Each year the CPT code set and the HCPCS code set undergo significant changes, and your coding staff needs to be aware of the changes in order to ensure a smooth transition into 2024. Join us for a discussion of the new, deleted and revised CPT codes and associated guidelines for 2024. This is part two in a three-part series. During these complimentary webinars, we will empower you to correctly apply the new and revised codes and discuss the rationale behind this year’s changes. This presentation will be geared towards hospital staff with a focus on the surgical section of the CPT book in addition to surgical Category III codes.

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2024 CPT® Code Updates
(HIM Focused)

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Jennifer Bishop
RHIT, CCS, CCS-P, CHRI

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Disclaimer Statement
This webinar/presentation was current at the time it was published or provided
via the web and is designed to provide accurate and authoritative information
regarding the subject matter covered. The information provided is only
intended to be a general overview with the understanding that neither the
presenter nor the event sponsor is engaged in rendering specific coding advice.
It is not intended to take the place of either the written policies or regulations.
We encourage participants to review the specific regulations and other
interpretive materials, as necessary.

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Overview of 2024 Changes
CPT® Section Additions Deletions Revisions
Evaluation &
Management
1 0 10
Anesthesia 0 0 0
Surgery 23 0 10
Radiology 5 1 0
Pathology & Laboratory 13 1 16
PLA 19 0 2
Medicine 21 0 4
Category II 0 0 0
Category III 63 32 13
Totals 145 34 55
• Totals do not include codes added, deleted, or revised in CY 2023 but appearing for the first time in the CY 2024 book
• Revised totals do not include codes with changes to short or medium descriptions only

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Changes to
Surgery Section

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Overall Changes to Surgery Section
CPT® Section Additions Deletions Revisions
General/Integumentary (10021-19499) 0 0 0
Musculoskeletal (20005-29999) 4 0 6
Respiratory (30000-32999) 2 0 0
Cardiovascular (33010-37799) 8 0 0
Hemic & Lymphatic (38100-38999) 0 0 0
Mediastinum & Diaphragm (39000-39599) 0 0 0
Digestive (40490-49999) 0 0 0
Urinary (50010-53899) 1 0 0
Male Genital (54000-55899) 0 0 0
Female Genital (56405-58999) 1 0 0
Maternity Care & Delivery (59000-59899) 0 0 0
Endocrine (60000-60699) 0 0 0

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Overall Changes to Surgery Section
CPT® Section Additions Deletions Revisions
Nervous (61000-64999) 6 0 4
Eye & Ocular Adnexa (65091-68899) 1 0 0
Auditory (69000-69979) 0 0 0

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Added Guidelines - Musculoskeletal Section
Three New Codes Added for Thoracic Vertebral Body Tethering
 Anterior vertebral body tethering corrects scoliosis without fusion using a tether
to compress the vertebral growth plates on the convex side while allowing the
concave growth plates to keep growing
 Differs from existing procedures in the CPT code set because it does not involve
arthrodesis or fusion of the spine
 May not be reported with anterior instrumentation codes 22845-22847
 Includes thoracoscopy, so can’t be reported with 32601

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Added Codes - Musculoskeletal Section
Three New Codes Added for Thoracic Vertebral Body Tethering
 22836 - Anterior thoracic vertebral body tethering, including thoracoscopy, when
performed; up to 7 vertebral segments
 22837 - Anterior thoracic vertebral body tethering, including thoracoscopy, when
performed; 8 or more vertebral segments
 22838 - Revision (e.g., augmentation, division of tether), replacement, or removal of
thoracic vertebral body tethering, including thoracoscopy, when performed

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Anterior Thoracic Vertebral Body Tethering

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Added Codes - Musculoskeletal Section
One New Code Added for Percutaneous Arthrodesis of Sacroiliac (SI) Joint
 27278 – Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including
placement of intra-articular implant(s) (e.g., bone allograft[s], synthetic device[s]),
without placement of trans fixation device
– Replaces Category III code 0775T, which is deleted for 2024
– Report 27278 for the percutaneous placement of an intra-articular stabilization device into the SI
joint using a minimally-invasive technique that does not transfix the SI joint
– Percutaneous arthrodesis of SI joint with placement of transfixion device is reported using 27279
– Append modifier 50 if procedure is performed bilaterally

