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GOLDEN GATE CHAPTER
Date: January 22, 2014
Duration: 2 hours
Topic: 2014 CPT Updates
Presenter: Susan W. Carlson, CCS, CCS-P, CPC
AHIMA Approved ICD-10-CM/PCS Trainer
Method of
Instruction: Power Point lecture; handouts to attendees; general knowledge CPT quiz
Outline for 2014 CPT Updates
I. Summary of Changes for 2014
A. # New codes
B. # Deleted codes
C. # Revised code descriptions
II. CPT Overview
A. Use of Symbols
B. Appendices
1. Appendix B: Summary of Additions, Deletions, and Revisions
2. Appendix H and I: moved to AMA website
3. Appendix K: Pending FDA Approval
3. Appendix M: Deleted CPT Codes (reference to former code 2007-2009)
4. Appendix N: Summary of Resequenced CPT Codes
C. Instructions for Use of the CPT Index
D. Quiz on CPT Basics
III. Notable Notes (green text) in Sections/Subsections/ Headings/Subheadings
A. CPT Introduction Notes
1. Instructions for Use of the CPT Codebook: “other qualified health care professionals”
2. Requests to Update the CPT Nomenclature
3. Application Submission Requirements
4. General Criteria for Category I and Category III Codes
5. Category Specific Requirements
B. Sections
1. E&M: On-Line Medical Evaluations: Interprofessional Telephone/Internet Consultations
2. E&M: Complex Chronic Care Coordination Services
3. E&M: Transitional Care Management Services
4. Surgery Integumentary: Biopsy notations: incisional/breast
5. Surgery Integumentary: Lund-Browder Diagram and Classification Method Table for Burn Estimations (separate handout)
6. Surgery MS: Excision subcutaneous tissue/radical resection connective tissue tumors
7. Surgery Respiratory: Endoscopy
8. Surgery CV: Skin pocket revision; subcutaneous implantable defibrillator reference
9. Surgery CV: Cardiac valves; TARV/TAVI
10. Surgery CV: Fenestrated Endovascular Repair of the Visceral and Infrarenal Aorta
11. Surgery CV: AV shunt angioplasty
12. Surgery CV: Iliac and Lower Extremity Arterial Anatomy Territory (new codes)
13. Surgery CV: Vascular Embolization and Occlusion (new codes)
14. Surgery Digestive: Esophagoscopy (new codes); EGD revisions; ERCP revisions
15. Surgery Abdomen/Peritoneum/Omentum: Introduction, Revision, Removal
16. Surgery Auditory: Cerumen notation
17. Radiology: Radiation Oncology simulation notation
18. Lab/Path: Molecular Pathology Table
19. Medicine: Cardiac Catheterization Table
20. Medicine: Repair of Structural Heart Defect (ablation)
21. Medicine: Pulmonary: chest wall manipulation
22. Medicine: Interoperative Neurophysiology
23. Medicine: Hydration, Injections/Infusions: timing
24. Category II Codes: Nonmeasure Code Listing
25. Category III Codes: Introduction
26. Category III Codes: Subcutaneous Implantable Defibrillator System
IV. Changes by CPT Section (review of new codes in each CPT Section)
• Description of new services, operations (illustrations); body organs/parts (illustrations)
• Coding scenarios
A. E&M
1. Interprofessional Telephone/Internet Consultations
2. Inpatient Neonatal and Pediatric Critical Care
B. Surgery
1. Integumentary: General- Introduction and Removal
2. Integumentary: Breast- Excision
3. MS: Shoulder- Introduction or Removal
4. CV: Cardiac Valves
5. CV: Arteries and Veins- Fenestrated Endovascular Repair of the Visceral and Intrarenal
Aorta
6. CV: Arteries and Veins- Transcatheter Procedures
7. CV: Arteries and Veins- Endovascular Revascularization (Open or Percutaneous, Transcatheter)
8. CV: Arteries and Veins- Vascular Embolization and Occlusion
9. Digestive: Esophagus- Endoscopy
10. Digestive: Abdomen, Peritoneum, and Omentum- Introduction, Revision, Removal
11. Urinary: Bladder- Transurethral Surgery
12. Nervous: Extracranial Nerves, Peripheral Nerves, and Autonomic NS- Destruction by
Neurolytic Agent, Chemodenervation
13. Nervous: Eye and Ocular Adnexa- Anterior Sclera
C. Radiology
1. Radiation Oncology- Clinical Treatment Planning
D. Pathology and Laboratory
1. Therapeutic Drug Assays
2. Molecular Pathology Procedures
3. Multianalyte Assays with Algorithmic Analyses
4. Microbiology
5. Surgical Pathology
E. Medicine
1. Vaccines and Toxoids
2. Special Otorhinolaryngologic Services
3. CV: Cardiac Catheterization- Repair of Structural Heart Defect
4. Pulmonary: Diagnostic Testing and Therapies
5. Physical Medicine and Rehabilitation- Active Wound Care Management
F. Category II Codes: Supplemental tracking for performance measurement
1. Patient Management
2. Patient History
3. Diagnostic/Screening Processes or Results
4. Therapeutic, Preventive, or Other Interventions
5. Nonmeasure Code Listing
G. Category II Codes: Emerging Technology
1. 0329T- 0339T (miscellaneous)
2. Subcutaneous Implantable Defibrillator System
V. Major HCPCS code changes
A. C Codes (low cost skin substitutes); Q Codes (high cost skin substitutes)
B. G Codes: Hospital Outpatient Clinic Visits
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