
24940
25900
25905
25915
25920
25924
25927
26551
26553
26554
26556
26992
27005
27025
27030
27036
27054
27070
27071
27075
27076
27077
27078
27090
27091
27120
27122
27125
27130
27132
27134
27137
27138
27140
27146
27147
27151
27156
27158
27161
27165
27170
27175
27176
27177
27178
27181
27185
27187
27222
27226
27227
27228
27232
27236
27240
27244
27245
27248
27253
27254
27258
27259
27268
27269
27280
27282
27284
27286
27290
27295
27303
27365
27445
27447
27448
27450
27454
27455
27457
27465
27466
27468
27470
27472
27477
27485
27486
27487
27488
27495
27506
27507
27511
27513
27514
27519
27535
27536
27540
27556
27557
27558
27580
27590
27591
27592
27596
27598
27645
27646
27702
27703
27712
27715
27724
27725
27727
27880
27881
27882
27886
27888
28800
31225
31230
31290
31291
31360
31365
31367
31368
31370
31375
31380
31382
31390
31395
31584
31587
31725
31760
31766
31770
31775
31780
31781
31786
31800
31805
32035
32036
32096
32097
32098
32100
32110
32120
32124
32140
32141
32150
32151
32160
32200
32215
32220
32225
32310
32320
32440
32442
32445
32480
32482
32484
32486
32488
32491
32501
32503
32504
32505
32506
32507
32540
32650
32651
32652
32653
32654
32655
32656
32658
32659
32661
32662
32663
32664
32665
32666
32667
32668
32669
32670
32671
32672
32673
32674
32800
32810
32815
32820
32850
32851
32852
32853
32854
32855
32856
32900
32905
32906
32940
32997
33015
33020
33025
33030
33031
33050
33120
33130
33140
33141
33202
33203
33236
33237
33238
33243
33250
33251
33254
33255
33256
33257
33258
33259
33261
33265
33266
33300
33305
33310
33315
33320
33321
D
RA
FT
01150
01212
01214
01232
01234
01272
01274
01402
01404
01442
01444
01486
01502
01634
01636
01638
0163T
0164T
01652
01654
01656
0165T
0169T
01756
0195T
0196T
01990
0202T
0219T
0220T
0235T
0254T
0255T
0262T
0266T
0281T
0293T
0294T
0309T
0312T
0318T
11004
11005
11006
11008
15756
15757
15758
16036
19271
19272
33322
33330
33332
33335
33361
33362
33363
33364
33365
33367
33368
33369
33400
33401
33403
33404
33405
33406
33410
33411
33412
33413
33414
33415
33416
33417
33420
33422
33425
33426
33427
33430
33460
33463
33464
33465
33468
33470
33471
33472
33474
33475
33476
33478
33496
33500
33501
33502
33503
33504
33505
33506
33507
33510
33511
33512
33513
33514
33516
33517
33518
33519
33521
33522
33523
33530
33533
33534
33535
33536
33542
33545
33548
33572
33600
33602
33606
33608
33610
33611
33612
33615
33617
33619
33620
33621
33622
33641
33645
33647
33660
33665
33670
33675
33676
33677
33681
33684
33688
33690
33692
33694
751
Appendix F: Inpatient - Only Procedures
00176
00192
00211
00214
00215
00452
00474
0051T
00524
0052T
0053T
00540
00542
00546
00560
00561
00562
00567
00580
00604
00622
00632
00670
0075T
0076T
0078T
00792
00794
00796
0079T
00802
0080T
0081T
00844
00846
00848
00864
00865
00866
00868
00882
00904
00908
0092T
00932
00934
00936
00944
0095T
0098T
01140
33889
33891
33910
33915
33916
33917
33920
33922
33924
33925
33926
33930
33933
33935
33940
33944
33945
33960
33961
33967
33968
33970
33971
33973
33974
33975
33976
33977
33978
33979
33980
33981
33982
33983
33990
33991
33992
33993
34001
34051
34151
34401
34451
34502
34800
34802
34803
34804
34805
34806
34808
34812
34813
34820
34825
34826
34830
34831
34832
34833
34834
34900
35001
35002
35005
35013
35021
35022
35081
35082
35091
35092
35102
35103
