Here, we are again sharing some more new CPT codes for 2024 which will be used effectively from 1st January 2024. These CPT codes are new addition to 2024 CPT codebook. Be prepared to use these new codes from new year.

The following Category III codes will be available for reporting on date of service January 1, 2024.

Quantitative MRI Analysis of the Brain with Comparison

Two new Category III codes have been established to report quantitative magnetic resonance image (MRI) analysis of the brain. This new technology uses software to identify diseased areas of the brain by generating quantitative information on lesion number, volume(s), and location(s). The results are compared with previous scans to determine changes in disease activity to direct patient care.

0865T Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies), including lesion identification, characterization, and quantification, with brain volume(s) quantification and/or severity score, when performed, data preparation and transmission, interpretation and report, obtained without diagnostic MRI examination of the brain during the same session

+0866T Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies), including lesion detection, characterization, and quantification, with brain volume(s) quantification and/or severity score, when performed, data preparation and transmission, interpretation and report, obtained with diagnostic MRI examination of the brain (List separately in addition to code for primary procedure)

Injection of Calcium-Based Implant

Category III code 0814T has been established to report percutaneous injection of calcium-based biodegradable osteoconductive material. This new procedure involves implanting triphasic, calcium-based, osteoconductive material under imaging guidance into the femoral cortex to form new bone in voids in the proximal femur of patients with disorders such as osteoporosis.

0814T Percutaneous injection of calcium-based biodegradable osteoconductive material, proximal femur, including imaging guidance, unilateral

Ultrasound-Based Radiofrequency Echographic Multi-Spectrometry (REMS)

A new code will be available to report ultrasound-based REMS to assess bone density and fracture risk for one or more sites (eg, hips, pelvis, or spine). This procedure provides an alternative to the current bone-density assessment, dual-energy X-ray absorptiometry (DXA) codes, which rely upon ionizing radiation.

0815T Ultrasound-based radiofrequency echographic multi-spectrometry (REMS), bone-density study and fracture-risk assessment, 1 or more sites, hips, pelvis, or spine

Opto-Acoustic Imaging

A new add-on code has been established to report opto-acoustic imaging for breast masses. This technology uses light pulses to create ultrasound waves via the photoacoustic effect, creating a real-time opto-acoustic image. Compared to ultrasound alone, this imaging study allows for a different method of evaluating breast masses and potentially reduces false positives and subsequent breast biopsies. Code 0857T should be reported with breast ultrasound code 76641 or 76642.

+0857T Opto-acoustic imaging, breast, unilateral, including axilla when performed, real-time with image documentation, augmentative analysis and report (List separately in addition to code for primary procedure)

NEW CATEGORY I CODES

The following Category I codes will be available for reporting on date of service January 1, 2024.

Dorsal Sacroiliac (SI) Joint Arthrodesis

III code 0775T has been deleted and replaced with a new Category I code to report percutaneous arthrodesis of the SI joint using an intra-articular implant(s) without the placement of a transfixation device across the joint. The new code will enable the reporting of percutaneous intra-articular placement of one or more fusion implant(s) directly into the SI joint under imaging guidance. This is typically performed from a posterior/dorsal approach.

27278 Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s) (eg, bone allograft[s], synthetic device[s]), without placement of transfixation device

Transcervical Radiofrequency Ablation (RFA) of Uterine Fibroids

Category III code 0404T has been converted into a new Category I code to report transcervical RFA of uterine fibroids that includes intraoperative ultrasound guidance and monitoring. This minimally invasive procedure includes real-time intrauterine ultrasound guidance for the treatment of symptomatic uterine fibroids (ie, leiomyomas).

58580 Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency

Category III codes 0501T-0504T (coronary FFR with CT) have been deleted and replaced with a single, new Category I code to describe noninvasive estimated coronary FFR derived from augmentative artificial intelligence software analysis of coronary CT angiography (CCTA) data.

75580 Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and report by a physician or other qualified health care professional

Coronary Intravascular Lithotripsy (IVL) Interventions

A new Category I add-on code has replaced Category III code 0715T to report percutaneous transluminal coronary lithotripsy. Coronary IVL is a revascularization technique used to treat heavily calcified coronary arteries using pulsatile sonic pressure waves that pass through soft tissue and selectively interact with high-density calcium to produce shear stresses that fracture the calcium.

+92972 Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure)

Cardiac Intraoperative Ultrasound (IOUS) Services

Four new Category I codes will be available to report cardiac IOUS, which are used primarily in cardiothoracic surgery procedures, including epiaortic ultrasound and congenital epicardial echocardiography. Cardiac IOUS are used to evaluate cardiovascular structures, provide intraoperative guidance, and provide real-time perioperative surgical decision-making information that may affect the operative strategy (eg, changing cannulation strategies, altering bypass targets, and identifying additional defects).

