2018 CPT Code changes Revisions - myuha.org

1 Coding Corner 2018 CPT Code changes Revisions Code 2017 Long Description 2018 Long Description Revision Surgery Integumentary System 17250 Chemical cauterization of granulation tissue (proud Chemical cauterization of granulation tissue (ie, "sinus or fistula" was removed from the 2018. flesh, sinus or fistula) proud flesh) description. Surgery Respiratory System 31645 Bronchoscopy, rigid or flexible, including Bronchoscopy, rigid or flexible, including "(eg, drainage of lung abscess)" was removed from fluoroscopic guidance, when performed; with fluoroscopic guidance, when performed; with the 2018 description.

2 Therapeutic aspiration of tracheobronchial tree, initial therapeutic aspiration of tracheobronchial tree, initial (eg, drainage of lung abscess). 31646 Bronchoscopy, rigid or flexible, including Bronchoscopy, rigid or flexible, including "same hospital stay" was added to the 2018. fluoroscopic guidance, when performed; with fluoroscopic guidance, when performed; with description. therapeutic aspiration of tracheobronchial tree, therapeutic aspiration of tracheobronchial tree, subsequent subsequent, same hospital stay 32998 Ablation therapy for reduction or eradication of 1 or Ablation therapy for reduction or eradication of 1 or "percutaneous, radiofrequency, unilateral" was more pulmonary tumor(s) including pleura or chest more pulmonary tumor(s) including pleura or chest removed; and including imaging guidance when wall when involved by tumor extension, wall when involved by tumor extension, performed, unilateral.

3 Radiofrequency" was added percutaneous, radiofrequency, unilateral percutaneous, including imaging guidance when to the 2018 description. performed, unilateral; radiofrequency 3372F AJCC Breast Cancer Stage I: T1mic, T1a or T1b AJCC Breast Cancer Stage I: T1mic, T1a or T1b the "=" (or equal to) symbol was removed from the (tumor size </= 1 cm) documented (ONC) (tumor size < 1 cm) documented (ONC) 2018 description. Surgery Cardiovascular System 34812 Open femoral artery exposure for delivery of Open femoral artery exposure for delivery of "(List separately in addition to code for primary endovascular prosthesis, by groin incision, unilateral endovascular prosthesis, by groin incision, unilateral procedure)" was added to the 2018 description.

4 (List separately in addition to code for primary procedure). 34820 Open iliac artery exposure for delivery of Open iliac artery exposure for delivery of "(List separately in addition to code for primary endovascular prosthesis or iliac occlusion during endovascular prosthesis or iliac occlusion during procedure)" was added to the 2018 description. endovascular therapy, by abdominal or endovascular therapy, by abdominal or retroperitoneal incision, unilateral retroperitoneal incision, unilateral (List separately in addition to code for primary procedure). Coding Corner Code 2017 Long Description 2018 Long Description Revision Surgery Cardiovascular System 34833 Open iliac artery exposure with creation of conduit Open iliac artery exposure with creation of conduit "aortic or iliac" was removed.

5 And "or for for delivery of aortic or iliac endovascular prosthesis, for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass," and by abdominal or retroperitoneal incision, unilateral establishment of cardiopulmonary bypass, by "(List separately in addition to code for primary abdominal or retroperitoneal incision, unilateral (List procedure)" were added to the 2018 description. separately in addition to code for primary procedure). 34834 Open brachial artery exposure to assist in the Open brachial artery exposure for delivery of "to assist in the deployment of aortic or iliac" and deployment of aortic or iliac endovascular prosthesis endovascular prosthesis, unilateral (List separately in "by arm incision," were removed; and "for delivery by arm incision, unilateral addition to code for primary procedure) of" and "(List separately in addition to code for primary procedure)" were added to the 2018.

6 Description. 36140 Introduction of needle or intracatheter; extremity Introduction of needle or intracatheter, upper or "upper or lower" was added to the 2018 description. artery lower extremity artery 36468 Single or multiple injections of sclerosing solutions, Injection(s) of sclerosant for spider veins "single or multiple injections" was removed and spider veins (telangiectasia), limb or trunk (telangiectasia), limb or trunk replaced with "injection(s)" to the 2018 description. 36470 Injection of sclerosing solution; single vein Injection of sclerosant; single incompetent vein "sclerosant" and "incompetent" and "(other than (other than telangiectasia) telangiectasia)" were added to the 2018 description.

7 36471 Injection of sclerosing solution; multiple veins, same Injection of sclerosant; multiple incompetent veins "incompetent" and "(other than telangiectasia)". leg (other than telangiectasia), same leg were added to the 2018 description. 36516 Therapeutic apheresis; with extracorporeal selective Therapeutic apheresis; with extracorporeal "immunoadsorption" was added to the 2018. adsorption or selective filtration and plasma immunoadsorption, selective adsorption or selective description. reinfusion filtration and plasma reinfusion Surgery Hemic and Lymphatic System 38220 Bone marrow; aspiration only Diagnostic bone marrow; aspiration(s) "only" was removed; and "Diagnostic" and "aspiration(s)" were added to the 2018 description.

8 38221 Bone marrow; biopsy, needle or trocar Diagnostic bone marrow; biopsy(ies) "needle or trocar" was removed; and "Diagnostic". and "biopsy(ies)" were added to the 2018. description. Surgery Digestive System 43112 Total or near total esophagectomy, with Total or near total esophagectomy, with "ie, McKeown esophagectomy or tri-incisional thoracotomy; with pharyngogastrostomy or cervical thoracotomy; with pharyngogastrostomy or cervical esophagectomy)" was added to the 2018. esophagogastrostomy, with or without pyloroplasty esophagogastrostomy, with or without pyloroplasty description. (ie, McKeown esophagectomy or tri-incisional esophagectomy).

9 Coding Corner Code 2017 Long Description 2018 Long Description Revision Surgery Female Genital System 57240 Anterior colporrhaphy, repair of cystocele with or Anterior colporrhaphy, repair of cystocele with or ", including cystourethroscopy, when performed". without repair of urethrocele without repair of urethrocele, including was added to the 2018 description. cystourethroscopy, when performed 57260 Combined anteroposterior colporrhaphy Combined anteroposterior colporrhaphy, including ", including cystourethroscopy, when performed". cystourethroscopy, when performed was added to the 2018 description.

10 57265 Combined anteroposterior colporrhaphy; with Combined anteroposterior colporrhaphy, including ", including cystourethroscopy, when performed". enterocele repair cystourethroscopy, when performed; with enterocele was added to the 2018 description. repair Surgery Nervous System 64550 Application of surface (transcutaneous) Application of surface (transcutaneous) "(eg, TENS unit)" was added to the 2018. neurostimulator neurostimulator ( , TENS unit) description. Radiology System (Diagnostic Radiology/Imaging). 76000 Fluoroscopy (separate procedure), up to 1-hour Fluoroscopy (separate procedure), up to 1-hour ", other than 71023 or 71034 ( , cardiac physician or other qualified health care professional physician or other qualified health care professional fluoroscopy)" was removed from the 2018.