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2012油CPT油Coding油Changes

The油2012油CPT油code油changes油have油been油released!油油There油are油quite油a油few油addi<ons,油dele<ons,油and油
revisions油that油will油a鍖ect油Radiology.油油As油with油last油year,油the油new油codes油con<nue油to油bundle油mul<ple油
procedures油into油one油combina<on油code油on油procedures油performed油together油greater油than油75%油of油the油<me,油
as油well油as油including油the油guidance油and油supervision油&油interpreta<on油codes油into油vascular油and油nonvascular油
interven<on油codes.油油Below油I油have油outlined油the油codes油that油appear油to油have油the油biggest油impact/change油for油
the油HIS油clients.油油As油soon油as油fee油schedule油and油RVU油informa<on油becomes油available,油I油will油pass油this油
informa<on油on油to油everyone油in油order油to油gain油a油beQer油understanding油of油what油the油impact油of油these油changes油
will油be油for油each油prac<ce.
                                                      CT
油
CTA油 of油 the油 abdomen油 and油pelvis油will油 now油 be油combined油 into油 a油single油code油 assuming油 both油 studies油are油
performed油at油the油same油imaging油session.油油If油a油CTA油of油the油abdomen油OR油pelvis油is油performed油independently,油
the油exis<ng油CTA油codes油would油s<ll油be油reported.油
油
New油2012油CPT油Code油Descrip<on:
      74174Computed油 Tomographic油 Angiography,油 abdomen油 and油 pelvis,油 with油 contrast油 material(s),油
         including油noncontrast油images,油if油performed,油and油image油postprocessing
              o Replaces油 codes油 74175油 (CTA油 Abdomen)油 and油 72191油 (CTA油 Pelvis)油 if油 both油 studies油 were油
                  performed油at油the油same油imaging油session

                                       NUCLEAR油MEDICINE
油
Hepatobiliary油imaging油code油78223油has油been油deleted油and油replaced油by油two油new油codes油de鍖ning油the油proper油
code油assignment油when油pharmacologic油interven<on油is油used.油油

New油2012油CPT油Code油Descrip<on:
    78226Hepatobiliary油system油imaging,油including油gallbladder油when油present;
    78227Hepatobiliary油 system油 imaging,油 including油 gallbladder油 when油 present;油 with油 pharmacologic油
      interven<on,油including油quan<ta<ve油measurement(s)油when油performed
                 o    Replaces油code油78223Hepatobiliary油system油imaging,油with油or油without油pharmacologic油
                      interven<on,油with油or油without油quan<ta<ve油measurement油of油gallbladder油func<on
The油nine油exis<ng油 pulmonary油 imaging油 codes油 have油been油 combined油into油 four油new油codes.油 油In油 2011,油 the油
exis<ng油 codes油were油 very油 speci鍖c油 in油 their油 descrip<on油 of油 what油needed油 to油 be油 performed油 to油 determine油
correct油code油choice油(e.g.,油aerosol油or油gas,油rebreathing油and油washout,油etc.).油 油In油2012,油they油have油combined油
the油techniques.

New油2012油CPT油Code油Descrip<on:
    78579Pulmonary油ven<la<on油imaging油(e.g.,油aerosol油or油gas)
    78582Pulmonary油ven<la<on油(e.g.,油aerosol油or油gas)油and油perfusion油imaging




Tgalan油                                     1油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油   油2012油Coding油Changes
HIS油油Radiology油Division油                                                油                                      November油2,油2011
     78597Quan<ta<ve油di鍖eren<al油pulmonary油perfusion,油including油imaging油when油performed
          78598Quan<ta<ve油di鍖eren<al油pulmonary油perfusion油and油ven<la<on油(e.g.,油aerosol油or油gas),油
           including油imaging油when油performed
                 o    Replaces油nine油codes油from油the油range油of油78584油through油78596

                                  NONVASCULAR油INTERVENTIONAL油RADIOLOGY
油
The油exis<ng油codes油for油ini<al油and油subsequent油paracentesis油interven<ons油have油been油replaced油by油2油new油
codes油that油will油no油longer油allow油separate油repor<ng油for油the油imaging油guidance.油油In油2012,油peritoneal油lavage油
has油been油issued油its油own油CPT油code油which油was油previously油included油in油the油2011油code油choices.

