Urinary System
Urinary system codes 50080 and 50081 have been revised in this section to include more detail to clarify a percutaneous nephrolithotomy or pyelolithotomy lithotripsy procedure.
Male Genital System
One new code (55867) has been added to the male genital system section to describe a laparoscopic simple subtotal prostatectomy, including robotic assistance when used.
Nervous System
Three new codes (69728–69730) describing the removal, implantation, and replacement of an osseointegrated skull implant were added to the nervous system section, plus several revisions:
- Codes 64415–64417 and 64445–64448 were revised to include imaging guidance.
- Codes 66174 and 66175 were revised to include an example procedure.
- Codes 69716–69717, 69719, and 69726–69727 were revised to clarify the description of an osseointegrated skull implant replacement or removal.
Radiology
The radiology section gained one code (76883), which describes an ultrasound of the nerves and accompanying structures in one extremity. Five codes (76882,78803, and 78830–78832) have been revised in this section to include clarifying words to the long descriptors.
Pathology and Laboratory
There are 11 new codes and three revisions in the pathology and laboratory section:
- Three new codes (81449, 81451, and 81456) describe targeted genomic sequence analyses.
- Four new codes (87468, 87469, 87478, 87484) describe various infectious agent detections using DNA or RNA.
- One new code (81418) has been added for drug metabolism analysis using a genomic sequence.
- Another new code (81441) describes the detection of inherited bone marrow failure syndromes (IBMFS).
- Code 84433 describes the detection of an enzyme called thiopurine S-methyltransferase (TPMT).
- Code 87467 describes the detection of the hepatitis B surface antigen.
- Three codes were revised in this section (81445, 81450, and 81455) to move the placement of some of the examples and descriptive wording within the descriptors, but the overall meaning of the descriptor did not change.
Medicine
Ten new codes have been added to the medicine section:
- Three new codes (93569 and 93573–93575) are add-on codes describing injection procedures for angiographies during cardiac catheterizations.
- New codes 96202 and 96203 are for multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis.
- Additional new codes describe the respiratory syncytial vaccine (90678), orthoptic training (92066), quantitative pupillometry (95919), and remote therapeutic monitoring for cognitive behavioral therapy (98978).
The medicine section also includes seven revisions:
- Code 92065 now includes wording stating that a physician or other qualified healthcare professional should perform the orthoptic training.
- Code 92229 replaces “automated analysis” with “autonomous analysis” when referring to a retina imaging report.
- Code 92284 has been revised to clarify that it’s a diagnostic examination.
- Clarifying words have been added to add-on code 93568 to describe an injection procedure during cardiac catheterization.
- Finally, codes 98975–98977 have been revised to remove some previously listed examples.
Category III
There are 46 new Category III codes representing a wide variety of new and emerging services, including the following:
- Treatment planning and ablation of malignant prostate tissue by magnetic field induction.
- Remote autonomous algorithm-based recommendation system for insulin dosages.
- Absolute quantitation of myocardial blood flow (AQMBF) using computed tomography.
- Bone strength/fracture risk analysis and assessment using digital X-ray radiogrammetry.
- Insertion of a bioprosthetic valve into the femoral vein.
- Cardiac focal ablation utilizing radiation therapy for arrhythmia.
- Injections of stem cell product into perianal perifistular soft tissue.
- Digitization of glass microscope slides.
- Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction.
- Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse of the peripheral nerve.
- Virtual reality technology to assist therapy.
- Arthrodesis of the sacroiliac joint, including the placement of an intra-articular implant.
- Therapeutic induction of intra-brain hypothermia.
- Real-time pressure-sensing epidural guidance system.
- Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors to measure multi-joint range of motion, posture, gait, and muscle function.
- Gastrointestinal myoelectrical activity study.
- Installation of fecal microbiota suspension via rectal enema into the lower gastrointestinal tract.
- Bronchoscopy, rigid or flexible, with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves.
- Transcutaneous auricular neurostimulation.
This update also includes 23 code deletions in Category III, including the following:
- Total disc arthroplasty (artificial disc), anterior approach.
- Vagus nerve-blocking therapy for morbid obesity.
- Optical coherence tomography (OCT) for imaging of the skin.
- Recording of fetal magnetic cardiac signal.
- Biomechanical mapping, transvaginal.
- Ablative laser treatment, non-contact, for an open wound.
- Contact near-infrared spectroscopy studies of lower extremity wounds.
- Electrocardiographic rhythm-derived event recorder without 24-hour attended monitoring.
- Cystourethroscopy with mechanical dilation and urethral therapeutic drug delivery.
- Intraoperative visual axis identification using patient fixation.
- Remote therapeutic monitoring of a standardized online digital cognitive behavioral therapy program.
The Category III section has revisions to two remote therapy codes (0733T and 0734T), changing the description of the remote therapy from “body and limb kinematic measurement based” to “real-time, motion capture-based neurorehabilitative.”
References:
https://www.healthcatalyst.com/insights/new-cpt-codes-2023