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Revised Codes - Musculoskeletal Section
Code 2024 Long Description 2023 Long Description
28292 Correction, hallux valgus with bunionectomy, with
sesamoidectomy when performed; with resection of
proximal phalanx base, when performed, any method
Correction, hallux valgus (bunionectomy), with
sesamoidectomy, when performed; with resection of
proximal phalanx base, when performed, any method
28295 Correction, hallux valgus with bunionectomy, with
sesamoidectomy when performed; with proximal
metatarsal osteotomy, any method
Correction, hallux valgus (bunionectomy), with
sesamoidectomy, when performed; with proximal
metatarsal osteotomy, any method
28296 Correction, hallux valgus with bunionectomy, with
sesamoidectomy when performed; with distal
metatarsal osteotomy, any method
Correction, hallux valgus (bunionectomy), with
sesamoidectomy, when performed; with distal
metatarsal osteotomy, any method
• Provides clarification that codes 28292 and 28295-28299 inherently include removal of a bunion

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Revised Codes - Musculoskeletal Section
Code 2024 Long Description 2023 Long Description
28297 Correction, hallux valgus with bunionectomy, with
sesamoidectomy when performed; with first
metatarsal and medial cuneiform joint arthrodesis, any
method
Correction, hallux valgus (bunionectomy), with
sesamoidectomy, when performed; with first
metatarsal and medial cuneiform joint arthrodesis, any
method
28298 Correction, hallux valgus with bunionectomy, with
sesamoidectomy when performed; with proximal
phalanx osteotomy, any method
Correction, hallux valgus (bunionectomy), with
sesamoidectomy, when performed; with proximal
phalanx osteotomy, any method
28299 Correction, hallux valgus with bunionectomy, with
sesamoidectomy when performed; with double
osteotomy, any method
Correction, hallux valgus (bunionectomy), with
sesamoidectomy, when performed; with double
osteotomy, any method
• Instructional note follows code 28297 to clarify that 28740 should be reported when a first
metatarsal-cuneiform joint fusion is performed that does not include associated removal of the
distal medial prominence of the first metatarsal to correct a hallux valgus

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Added Code - Respiratory Section
Two New Codes Added to Capture Procedures Performed on Posterior Nasal Nerve
Via Nasal Endoscopy
 31242 - Nasal/sinus endoscopy, surgical; with destruction by radiofrequency ablation,
posterior nasal nerve
 31243 - Nasal/sinus endoscopy, surgical; with destruction by cryoablation, posterior
nasal nerve
– Frequently done to treat chronic refractory rhinitis
– Nerve plexus (bundle) is ablated, not a specific nerve
– Procedure is inherently bilateral; when done on only one side, append modifier 52
– RhinAer® procedure uses RF; ClariFix® uses cryotherapy

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Posterior Nasal Nerve Ablation

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Added Guidelines – Phrenic Nerve Stimulation System
 New codes 33276-33281, 33287, 33288, and 93150-93153 are replacing Category III
codes 0424T-0436T for reporting of phrenic nerve stimulator system procedures
 Insertion of phrenic nerve stimulation system includes a pulse generator, which is
placed in the pectoral region, and a stimulation lead, placed in the brachiocephalic or
pericardiophrenic vein
 System placement includes initiating diagnostic mode, evaluating the system, vessel
catheterization, and all imaging guidance
 If a separate sensing lead is placed at the time of system insertion, an add-on code of
33277 is reported
 If a separate sensing lead is placed other than at time of system insertion, report
using 33999
 33279 and 33288 are reported only once per encounter regardless of number of
leads removed