New油2012油CPT油Code油Descrip<on:
    49082Abdominal油paracentesis油(diagnos<c油or油therapeu<c);油without油imaging油guidance
    49083Abdominal油paracentesis油(diagnos<c油or油therapeu<c);油with油imaging油guidance
          49084Peritoneal油lavage,油including油imaging油guidance,油when油performed
                 o    Replaces油 codes油 49080油 and油 49081Peritoneocentesis,油 abdominal油 paracentesis,油 or油
                      peritoneal油lavage;油ini<al油or油subsequent.油油These油new油codes油no油longer油permit油repor<ng油US油
                      or油CT油guidance油separately.

                                    VASCULAR油INTERVENTIONAL油RADIOLOGY

IVC油鍖lter油placement,油reposi<oning,油and油retrieval油codes油have油been油replaced油by油new油codes油which油include油
all油catheter油placement油and油imaging.油

New油2012油CPT油Code油Descrip<on:油
    37191Inser<on油of油intravascular油vena油cava油鍖lter,油endovascular油approach油including油vascular油
      access,油vessel油selec<on,油and油radiological油supervision油and油interpreta<on,油intraprocedural油
      roadmapping,油and油imaging油guidance油(ultrasound油and油鍖uoroscopy),油when油performed
          o Combines油the油鍖lter油placement油and油guidance油codes油(37620油and油75940)
    37192Reposi<oning油of油intravascular油vena油cava油鍖lter,油endovascular油approach油including油vascular油
      access,油vessel油selec<on,油and油radiological油supervision油and油interpreta<on,油intraprocedural油
      roadmapping,油and油imaging油guidance油(ultrasound油and油鍖uoroscopy),油when油performed
          o No油speci鍖c油code油existed油for油IVC油reposi<oning油prior油to油2012
    37193Retrieval油(removal)油of油intravascular油vena油cava油鍖lter,油endovascular油approach油including油
      vascular油access,油vessel油selec<on,油and油radiological油supervision油and油interpreta<on,油intraprocedural油
      roadmapping,油and油imaging油guidance油(ultrasound油and油鍖uoroscopy),油when油performed
          o Combines油the油foreign油body油retrieval油codes油37203油and油75961油that油were油previously油
              reported油to油beQer油depict油IVC油鍖lter油removal

油




Tgalan油                                     2油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油   油2012油Coding油Changes
HIS油油Radiology油Division油                                                油                                      November油2,油2011
The油exis<ng油 codes油and油 rules油for油 coding油 renal油angiography油 have油been油 revised油 and/or油 deleted油and油new油
codes油which油include油all油catheter油placement油and油imaging油have油been油introduced.油油

