New , Revised and Add-on CPT codes for 2022

As we are soon going to enter in 2022, the new year will be having lot of updates in medical coding.  The medical coders will need to use the new CPT codes added in 2022 CPT codebook from 1st January 2022. Already I have shared some new CPT codes for 2022 but today I will share a list of new, revised and addon CPT codes which are going to be added in 2022 CPT codebook and should be used from 1st Jan 2022. Below are the list of changes in 2022 code book.

• New code

▲ Revised code

+ Add-on code

Evaluation and management

Code 99491 was rewritten for clarity, and a new code was added to the physician/other qualified health care professional chronic care management code set (99437) for an additional 30 minutes in a calendar month.

▲99491 Chronic care management services, with the following required elements:

• multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient,
• chronic conditions place the patient at significant risk of death, acute exacerbation/decompensation or functional decline,
• comprehensive care plan established, implemented, revised or monitored;

first 30 minutes, provided personally by a physician or other qualified health care professional, per calendar month

+•99437 each additional 30 minutes by a physician or other qualified health care professional, per calendar month

Surgical

▲11981 Insertion, non-biodegradable drug-delivery implant (i.e., bioresorbable, biodegradable, non-biodegradable)

▲22600 Arthrodesis, posterior or posterolateral technique, single level interspace: cervical below C2 segment

The following codes for treatment of nasal bone fracture were revised. They now require manipulation to report.

▲21315 Closed treatment of nasal bone fracture with manipulation; without stabilization

▲21320 with stabilization

New codes have been added for endovascular repair of congenital heart and vascular defects

•33894 Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; across major side branches

+•33895 not crossing major side branches

•33897 Percutaneous transluminal angioplasty of native or recurrent coarctation of the aorta

A new code was added for a newer, less invasive procedure for the management of achalasia.

•43497 Lower esophageal myotomy, transoral (ie, peroral endoscopic myotomy [POEM])

Two New codes for thermal destruction of intraosseous basivertebral nerve were added

•64628 Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral

+•64629 each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure)

Laminectomy new CPT codes

•63052 Laminectomy, facetectomy, or foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina and/or nerve root[s] [e.g., spinal or lateral recess stenosis]) during posterior interbody arthrodesis, lumbar; single vertebral segment (List separately in addition to code for primary procedure)

+•63053 each additional segment (List separately in addition to code for primary procedure)

Major updates have been made to the congenital cardiac anomaly codes. A new add-on code was added for 3D echocardiography for congenital cardiac anomalies.

+•93319 3D echocardiographic imaging and postprocessing during transesophageal echocardiography, or during transthoracic echocardiography for congenital cardiac anomalies, for the assessment of cardiac structure(s) (eg, cardiac chambers and valves, left atrial appendage, interatrial septum, interventricular septum) and function, when performed (List separately in addition to code for echocardiographic imaging)

(Use 93319 in conjunction with 93303, 93304, 93312, 93314, 93315, 93317)

In addition, several new codes have been added and codes have been deleted related to heart catheterization for congenital heart defects.

•93593 Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections

•93594 abnormal native connections

•93595 Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone, normal or abnormal native connections

•93596 Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections

•93597 abnormal native connections

+•93598 Cardiac output measurement(s), thermodilution or other indicator dilution method, performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition to code for primary procedure)

(Use 93598 in conjunction with 93593, 93594, 93595, 93596, 93597)

Codes 93530, 93531, 93532, 93533, 93561, 93562 have been deleted.

Medicine

New codes were added for remote therapeutic monitoring services (eg, musculoskeletal system status, respiratory system status, therapy adherence, therapy response) that represent the review and monitoring of data related to signs, symptoms and functions of a therapeutic response. The device used must be a medical device as defined by the Food and Drug Administration.

All codes require a minimum of 16 days of monitoring. Do not report these codes for therapeutic monitoring treatment management services, remote physiologic monitoring, physiologic monitoring treatment management services or for self-measured blood pressure monitoring. Do not report these codes in conjunction with codes for more specific physiologic parameters.

•98975 Remote therapeutic monitoring (eg, respiratory system status, musculoskeletal system status, therapy adherence, therapy response); initial set-up and patient education on use of equipment

•98976 device(s) supply with scheduled (eg, daily) recording(s) and/or programmed alert(s) transmission to monitor respiratory system, each 30 days

•98977 device(s) supply with scheduled (eg, daily) recording(s) and/or programmed alert(s) transmission to monitor musculoskeletal system, each 30 days

Code 98975 is used only once per episode.

References:

https://www.aappublications.org/news/2021/10/01/coding100121