Month End DeadlineMonth End Deadline                     This is a reminder that surgery charges received after 12:00pm on...
There has been a revision to the hemilaminectomy codes 63020, 60303, and 63035 to include                        endoscopi...
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2012 CPT Coding Changes

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There are several CPT changes for 2012 involving both the CPT codes themselves, and also the RVU values for many codes.

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2012 CPT Coding Changes

  1. 1. Month End DeadlineMonth End Deadline This is a reminder that surgery charges received after 12:00pm on Wednesday2012 CPT Coding January 4, 2012 will be entered as January charges.Changes 2012 CPT Coding Changes There are several CPT changes for 2012 involving both the CPT codes themselves, and also the RVU values for many codes. The AMA RUC Committee reviews every CPT code every 5 years, and any new codes are reviewed for the first time after 3 years. There were 2 main reasons for RVU adjustments to CPT codes in the musculoskeletal system this year. 1. When two or more procedures are reported together 75% or more of the time, the RUC Committee reviews combining these codes together. This continues to affect spine procedures, injections, and in 2012, knee and shoulder arthroscopy. 2. Many codes were originally valued with the post operative period including an inpatient hospital stay. When the codes are reviewed, if they no longer require an inpatient stay, their RVU value is re-assessed. This is called the Site of Service Anomaly. The codes affected by this for 2012 are 28725, 28730, 27385, 27530, 28002, 28285, 28715, 28825, 28120, 28122, and 27792. Integumentary System o Many skin grafting codes have been deleted due to the frequent addition of methods of skin grafting. Deleted codes have been replaced with new codes listed under “Skin Substitute Grafts”, 15271-15278. Musculoskeletal System o Spine Two new codes have been added to report posterior fusion and PLIF with one code. 22612-22614 and 2630-22632 are now combined in 22633-22634. They have added guidelines to allow codes for additional levels of arthrodesis to be interchangeable so that only one primary code is listed, but the appropriate level additional level code can be reported. For Questions, please contact Lynn M. Anderanin, CPC,CPC-I, COSC Sr. Director of Coding Compliance and Education 847-720-7090 landeranin@healthinfoservice.com
  2. 2. There has been a revision to the hemilaminectomy codes 63020, 60303, and 63035 to include endoscopically assisted approaches. A new guideline has been added to the instrumentation section that stated that when removing or revising of instrumentation is performed as well as insertion of new instrumentation at the same level(s), only the insertion should be billed. o Injections Guidance for epidural or subarachnoid injections has been added to 62310, 62311. Nerve destruction by neurolytic agent codes, 64622- 64623 and 64626-64627 have been replaced by new codes, 64633-64636, that include fluoroscopic or CT guidance. The sacroiliac joint CPT code 27096 has been revised to include the arthrography, and the arthrography code 73542 has been deleted. o Xialflex Injections Two CPT codes have been added for the procedures performed for Xiaflex injections. 20527- Xialflex injection on Day 1 26431- Manipulation after a Xiaflex injection on Day 2 o Knee Arthroscopy Meniscectomy codes 29880 and 29881 now will include chondroplasty/debridement(29877) regardless of whether it is performed in the same compartment or different compartments. 29880-29881 and 29877 can no longer be billed together. o Shoulder Arthroscopy CPT code 29826 represents subacromial decompression and/or acromioplasty. The AMA found in their review of this code 95% of the time it is billed with other shoulder arthroscopy procedures, so they have now revised the code to be an add on code, and it cannot be billed without at least one other arthroscopic shoulder procedure.Radiology o Spine X-rays 72114 Radiologic examination, spine, lumbosacral, complete, including bending views has been revised to include that a minimum of 6 views is necessary. 72120- Radiologic examination, spine, lumbosacral, bending views only, minimum of 4 views, has been revised to only include 2 or 3 views

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