76984 Ultrasound, intraoperative thoracic aorta (eg, epiaortic), diagnostic

76987 Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; including placement and manipulation of transducer, image acquisition, interpretation and report

76988 placement, manipulation of transducer, and image acquisition only

76989 interpretation and report only

Other new CPT codes for 2024

Evaluation and Management

+99459 – Pelvic examination (List separately in addition to primary procedure)

Musculoskeletal System

22836 – Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; up to 7 vertebral segments
22837 –; 8 or more vertebral segments
22838 – Revision (e.g., augmentation, division of tether), replacement, or removal of thoracic vertebral body tethering, including thoracoscopy, when performed

27278 – Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s) (e.g., bone allograft[s], synthetic device[s]), without placement of transfixation device

Respiratory System

31242 – Nasal/sinus endoscopy, surgical; with destruction by radiofrequency ablation, posterior nasal nerve
31243 – ; with destruction by cryoablation, posterior nasal nerve

Cardiovascular System

33276 – Insertion of phrenic nerve stimulator system (pulse generator and stimulating lead[s]), including vessel catheterization, all imaging guidance, and pulse generator initial analysis and diagnostic mode activation, when performed
+33277 – Insertion of phrenic nerve stimulator transvenous sensing lead
33278 – Removal of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; system, including pulse generator and lead(s)
33279 – ; system, transvenous stimulation or sensing lead(s) only
33280 – ; system, pulse generator only

33281 – Repositioning of phrenic nerve stimulator transvenous lead(s)

33287 – Removal and replacement of phrenic nerve stimulator, including vessel catheterization, all imaging guidance, and interrogation and programming, when performed; pulse generator

33288 – ; transvenous stimulation or sensing lead(s)

Urinary/Genital Systems

52284 – Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed

Female Genital System

58580 – Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency

Nervous System

61889 – Insertion of skull-mounted cranial neurostimulator pulse generator or receiver, including craniectomy or craniotomy, when performed, with direct or inductive coupling, with connection to depth and/or cortical strip electrode array(s)
61891 – Revision or replacement of skull-mounted cranial neurostimulator pulse generator or receiver with connection to depth and/or cortical strip electrode array(s)
61892 – Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed

64596 – Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including imaging guidance, when performed; initial electrode array
+64597 – ; each additional electrode array
64598 – Revision/removal of neurostimulator electrode array, peripheral nerve, with integrated neurostimulator

Revised codes

63685 – Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator/receiver
63688 – Revision or removal of implanted spinal neurostimulator pulse generator/receiver, with detachable connection to the electrode array

Eye and Adnexa

67516 – Suprachoroidal space injection of pharmacologic agent (separate procedure)

Medicine

90380 – Respiratory syncytial virus, monoclonal antibody, seasonal dose; 0.5mL dosage, for IM use
90381 – ; 1mL dosage for IM use
90679 – Respiratory syncytial virus vaccine, preF, recombinant, subunit, adjuvanted, for IM use
90683 – Respiratory syncytial virus vaccine, mRNA lipid nanoparticles, for IM use

90589 – Chikungunya virus vaccine, live attenuated for IM use
90611 – Smallpox and monkeypox vaccine, attenuated vaccinia virus, live, nonreplicating, preservative free, 0.5 mL dosage, suspension, for subcutaneous use
90622 – Vaccinia (smallpox) virus vaccine, live, lyophilized, 0.3 mL dosage, for percutaneous use
90623 – Meningococcal pentavalent vaccine, conjugated Men A, C, W, Ytetanus toxoid carrier, and Men B-FHbp, for IM use

92622 – Diagnostic analysis, programming, and verification of an auditory osseointegrated sound processor, any type; first 60 minutes
+92623 – ; each additional 15 minutes
+92972 – Percutaneous transluminal coronary lithotripsy

93150 – Therapy activation of implanted phrenic nerve stimulator system, including all interrogation and programming
– Typically performed about 30 days after insertion ( 33276)
93151 – Interrogation and programming (minimum one parameter) of implanted phrenic nerve stimulator system
93152 – Interrogation and programming of implanted phrenic nerve stimulator system during polysomnography

93584 – Venography for congenital heart defect(s), including catheter placement, and radiological S & I; anomalous or persistent superior vena cava when it exists as a second contralateral superior vena cava, with native drainage to heart

+93585 – ; azygos/hemiazygos venous system
+93586 – ; coronary sinus
+93587 – ; venovenous collaterals originating at or above the heart (from the innominate vein)
+93588 – ; venovenous collaterals originating below the heart (from the IVC)

+96547 – Intraoperative hyperthermic intraperitoneal chemotherapy procedure, including separate incision(s) and closure, when performed; first 60 minutes
+ 96548 – ; each additional 30 minutes

97037 – Application of a modality to 1 or more areas; low-level laser therapy (i.e., nonthermal and non-ablative) for post-operative pain reduction

97550 – Caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (e.g., ADLs, transfers, mobility, communication, feeding etc.), without the patient present,
face to face; initial 30 minutes
+97551 –; each additional 15 minutes
97552 – Group caregiver training in strategies and techniques to facilitate the patient’s functional performance in the home or community (e.g., ADLs, transfers, mobility, communication, feeding etc.), without the patient present, face to face with multiple sets of caregivers

References: https://www.ama-assn.org/

2024 New CPT codes changes Part 2