Welcome 2019 CPT Codes!

January 3rd, 2019 - Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
Categories:   CPT® Coding  
0 Votes - Sign in to vote or comment.

The AMA has released the New, Revised and Deleted CPT codes these are currently available on Find-A-Code. View the entire list of changes on the CODE tab and select CPT. Be sure to review all of the changes effective January 01, 2019.  

Here are a few important changes to watch for:

There were 9 new add-on codes added for Fine Needle Aspiration (FNA) Biopsy these include reporting imaging guidance, therefore, imaging guidance should no longer to be reported separately. These add-on codes will be used in addition to code for primary procedure for each additional lesion.  CPT code 10022 was deleted and replaced with CPT 10004 for each additional lesion. To report specific imaging guidance such as ultrasound, fluoroscopic guidance, MRI and CT you will use 10005-10012

Several new Biopsy Procedures on the skin has been added, including 11102 Tangential biopsy of skin (eg, shave, scoop, saucerize, curette); single lesion. Look for new add-on codes for each additional lesion in this section as well.   

The FDA also added a new Flu Vaccine, 90689 Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular use.

Electronic analysis of implanted neurostimulators have new additions as well, be sure to review these codes 95976-95984

Report remote physiologic monitoring services with 99453 and 99454 were added to report remote physiologic monitoring services during a 30-day period.

99453 - Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipment. Do not report 99453 more than once per episode of care or for monitoring of less than 16 days.

99454 - Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 days. 99454 is not to be used for monitoring of less than 16 days.

Report the new CPT code 99457 for physiologic monitoring treatment management services. AMA guidelines state,

"Do not report 99453, 99454 in conjunction with codes for more specific physiologic parameters e.g., 93296, 94760"

New CPT codes 99453 and 99454 were added to report remote physiologic monitoring services during a 30-day period.  Other codes in this section (99446-99449 and 99091) were revised. 

Pathology and Laboratory procedures have 51 new codes that were added in 2019.

These are just a few changes, watch our Alerts and NEWs for more information. 

###

Questions, comments?

If you have questions or comments about this article please contact us.  Comments that provide additional related information may be added here by our Editors.


Latest articles:  (any category)

Denial Management is Key to Profitability
July 15th, 2019 - Wyn Staheli, Director of Research
A recent article by Modern Medicine cited a report by Becker’s Hospital Review which stated that it costs approximately $118 per claim to resolve a claim denial. Granted, these were hospital claims, but the process is essentially the same for outpatient services. In fact, you could say it is...
Q/A: Do I Use 7th Character A for all Sprain/Strain Care Until MMI?
July 15th, 2019 - Wyn Staheli, Director of Research
Question: It is in regards to the Initial and Subsequent 7th digit (A and D) for sprains and strains. Recently, I have been told that I should continue with the A digit until the patient has reached Maximum Medical Improvement (MMI) and then switch over to the D place holder. Is ...
The Importance of Medical Necessity
July 9th, 2019 - Marge McQuade, CMSCS, CHCI, CPOM
ICD-10-CM codes represent the first line of defense when it comes to medical necessity. Correctly chosen diagnosis codes support the reason for the visit as well as the level of the E/M services provided. The issue of medical necessity is one of definitions and communication. What is obvious to the ...
When Can You Bill Orthosis Components Separately?
July 9th, 2019 - Wyn Staheli, Director of Research
Othoses often have extra components. When can you bill those components separately? For example, can you bill for a suspension sleeve (L2397) with a knee orthosis (e.g., L1810)?
Q/A: Can I Put the DC’s NPI in Item Number 24J for Massage Services?
July 8th, 2019 - Wyn Staheli, Director of Research
Question: Are there scenarios in which it is acceptable to put the DC's NPI in box 24j for massage services? Answer: While the answer to this is yes, it is essential to understand that there are very limited scenarios. In most cases, Item Number 24J is only for the NPI of the individual ...
Will the New Low Level Laser Therapy Code Solve Your Billing Issues?
July 8th, 2019 - Wyn Staheli, Director of Research
Low level laser therapy (LLLT), also known as cold laser therapy, is a form of phototherapy which uses a device that produces laser beam wavelengths, typically between 600 and 1000 nm and watts from 5–500 milliwatts (mW). It is often used to treat the following: Inflammatory conditions (e.g., Rheumatoid Arthritis, Carpal ...
Helping Others Understand How to Apply Incident to Guidelines
July 5th, 2019 - Namas
Over the past few months, I have worked with different organizations that have been misinterpreting the "incident to" guidelines and, in return, have been billing for services rendered by staff that are not qualified to perform the services per AMA and CPT. What I found within the variances is that ...



About Codapedia & Find-A-Code Contact Us Terms of Use Privacy Policy Advertise with Us

Codapedia™/Find-A-Code™ - 62 E 300 North, Spanish Fork, UT 84660 - Phone 801-770-4203 (9-5 Mountain) - Fax (801) 770-4428

Copyright © 2009-2019 Find A Code, LLC - CPT® copyright American Medical Association