New油2012油CPT油Code油Descrip<on:
    36251Selec<ve油 catheter油 placement油 (鍖rstorder),油 main油 renal油 artery油 and油 any油 accessory油 renal油
      artery(s)油 for油 renal油 angiography,油 including油 arterial油 puncture油 and油 catheter油 placement(s),油
      鍖uoroscopy,油 contrast油 injec<on(s),油 image油 postprocessing,油 permanent油 recording油 of油 images,油 and油
      radiological油 supervision油 and油 interpreta<on,油 including油 pressure油 gradient油 measurements油 when油
      performed,油and油鍖ush油aortogram油when油performed;油unilateral
          36252Selec<ve油 catheter油 placement油 (鍖rstorder),油 main油 renal油 artery油 and油 any油 accessory油 renal油
           artery(s)油 for油 renal油 angiography,油 including油 arterial油 puncture油 and油 catheter油 placement(s),油
           鍖uoroscopy,油 contrast油 injec<on(s),油 image油 postprocessing,油 permanent油 recording油 of油 images,油 and油
           radiological油 supervision油 and油 interpreta<on,油 including油 pressure油 gradient油 measurements油 when油
           performed,油and油鍖ush油aortogram油when油performed;油bilateral
          36253Superselec<ve油catheter油placement油(one油or油more油second油order油or油higher油renal油artery油
           branches)油renal油artery油and油any油accessory油renal油artery(s)油for油renal油angiography,油including油arterial油
           puncture,油catheteriza<on,油鍖uoroscopy,油contrast油injec<on(s),油image油postprocessing,油permanent油
           recording油of油images,油and油radiological油supervision油and油interpreta<on,油including油pressure油gradient油
           measurements油when油performed,油and油鍖ush油aortogram油when油performed;油unilateral
          36254Superselec<ve油catheter油placement油(one油or油more油second油order油or油higher油renal油artery油
           branches)油renal油artery油and油any油accessory油renal油artery(s)油for油renal油angiography,油including油arterial油
           puncture,油catheteriza<on,油鍖uoroscopy,油contrast油injec<on(s),油image油postprocessing,油permanent油
           recording油of油images,油and油radiological油supervision油and油interpreta<on,油including油pressure油gradient油
           measurements油when油performed,油and油鍖ush油aortogram油when油performed;油bilateral
                 o    These油new油codes油now油include油the油codes油for油catheter油placement(s)油(36245油through油
                      36248,油depending油upon油vascular油branch油selec<vity)油as油well油as油the油radiological油
                      supervision油and油interpreta<on油codes油(75722油and油75724).
                                                             REVISIONS
There油will油also油be油approximately油1520油revisions油in油the油text油and油descrip<on油of油current油CPT油codes油that油
pertain油to油the油radiology油book油of油business.油油These油revisions油are油made油to油beQer油clarify油what油is油included油in油
a油speci鍖c油code.油油These油revisions油do油not油typically油alter油reimbursement油but油are油meant油to油beQer油clarify油the油
study油requirements.油油




Tgalan油                                     3油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油   油2012油Coding油Changes
HIS油油Radiology油Division油                                                油                                      November油2,油2011
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2012 CPT Coding Changes

