Question

Identify five new CPT codes for the upcoming calendar year. Create a workflow to ensure that all data elements required in the CDM are identified, verified, and signed off on for inclusion in the CDM. Identify any compliance issues for these new CPT codes. To review the list of new CPT codes go to Appendix B of your CPT coding manual to select the new codes.

Answer 1

CPT stands for Current Procedural Terminology and is codes developed by the American Medical Association.

CPT coding system is used by clinics, outpatient hospital departments, ambulatory surgery centers, and third-party payers to describe health care services.

CPT code offers increased compatibility and comparability of data among users and providers, allowing for comparative analysis, research, and reimbursement.

Level 1 codes are CPT codes and define professional services

Level 2 codes are National Codes (HCPCS) are alphanumeric codes that are used by providers to report services, supplies, and equipment provided to Medicare and Medicaid patients for which no CPT codes exist.

CPT codebook is used to report services and procedures by physicians, It is published and updated annually by the American Medical Association (AMA) with a new one coming out each November and becoming effective on January 1st of the following calendar year.

Category 1 codes represent services and procedures widely used by many health care professionals in clinical practice in multiple locations and have been approved by the FDA.

Category 2 codes are supplemental codes used for performance measurements; published twice a year January 1st and July 1st

category 3 codes are temporary codes for emerging technology services and procedures

New codes have been established to report anesthesia management of upper and lower endoscopic procedures

New CPT	Description
00731	Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified
00732	Anesthesia for upper gastrointestinal endoscopic procedures, endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP)
00811	Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified
00812	Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy
00813	Anesthesia for combined upper and lower gastrointestinal endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum

Surgery Section: Nasal/Sinus Endoscopic codes

CPT codes	Description
31241	Nasal/sinus endoscopy, surgical; with ligation of the sphenopalatine artery
31253	Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including frontal sinus exploration, with the removal of tissue from frontal sinus, when performed
31257	Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy
31259(revised code	Nasal/sinus endoscopy, surgical with ethmoidectomy; total (anterior and posterior), including sphenoidotomy, with the removal of tissue from the sphenoid sinus
31298(revised code )	Nasal/sinus endoscopy, surgical; with dilation of frontal and sphenoid sinus ostia (eg, balloon dilation)

Surgery section: Spine coding

Vertebral Corpectomy: the term partial is used to describe the removal of a substantial portion of the body of the vertebra. In the cervical spine, the amount of bone removed is defined as at least one-half of the vertebral body. In the thoracic and lumbar spine, the amount of bone removed is defined as at least one-third of the vertebral body.

New Code: 20939 + Bone marrow aspiration for bone grafting, spine surgery only, through separate skin or fascial incision (List separately in addition to code for primary procedure)

Revised Code: 38220 Diagnostic bone marrow; aspiration(s)

Prior to this change, CPT code 38220 (Bone marrow; aspiration only) was used to report needle aspiration of bone marrow for the purpose of bone grafting. Beginning 01/01/18, CPT code 20939 it should be used to report bone marrow aspiration for bone grafting in spine surgery.

Radiology section: Mammogram services

CPT Code	Description
77065	Diagnositc Mammo incl CAD unilateral
77066	Diagnositc Mammo incl CAD bilateral
77067	Screening Mammo incl CAD bilateral

Radiology Section:X-ray

CPT codes	Description
71045	Chest; single views
71046	Chest;2 views
71047	Chest ;3 views
71048	Chest; 4 or more views
74018	Abdomen;1 view
74019	Abdomen; 2 views
74021	Abdomen; 3or more views