Coding Alert
Coding Alert
2017 CPT Coding Updates

The release of the 2017 coding updates by the American Medical Association (AMA) delivered several new CPT codes, a new modifier and changes to the appendix section of the CPT codebook.


  • Modifier 95 was added to report synchronous telemedicine services rendered via a real-time interactive audio and video telecommunications system.
  • Appendix P was added to the CPT codebook with a list of the CPT codes appropriate for use with modifier 95. 

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Moderate sedation services were unbundled from surgery codes.  This resulted in the deletion of the moderate sedation symbol in the CPT codebook and the archive of Appendix G with the list of CPT codes which previously included moderate sedation. The existing codes for reporting moderate sedation were deleted and six new codes (CPT 99151-99157) were developed for reporting these services.


Nine influenza virus vaccine codes were revised to remove the age indication for the vaccine and replace it with a dosage amount.


We’ve highlighted a few of the 2017 CPT Updates. Refer to your 2017 CPT codebook for a full listing.

Surgery Services

  1. Musculoskeletal –
    • Spinal instrumentation service codes, CPT 22853, 22854, 22859 and 22867-22870 were added to more specifically report the different types of spinal instrumentation services that may be provided.
    • CPT 28291 and 28295 were established to report bunionectomy procedures.
  2. Respiratory –
    • CPT codes 31572-31574 were established to report new endoscopy of the larynx procedures.
    • Codes 31551-31554 and 31591-31592 were created to report laryngoplasty services.
  3. Cardiovascular –
    • Category III code 0281T was deleted and replaced by CPT code 33340 to report percutaneous transcatheter closure of the left atrial appendage with implant.
    • Codes 33390-33391 were established to report new techniques for aortic valve repair.
    • A new section was added to CPT for Dialysis Circuit Services with nine new codes (CPT 36901-36909) that describe angioplasty, stent placement, thrombectomy, and embolization within the hemodialysis circuit.
    • CPT codes 37246-37249 were added to report transluminal balloon angioplasty of an artery or vein.
  4. Digestive –
    • Category III codes 0392T and 0393T for reporting laparoscopic placement of an esophageal sphincter augmentation device and removal of the device, were converted to category I codes CPT 43284 and 43285.
  5. Nervous System –
    • Eight new codes (62320-62327) were established to report epidural injection procedures. The new codes describe whether or not the procedure included imaging guidance.

For a complete listing of all the new codes as well as their descriptions and coding guidelines, please refer to your 2017 CPT codebook.


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Radiology

  1. Mammography –
    • Three new mammography service codes (77065-77067) were created that now include the use of computer-aided detection (CAD). The new codes are to be reported if the CAD is utilized or not. CMS will continue to require the use of HCPCS codes G0202-G0206 for reporting mammograms for 2017.
  2. Abdominal Aortic Aneurysm Screening –
    • CPT 76706 was created to report ultrasound abdominal aortic aneurysm screening. The previously reported HCPCS code G0389 was deleted. 
  3. Pathology and Laboratory –
    • Presumptive Drug Class Screening –
      • CPT codes 80305, 80306 and 80307 were established for reporting presumptive drug class screening using differing methodologies.The previous codes (80300-80304) for reporting these services were deleted. CMS also deleted HCPCS G0477-G0479 for reporting these services and will accept the three new CPT codes for 2017.

Medicine Services

  • Ophthalmology code 92242 was created for use when CPT 92235 and 92240 are performed at the same patient encounter.​ CPT 92235 and 92240 remain effective for reporting these services when performed as a sole procedure during a patient encounter.
  • A new subsection with three new codes was added for reporting transcatheter closure of paravalvular leaks. These new codes, 93590, 93591 and 93592, allow a mechanism for reporting catheter-based procedures to repair a complication due to replacement of a heart valve.
  • CPT 96377 was developed to describe the work of preparing and applying a timed on-body injector for administration of a subcutaneous injection the day after chemotherapy.

Physical Medicine and Rehabilitation

  1. Physical Therapy, Occupational Therapy and Athletic Trainer Evaluations –
    • Twelve new codes (97161-97172) were created to report evaluation services for use by Physical Therapists, Occupational Therapists and Athletic Trainers. The previous codes used to report these evaluation services were deleted. The code choice for these services is based on the provider’s credentials.

These are just some of the changes we face in 201​7. Fortunately, help is available – if you have coding questions, contact your Provider Coordinator. We’re happy to help.

 

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