  • 1. 2012油CPT油Coding油Changes The油2012油CPT油code油changes油have油been油released!油油There油are油quite油a油few油addi<ons,油dele<ons,油and油 revisions油that油will油a鍖ect油Radiology.油油As油with油last油year,油the油new油codes油con<nue油to油bundle油mul<ple油 procedures油into油one油combina<on油code油on油procedures油performed油together油greater油than油75%油of油the油<me,油 as油well油as油including油the油guidance油and油supervision油&油interpreta<on油codes油into油vascular油and油nonvascular油 interven<on油codes.油油Below油I油have油outlined油the油codes油that油appear油to油have油the油biggest油impact/change油for油 the油HIS油clients.油油As油soon油as油fee油schedule油and油RVU油informa<on油becomes油available,油I油will油pass油this油 informa<on油on油to油everyone油in油order油to油gain油a油beQer油understanding油of油what油the油impact油of油these油changes油 will油be油for油each油prac<ce. CT 油 CTA油 of油 the油 abdomen油 and油pelvis油will油 now油 be油combined油 into油 a油single油code油 assuming油 both油 studies油are油 performed油at油the油same油imaging油session.油油If油a油CTA油of油the油abdomen油OR油pelvis油is油performed油independently,油 the油exis<ng油CTA油codes油would油s<ll油be油reported.油 油 New油2012油CPT油Code油Descrip<on: 74174Computed油 Tomographic油 Angiography,油 abdomen油 and油 pelvis,油 with油 contrast油 material(s),油 including油noncontrast油images,油if油performed,油and油image油postprocessing o Replaces油 codes油 74175油 (CTA油 Abdomen)油 and油 72191油 (CTA油 Pelvis)油 if油 both油 studies油 were油 performed油at油the油same油imaging油session NUCLEAR油MEDICINE 油 Hepatobiliary油imaging油code油78223油has油been油deleted油and油replaced油by油two油new油codes油de鍖ning油the油proper油 code油assignment油when油pharmacologic油interven<on油is油used.油油 New油2012油CPT油Code油Descrip<on: 78226Hepatobiliary油system油imaging,油including油gallbladder油when油present; 78227Hepatobiliary油 system油 imaging,油 including油 gallbladder油 when油 present;油 with油 pharmacologic油 interven<on,油including油quan<ta<ve油measurement(s)油when油performed o Replaces油code油78223Hepatobiliary油system油imaging,油with油or油without油pharmacologic油 interven<on,油with油or油without油quan<ta<ve油measurement油of油gallbladder油func<on The油nine油exis<ng油 pulmonary油 imaging油 codes油 have油been油 combined油into油 four油new油codes.油 油In油 2011,油 the油 exis<ng油 codes油were油 very油 speci鍖c油 in油 their油 descrip<on油 of油 what油needed油 to油 be油 performed油 to油 determine油 correct油code油choice油(e.g.,油aerosol油or油gas,油rebreathing油and油washout,油etc.).油 油In油2012,油they油have油combined油 the油techniques. New油2012油CPT油Code油Descrip<on: 78579Pulmonary油ven<la<on油imaging油(e.g.,油aerosol油or油gas) 78582Pulmonary油ven<la<on油(e.g.,油aerosol油or油gas)油and油perfusion油imaging Tgalan油 1油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油 油2012油Coding油Changes HIS油油Radiology油Division油 油 November油2,油2011
  • 2. 78597Quan<ta<ve油di鍖eren<al油pulmonary油perfusion,油including油imaging油when油performed 78598Quan<ta<ve油di鍖eren<al油pulmonary油perfusion油and油ven<la<on油(e.g.,油aerosol油or油gas),油 including油imaging油when油performed o Replaces油nine油codes油from油the油range油of油78584油through油78596 NONVASCULAR油INTERVENTIONAL油RADIOLOGY 油 The油exis<ng油codes油for油ini<al油and油subsequent油paracentesis油interven<ons油have油been油replaced油by油2油new油 codes油that油will油no油longer油allow油separate油repor<ng油for油the油imaging油guidance.油油In油2012,油peritoneal油lavage油 has油been油issued油its油own油CPT油code油which油was油previously油included油in油the油2011油code油choices. New油2012油CPT油Code油Descrip<on: 49082Abdominal油paracentesis油(diagnos<c油or油therapeu<c);油without油imaging油guidance 49083Abdominal油paracentesis油(diagnos<c油or油therapeu<c);油with油imaging油guidance 49084Peritoneal油lavage,油including油imaging油guidance,油when油performed o Replaces油 codes油 49080油 and油 49081Peritoneocentesis,油 abdominal油 paracentesis,油 or油 peritoneal油lavage;油ini<al油or油subsequent.油油These油new油codes油no油longer油permit油repor<ng油US油 or油CT油guidance油separately. VASCULAR油INTERVENTIONAL油RADIOLOGY IVC油鍖lter油placement,油reposi<oning,油and油retrieval油codes油have油been油replaced油by油new油codes油which油include油 all油catheter油placement油and油imaging.