2014 CPT Updates

There has been a lot of emphasis on learning ICD-10 over the last several months. This will continue until the implementation date of October 1, 2014. However, there is another code set that will also see significant changes in 2014: the CPT code set.

The 2014 CPT code book will have a total of 329 changes, including 175 new codes, 107 revisions, and 47 deletions. The CPT code set is published by the American Medical Association , which has announced some of the following changes to the 2014 CPT code book.

Vascular – There will be approximately 19 new cardiology procedure codes. One of the biggest changes for peripheral vascular physicians is the creation of five new codes (37217 and 37236-37239) for peripheral stenting, which bundle radiological supervision and interpretation (S&I). This revision could affect a physician’s reimbursements for these procedures.

Gastrointestinal – There will be a significant overhaul of the endoscopy codes including the addition of 26 new codes, revision of 41 codes, and deletion of 17 codes. For example, the esophogoscopy codes are now based on whether the scope is rigid or flexible, transoral or transnasal, in addition to the actual procedure performed. 

Breast biopsies – In this section seven codes will be deleted and 14 new codes are added. The 14 new codes are for biopsies with placement of localization device (19081-19086) and placement of localization device alone (19281-19288). The codes are also based on the type of imaging used such as stereotactic, ultrasound or magnetic resonance.

Musculoskeletal – There will be a reorganization of the codes for shoulder and elbow prosthesis removal to include debridement and synovectomy when performed. For shoulders, the codes of 23331 and 23332 have been deleted. The codes 23333-23335 have been added to distinguish foreign body removal from the removal of a prosthesis. In addition, you’ll be able to code a total shoulder prosthesis removal for either the glenoid or humeral portions. For elbows, the codes 24160 and 24164 have been revised to specify removal of prosthesis and add debridement and synovectomy as components.

This is only a small sample of the changes that will occur in the 2014 CPT code book. It is important to become familiar with all of the code changes. Learning about each of the code changes will help medical coders make more accurate code assignments for the procedures and services they are coding for.

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