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remedē® System

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Added Codes – Phrenic Nerve Stimulation System
Eight New Codes Added to Capture Insertion, Removal, Replacement, or
Repositioning of Phrenic Nerve Stimulator
 33276 - Insertion of phrenic nerve stimulator system (pulse generator and stimulating
lead[s]), including vessel catheterization, all imaging guidance, and pulse generator
initial analysis with diagnostic mode activation, when performed
 33277 – Insertion of phrenic nerve stimulator transvenous sensing lead (List
separately in addition to code for primary procedure)
 33278 - Removal of phrenic nerve stimulator, including vessel catheterization, all
imaging guidance, and interrogation and programming, when performed; system,
including pulse generator and lead(s)
 33279 - Removal of phrenic nerve stimulator, including vessel catheterization, all
imaging guidance, and interrogation and programming, when performed;
transvenous stimulation or sensing lead(s) only

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Added Codes – Phrenic Nerve Stimulation System
Eight New Codes Added to Capture Insertion, Removal, Replacement, or
Repositioning of Phrenic Nerve Stimulator
 33280 - Removal of phrenic nerve stimulator, including vessel catheterization, all
imaging guidance, and interrogation and programming, when performed; pulse
generator only
 33281 – Repositioning of phrenic nerve stimulator transvenous lead(s)
 33287 - Removal and replacement of phrenic nerve stimulator, including vessel
catheterization, all imaging guidance, and interrogation and programming, when
performed; pulse generator
 33288 - Removal and replacement of phrenic nerve stimulator, including vessel
catheterization, all imaging guidance, and interrogation and programming, when
performed; transvenous stimulation or sensing lead(s)

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Added Guidelines – Leadless Pacemaker
 Leadless pacemaker consists of generator and electrode which is implanted in a
cardiac chamber via transcatheter transvenous approach
 Right ventricular single-chamber leadless pacemaker services are reported using
33274-33275
 Right atrial single-chamber leadless pacemaker services are reported using 0823T-
0825T
 Dual-chamber leadless pacemaker services in the right atrium and/or right ventricle
are reported using 0795T-0803T
 Right heart catheterization is included in all leadless pacemaker services unless done
for a separate and distinct indication
 Procedures also include fluoroscopy, venous access, and radiological guidance
 Device evaluation at the time of surgery is included and is not separately reported

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Added Code – Urinary Section
One New Code Added to Report Treatment of Urethral Stricture
 52284 - Cystourethroscopy, with mechanical urethral dilation and urethral
therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or
stenosis, male, including fluoroscopy, when performed
– Replacement for Expiring Category III code 0499T
– Code includes cystoscopy, urethral dilation, drug delivery using a balloon catheter, and necessary
fluoroscopy
– Do not report in conjunction with 51610, 52000, 52281, 52283, 74450, or 76000

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Added Code – Female Genital Section
One New Code Added to Report Radiofrequency Ablation of Uterine Fibroids
 58580 - Transcervical ablation of uterine fibroid(s), including intraoperative
ultrasound guidance and monitoring, radiofrequency
– Replacement for Expiring Category III Code 0404T
– Procedure is not laparoscopic (58674) and is not for ablation of endometrium (58353, 58356 or
58563)
– Do not report in conjunction with 58561, 58674, 76830, 76940, or 76998
– New subsection titled “Other Procedures” created which now includes 58353, 58356, and 58580

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Instructional Note Added – Female Genital Section
New parenthetical note added to provide clarity when bilateral procedure is
performed
 58661 – Laparoscopy, surgical; with removal of adnexal structures (partial or total
oophorectomy and/or salpingectomy) should have modifier 50 appended when
procedure is performed on both sides of the body
– The term “adnexal structures” applies to the tubes and ovaries on a single side of the body

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Added Codes – Nervous Section
 NeuroPace RNS® System for
treatment of drug-resistant focal
epilepsy
 Consists of pulse generator mounted
in skull and two leads
 Monitors brainwaves through
continuous EEG recordings
 Disrupts abnormal brainwave activity
by sending brief pulses