35111
35112
35121
35122
35131
35132
35141
35142
35151
35152
35182
35189
35211
35216
35221
35241
35246
35251
35271
35276
35281
35301
35302
35303
35304
35305
35306
35311
35331
35341
35351
35355
35361
35363
35371
35372
35390
35400
35450
35452
35501
35506
35508
35509
35510
35511
35512
35515
35516
35518
35521
35522
35523
35525
35526
35531
35533
35535
35536
35537
35538
35539
35540
35556
35558
35560
35563
35565
35566
35570
35571
35583
35585
35587
35600
35601
35606
35612
35616
35621
35623
35626
35631
35632
35633
35634
35636
35637
35638
35642
35645
35646
35647
35650
35654
35656
35661
752
Appendix F: Inpatient - Only Procedures
35663
35665
35666
35671
35681
35682
35683
35691
35693
35694
35695
35697
35700
35701
35721
35741
35800
35820
35840
35870
35901
35905
35907
36660
36822
36823
37140
37145
37160
37180
37181
37182
37215
37616
37617
37618
37660
37788
38100
38101
38102
38115
38380
38381
38382
38562
38564
38724
38746
38747
38765
38770
38780
39000
39010
39200
39220
39499
39501
39503
39540
39541
39545
39560
39561
39599
41130
41135
41140
41145
41150
41153
41155
42426
42845
42894
42953
42961
42971
43045
43100
43101
43107
43108
43112
43113
43116
43117
43118
43121
43122
43123
43124
43135
43279
43282
43283
43300
43305
43310
43312
43313
43314
43320
43325
43327
43328
43330
43331
43332
43333
43334
43335
43336
43337
43338
43340
43341
43350
43351
43352
43360
43361
43400
43401
43405
43410
43415
43425
43460
43496
43500
43501
43502
43520
43605
43610
43611
43620
43621
43622
43631
43632
43633
43634
43635
43640
43641
43644
43645
43771
43772
43773
43774
43775
43800
43810
43820
43825
43832
43840
43843
43845
43846
43847
43848
43850
43855
43860
43865
43880
43881
43882
44005
44010
44015
44020
44021
44025
44050
44055
44110
44111
44120
44121
44125
44126
44127
44128
44130
44132
44133
44135
44136
44137
44139
44140
44141
44143
44144
44145
44146
44147
44150
44151
44155
44156
44157
44158
44160
44187
44188
44202
44203
44204
44205
44210
44211
44212
44227
44300
44310
44314
44316
44320
44322
44345
44346
44602
44603
44604
44605
44615
44620
44625
44626
44640
44650
44660
44661
44680
44700
44715
44720
44721
44800
44820
44850
44899
44900
44960
45110
45111
45112
45113
45114
45116
45119
45120
45121
45123
45126
45130
45135
45136
45395
45397
45400
45402
45540
45550
45562
45563
45800
45805
45820
45825
46705
46710
46712
46715
46716
46730
46735
46740
46742
46744
46746
46748
46751
47010
47015
47100
47120
47122
47125
47130
47133
47135
47136
47140
47141
47142
47143
47144
47145
47146
47147
47300
47350
47360
47361
47362
47380
47381
47400
47420
47425
47460
47480
47550
47570
47600
47605
47610
47612
47620
47700
47701
47711
47712
47715
47720
47721
47740
47741
47760
47765
47780
47785
47800
47801
47802
47900
48000
48001
48020
48100
48105
48120
48140
48145
48146
48148
48150
48152
48153
48154
48155
48400
48500
48510
48520
48540
48545
48547
48548
48551
48552
48554
48556
49000
49002
49010
49020
49040
49060
49062
49203
49204
49205
49215
49220
49255
49412
49425
49428
49605
49606
49610
49611
49900
49904
49905
49906
50010
50040
50045
50060
RA
FT
33697
33702
33710
33720
33722
33724
33726
33730
33732
33735
33736
33737
33750
33755
33762
33764
33766
33767
33768
33770
33771
33774
33775
33776
33777
33778
33779
33780
33781
33782
33783
33786
33788
33800
33802
33803
33813
33814
33820
33822
33824