油 New油2012油CPT油Code油Descrip<on:油 37191Inser<on油of油intravascular油vena油cava油鍖lter,油endovascular油approach油including油vascular油 access,油vessel油selec<on,油and油radiological油supervision油and油interpreta<on,油intraprocedural油 roadmapping,油and油imaging油guidance油(ultrasound油and油鍖uoroscopy),油when油performed o Combines油the油鍖lter油placement油and油guidance油codes油(37620油and油75940) 37192Reposi<oning油of油intravascular油vena油cava油鍖lter,油endovascular油approach油including油vascular油 access,油vessel油selec<on,油and油radiological油supervision油and油interpreta<on,油intraprocedural油 roadmapping,油and油imaging油guidance油(ultrasound油and油鍖uoroscopy),油when油performed o No油speci鍖c油code油existed油for油IVC油reposi<oning油prior油to油2012 37193Retrieval油(removal)油of油intravascular油vena油cava油鍖lter,油endovascular油approach油including油 vascular油access,油vessel油selec<on,油and油radiological油supervision油and油interpreta<on,油intraprocedural油 roadmapping,油and油imaging油guidance油(ultrasound油and油鍖uoroscopy),油when油performed o Combines油the油foreign油body油retrieval油codes油37203油and油75961油that油were油previously油 reported油to油beQer油depict油IVC油鍖lter油removal 油 Tgalan油 2油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油 油2012油Coding油Changes HIS油油Radiology油Division油 油 November油2,油2011
  • 3. The油exis<ng油 codes油and油 rules油for油 coding油 renal油angiography油 have油been油 revised油 and/or油 deleted油and油new油 codes油which油include油all油catheter油placement油and油imaging油have油been油introduced.油油 New油2012油CPT油Code油Descrip<on: 36251Selec<ve油 catheter油 placement油 (鍖rstorder),油 main油 renal油 artery油 and油 any油 accessory油 renal油 artery(s)油 for油 renal油 angiography,油 including油 arterial油 puncture油 and油 catheter油 placement(s),油 鍖uoroscopy,油 contrast油 injec<on(s),油 image油 postprocessing,油 permanent油 recording油 of油 images,油 and油 radiological油 supervision油 and油 interpreta<on,油 including油 pressure油 gradient油 measurements油 when油 performed,油and油鍖ush油aortogram油when油performed;油unilateral 36252Selec<ve油 catheter油 placement油 (鍖rstorder),油 main油 renal油 artery油 and油 any油 accessory油 renal油 artery(s)油 for油 renal油 angiography,油 including油 arterial油 puncture油 and油 catheter油 placement(s),油 鍖uoroscopy,油 contrast油 injec<on(s),油 image油 postprocessing,油 permanent油 recording油 of油 images,油 and油 radiological油 supervision油 and油 interpreta<on,油 including油 pressure油 gradient油 measurements油 when油 performed,油and油鍖ush油aortogram油when油performed;油bilateral 36253Superselec<ve油catheter油placement油(one油or油more油second油order油or油higher油renal油artery油 branches)油renal油artery油and油any油accessory油renal油artery(s)油for油renal油angiography,油including油arterial油 puncture,油catheteriza<on,油鍖uoroscopy,油contrast油injec<on(s),油image油postprocessing,油permanent油 recording油of油images,油and油radiological油supervision油and油interpreta<on,油including油pressure油gradient油 measurements油when油performed,油and油鍖ush油aortogram油when油performed;油unilateral 36254Superselec<ve油catheter油placement油(one油or油more油second油order油or油higher油renal油artery油 branches)油renal油artery油and油any油accessory油renal油artery(s)油for油renal油angiography,油including油arterial油 puncture,油catheteriza<on,油鍖uoroscopy,油contrast油injec<on(s),油image油postprocessing,油permanent油 recording油of油images,油and油radiological油supervision油and油interpreta<on,油including油pressure油gradient油 measurements油when油performed,油and油鍖ush油aortogram油when油performed;油bilateral o These油new油codes油now油include油the油codes油for油catheter油placement(s)油(36245油through油 36248,油depending油upon油vascular油branch油selec<vity)油as油well油as油the油radiological油 supervision油and油interpreta<on油codes油(75722油and油75724). REVISIONS There油will油also油be油approximately油1520油revisions油in油the油text油and油descrip<on油of油current油CPT油codes油that油 pertain油to油the油radiology油book油of油business.油油These油revisions油are油made油to油beQer油clarify油what油is油included油in油 a油speci鍖c油code.油油These油revisions油do油not油typically油alter油reimbursement油but油are油meant油to油beQer油clarify油the油 study油requirements.油油 Tgalan油 3油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油油 油2012油Coding油Changes HIS油油Radiology油Division油 油 November油2,油2011