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Added Codes - Nervous Section
Three New Codes Added to Capture Insertion, Removal, Replacement or Revision of
Skull-Mounted Cranial Neurostimulator
 61889 – Insertion of skull-mounted cranial neurostimulator pulse generator or
receiver, including craniectomy or craniotomy, when performed, with direct or
inductive coupling, with connection to depth and/or cortical strip electrode array(s)
 61891 - Revision or replacement of skull-mounted cranial neurostimulator pulse
generator or receiver with connection to depth and/or cortical strip electrode
array(s)
 61892 - Removal of skull-mounted cranial neurostimulator pulse generator or
receiver with cranioplasty, when performed
– Instructional notes to direct coders to 61885-61888 for cranial neurostimulator procedures other
than skull mounted

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Added Codes – Nervous Section
 nalu™ neurostimulation system
 Consists of an electrode with a
receiver and an external power
source (wearable disc)
 There is no subcutaneous generator
 Disrupts pain signals before reaching
the brain using electrical pulses

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Added Codes - Nervous Section
Three New Codes Added to Capture Insertion, Removal, Replacement or Revision of
Peripheral Neurostimulator
 64596 – Insertion or replacement of percutaneous electrode array, peripheral nerve,
with integrated neurostimulator, including imaging guidance, when performed; initial
electrode array
 64597 - Insertion or replacement of percutaneous electrode array, peripheral nerve,
with integrated neurostimulator, including imaging guidance, when performed; each
additional electrode array (List separately in addition to code for primary procedure)
 64598 - Revision or removal of neurostimulator electrode array, peripheral nerve,
with integrated neurostimulator

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Revised Codes - Nervous Section
Code 2024 Long Description 2023 Long Description
63685 Insertion or replacement of spinal
neurostimulator pulse generator or receiver,
requiring pocket creation and connection
between electrode array and pulse generator or
receiver
Insertion or replacement of spinal
neurostimulator pulse generator or receiver,
direct or inductive coupling
63688 Revision or removal of implanted spinal
neurostimulator pulse generator or receiver,
with detachable connection to electrode array
Revision or removal of implanted spinal
neurostimulator pulse generator or receiver
• Provides clarification that these codes are not to be used for integrated neurostimulator systems

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Revised Codes - Nervous Section
Code 2024 Long Description 2023 Long Description
64590 Insertion or replacement of peripheral, sacral, or
gastric neurostimulator pulse generator or
receiver, requiring pocket creation and
connection between electrode array and pulse
generator or receiver
Insertion or replacement of peripheral or gastric
neurostimulator pulse generator or receiver,
direct or inductive coupling
64595 Revision or removal of peripheral, sacral, or
gastric neurostimulator pulse generator or
receiver, with detachable connection to
electrode array
Revision or removal of peripheral or gastric
neurostimulator pulse generator or receiver
• Provides clarification that these codes are not to be used for integrated neurostimulator systems

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Instructional Notes – Neurostimulator Services
 Spinal integrated neurostimulator services are reported with 0784T and 0785T
 Sacral integrated neurostimulator services are reported with 0786T and 0787T
 Percutaneous posterior tibial integrated neurostimulator services for bladder dysfunction are reported
with 0587T and 0588T
 Open posterior tibial integrated neurostimulator services for bladder dysfunction are reported with
0816T-0819T
 Traditional peripheral, sacral, or gastric neurostimulator system services, which require two different
approaches to place electrode and subcutaneous generator, are reported with 64590 and 64595 for the
generator in addition to 64555 or 64561 for the electrodes
 Traditional spinal neurostimulator system services, which require two different approaches to place
electrode and subcutaneous generator, are reported with 63685 and 63688 for the generator in
addition to 63650-63664 for the electrodes
 For neurostimulators performing “field stimulation” not directed at a specific nerve, use 64999

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Added Code – Ophthalmology Section
One New Code Added to Report Drug Injection into Suprachoroidal Space
 67516 - Suprachoroidal space injection of pharmacologic agent (separate procedure)
– Replacement for Expiring Category III Code 0465T
– Used to report drug administration into the space between the sclera and the choroid

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Added Code – Ophthalmology Section
 Provides targeted drug delivery to
posterior chamber without repeated
eyedrops or intravitreal injections
 Minimizes risk of complications
including cataracts and increased
pressure
 Allows for higher concentrations of
drugs for longer durations
 Drug used is separately reportable
 Procedure is not reported when done
as an integral component of another
procedure