33840
33845
33851
33852
33853
33860
33863
33864
33870
33875
33877
33880
33881
33883
33884
33886
D
Appendix F: Inpatient - Only Procedures
2014 Procedural Coding ADVISOR
50065
50070
50075
50100
50120
50125
50130
50135
50205
50220
50225
50230
50234
50236
50240
50250
50280
50290
50300
50320
50323
50325
50327
50328
50329
50340
50360
50365
50370
50380
50400
50405
50500
50520
50525
50526
50540
50545
50546
50547
50548
50600
50605
50610
50620
50630
50650
50660
50700
50715
50722
50725
50728
50740
50750
50760
50770
2014 Procedural Coding ADVISOR
58950
58951
58952
58953
58954
58956
58957
58958
58960
59120
59121
59130
59135
59136
59140
59325
59350
59514
59525
59620
59830
59850
59851
59852
59855
59856
59857
60254
60270
60505
60521
60522
60540
60545
60600
60605
60650
61105
61107
61108
61120
61140
61150
61151
61154
61156
61210
61250
61253
61304
61305
61312
61313
61314
61315
61316
61320
61321
61322
61323
61332
61333
61340
61343
61345
61440
61450
61458
61460
61470
61480
61490
61500
61501
61510
61512
61514
61516
61517
61518
61519
61520
61521
61522
61524
61526
61530
61531
61533
61534
61535
61536
61537
61538
61539
61540
61541
61542
61543
61544
61545
61546
61548
61550
61552
61556
61557
61558
61559
61563
61564
61566
61567
61570
61571
61575
61576
61580
61581
61582
61583
61584
61585
61586
61590
61591
61592
61595
61596
61597
61598
61600
61601
61605
61606
61607
61608
61609
61610
61611
61612
61613
61615
61616
61618
61619
61624
61630
61635
61680
61682
61684
61686
61690
61692
61697
61698
61700
61702
61703
61705
61708
61710
61711
61735
61750
61751
61760
61850
61860
61863
61864
61867
61868
61870
61875
62005
62010
62100
62115
62116
62117
62120
62121
62140
62141
62142
62143
62145
62146
62147
62148
62161
62162
62163
62164
62165
62180
62190
62192
62200
62201
62220
62223
62256
62258
63043
63044
63050
63051
63077
63078
63081
63082
63085
63086
63087
63088
63090
63091
63101
63102
63103
63170
63172
63173
63180
63182
63185
63190
63191
63194
63195
63196
63197
63198
63199
63200
63250
63251
63252
63265
63266
63267
63268
63270
63271
63272
63273
63275
63276
63277
63278
63280
63281
63282
63283
63285
63286
63287
63290
63295
63300
63301
63302
63303
63304
63305
63306
63307
63308
63700
63702
63704
63706
63707
63709
63710
63740
64752
64755
64760
64809
64818
64866
64868
65273
69155
69535
69554
69950
75952
75953
75954
75956
75957
75958
75959
92970
92971
92975
92992
92993
99190
99191
99192
99356
99357
99462
99468
99469
99471
99472
99475
99476
99477
99478
99479
99480
G0341
G0342
G0343
G0412
G0414
G0415
D
RA
FT
55831
55840
55842
55845
55862
55865
55866
56630
56631
56632
56633
56634
56637
56640
57110
57111
57112
57270
57280
57296
57305
57307
57308
57311
57531
57540
57545
58140
58146
58150
58152
58180
58200
58210
58240
58267
58275
58280
58285
58293
58400
58410
58520
58540
58548
58605
58611
58700
58720
58740
58750
58752
58760
58822
58825
58940
58943
753
Appendix F: Inpatient - Only Procedures
50780
50782
50783
50785
50800
50810
50815
50820
50825
50830
50840
50845
50860
50900
50920
50930
50940
51525
51530
51550
51555
51565
51570
51575
51580
51585
51590
51595
51596
51597
51800
51820
51840
51841
51865
51900
51920
51925
51940
51960
51980
53415
53448
54125
54130
54135
54390
54411
54417
54430
55605
55650
55801
55810
55812
55815
55821
Appendix F: Inpatient - Only Procedures