CPT 2022 Code Update Overview | Attachment (2023)

oAmerican Medical Association (AMA)performed the 2022 CPT Code Update. It contains 405 code changes, including 249 new codes, 63 deletions, and 93 code revisions, effective as of the January 1, 2022 service date. We will focus primarily on new codes, so be sure to review the CPT-specific guidelines and notes for each section included as a coding guide.

Below is a snapshot of the CPT CY 2022 code update summary:

Evaluation and management area:

There are five new codes and ten revised codes in the Evaluation and Management section. Four new CPT codes have been added to the main reportcare management services(99424, +99425, 99426, +99427). Core care management services are specific disease management services. A patient may have multiple chronic conditions of sufficient severity to warrant complex chronic care management, but may receive primary care if the reporting physician or other qualified health professional provides single disease management rather than care management. comprehensive.

Added a new CPT code (+99437) to report each additional 30-minute chronic care treatment service by a physician or other qualified health care provider per month. It must be reported together with 99491.

Anesthesia Section

There are six new codes and two removed codes in the Anesthesia section. The new codes have replaced 01935 and 01936. The new codes (01937 through 01941) describe anesthesia services for image-guided percutaneous injection, drainage, or aspiration/destruction/neuromodulation procedures of neurolytics, or intravertebral procedures in the spine or spine. spinal cord in two cervical sacral planes.

surgery section

There are 30 new codes, 13 removed codes, and 25 revised codes in the Surgery section. Revised basic repair guidelines for clarity and added a definition for "foreign body/implant." Updated definitions for fracture procedures are provided at the beginning of the section, such as: B. Percutaneous skeletal manipulation, traction, and fixation. Revised closed treatment to state that splints, braces, or braces used only to temporarily stabilize the fracture for patient comfort are not considered closed treatment.

Eight new codes have been added to the Cardiovascular system. Added CPT 33267, +33268, and 33269 to describe procedures for left atrial appendage (LAA) exclusion. The LAA exclusion surgical procedure can be performed as a stand-alone procedure through an open or thoracoscopic approach. It is also performed in conjunction with other procedures that require a sternotomy or thoracotomy approach. Added CPT 33509 to describe endoscopic harvesting of an upper extremity artery (1 segment) for the CABG procedure. Added Cpts 33894 and 33895 to describe endoscopic aortic stent repair. Added CPT 33897 to describe the percutaneous angioplasty procedure for coarctation of coarctation. Added stub 33370 for transcatheter placement and subsequent removal of cerebral embolic protection devices.

Two new codes are added in Digestive System to describe drug-induced sleep endoscopy for evaluation of sleep-disordered breathing and for lower esophageal myotomy. Four new codes have been added in the urinary system to describe the insertion and removal of periurethral transperineal adjustable balloon continence devices.

Sixteen new codes are added to the nervous system. Added CPT 61736 and 61736 to describe interstitial laser thermal therapy (LITT) for simple or complex intracranial lesions. Added CPT 64582 to 64584 to describe implantation/revision or replacement/removal of hypoglossal nerve stimulators. Added CPT 66989 and 66991 to describe the insertion of an intraocular device for aqueous drainage of the anterior segment into the trabecular meshwork when performed with cataract extraction with an IOL implant. CPT 64628 and 64629 have been added to describe thermal destruction of the intraosseous basivertebral nerve and are reported based on the number of vertebral bodies at the lumbar or sacral level. Added suffix codes 63052 and 63053 to describe laminectomy procedures performed for spinal or lateral recess stenosis during posterior interbody fusion at the lumbar level. The CPT 68841 is designed to insert a drug-eluting implant into the tear ducts. Four new codes have been added (69716, 69719, 69726 and 69727) in the osseointegrated implants section.

surgery section

Added four new codes (77089 to 77092) to describe trabecular bone score (TBS), the structural state of bone microarchitecture, using dual X-ray absorptiometry (DXA) or other grayscale variogram imaging data for Calculate and report fracture risk. CPT 77089 should not be reported in conjunction with 77090, 77091, or 77092.

Department of Pathology and Laboratory

There are 96 new codes, 8 deleted codes, and 46 revised codes in Pathology and Laboratory.

The pathology clinical advisory service codes (80503, 80504, 80505, and +80506) describe medical pathology clinical advisory services provided at the request of another physician or other qualified health professional at the same or other facility or institution. Selection of the appropriate level of clinicopathology consultation services can be based on the total time of clinicopathology consultation services performed on the consultation date or on the MDM level defined for each service. In addition, many new codes have been added in the Proprietary Laboratory Analysis subsection. PLA codes describe proprietary clinical laboratory assays and may be provided by a single laboratory (“sole source”) or licensed or marketed (eg, FDA-licensed or approved) to multiple vendor laboratories.

medicine section

There are 36 new codes, 11 removed codes, and 4 revised codes in the medical section. Many COVID-19 intramuscular vaccine code codes are being added, indicating the type of vaccine and the dose received. Appendix Q contains a table showing the COVID-19 vaccine product code, administration code, manufacturer name, vaccine names, National Drug Code (NDC) label identification of 10 and 11 digits and the interval between doses clarified.

Added new codes (93593 to 93598) for cardiac catheterization procedures for congenital heart defects. Added additional code 93319 for 3D echocardiography imaging and postprocessing during transesophageal echocardiography (CCT) or during transthoracic echocardiography for congenital cardiac abnormalities for evaluation of the structure(s) and function of the heart when performed.

Added CPT 98975 to 98977 to describe remote monitoring therapeutic services and added CPT 9890 and +98891 to describe remote monitoring therapeutic treatment delivery services.

Category III code section:

There are 76 new codes, 22 removed codes, and 7 revised codes in the Category III code section. Many new Category III codes are being created for new and emerging technologies. Codes 0640T-0642T describe non-contact near-infrared spectroscopy examinations of flaps or wounds. Code 0652T-0654T describes flexible transnasal esophagogastroduodenoscopy services. Codes 0656T and 0657T are used to describe spinal anchoring services and codes 0664T–0670T are used to describe donor hysterectomy procedures.

It is a summary of the CPT code 2022. In order to obtain an accurate refund from payers, allmedical codingPractitioners keep abreast of these coding changes and ensure that all team members, including clinicians and documentation specialists, are aware of these coding changes. At AnnexMed, we keep track of all medical coding changes to ICD-10 and CPT codes, especially as old codes are revised and new codes are added each year. To avoid interrupting your revenue cycle, consider outsourcing to the experts atAnexoMed. This way you can make sure that all your procedures are coded correctly.Contact Ustoday to learn more about our services!