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Changes to
Medicine Section

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Added Codes – Cardiovascular
 92972 - Percutaneous transluminal coronary lithotripsy (List separately in addition to
code for primary procedure)
– Replaces Category III code 0715T
– Used to treat coronary artery calcifications as an alternative to atherectomy
– Use in conjunction with 92920, 92924, 92928, 92933, 92937, 92941, 92943, 92975
• Not meant to be an all-inclusive listing of procedures – Note that HCPCS codes are omitted

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Added Guidelines – Venography for Congenital Heart Disease
 Venography of anomalous or persistent SVC (93584), azygous/hemiazygos venous
system (93585), the coronary sinus (93586), or venovenous collaterals (93587/93588)
require catheter placement distinct from catheter placement required for RHC/LHC
 Codes include catheter placement, venography, imaging supervision, interpretation,
and report
 93584-93588 represent separate services that can be reported together, when
appropriate
 Venography of normal IVC is reported with 75825
 Venography of normal SVC is reported with 75827
 Use in conjunction with 93593-93597
 Report once per session

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Venography for Congenital Heart Disease

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Added Codes – Cardiovascular
Five Codes Added to Report Venography Performed for Congenital Heart Disease
 93584 - Venography for congenital heart defect(s), including catheter placement, and
radiological supervision and interpretation; anomalous or persistent superior vena
cava when it exists as a second contralateral superior vena cava, with native drainage
to heart (List separately in addition to code for primary procedure)
 93585 - Venography for congenital heart defect(s), including catheter placement, and
radiological supervision and interpretation; azygos/hemiazygos venous system (List
separately in addition to code for primary procedure)
 93586 - Venography for congenital heart defect(s), including catheter placement, and
radiological supervision and interpretation; coronary sinus (List separately in addition
to code for primary procedure)

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Added Codes – Cardiovascular
Five Codes Added to Report Venography Performed for Congenital Heart Disease
 93587 - Venography for congenital heart defect(s), including catheter placement, and
radiological supervision and interpretation; venovenous collaterals originating at or
above the heart (eg, from innominate vein) (List separately in addition to code for
primary procedure)
 93588 - Venography for congenital heart defect(s), including catheter placement, and
radiological supervision and interpretation; venovenous collaterals originating below
the heart (eg, from the inferior vena cava) (List separately in addition to code for
primary procedure)

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Added Codes - Cardiovascular Section
 Four New Codes Added to Capture Activation, Interrogation, and Programming
Post Phrenic Nerve Stimulator System Implantation
 93150 - Therapy activation of implanted phrenic nerve stimulator system, including
all interrogation and programming
 93151 - Interrogation and programming (minimum one parameter) of implanted
phrenic nerve stimulator system
 93152 - Interrogation and programming of implanted phrenic nerve stimulator
system during polysomnography
 93153 - Interrogation without programming of implanted phrenic nerve stimulator
system
– Not to be reported on the same date of service as insertion, revision, or repositioning of device
– More detail in CDM-Focused webinar

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Added Codes – Chemotherapy
 96547 - Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC)
procedure, including separate incision(s) and closure, when performed; first 60
minutes (List separately in addition to code for primary procedure)
 96548 - Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC)
procedure, including separate incision(s) and closure, when performed; each
additional 30 minutes (List separately in addition to code for primary procedure)
– Also known as HIPEC
– Codes established to distinguish between 96446 and because of the varying time required to
perform HIPEC based on the chemotherapy drug chosen
– Count only time related to HIPEC; not total time patient is in OR

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New Guidelines - HIPEC
 HIPEC includes intraoperative perfusion of heated chemotherapy agent into the
abdominal cavity through catheters
 Includes incisions required for catheter insertion and probe placement, manual
agitation of chemotherapy in the abdominal cavity, irrigation post procedure, and
closure related to catheter and probe placement
 These are add-on codes, but it is important to capture all relevant and medically
necessary charges

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Changes to
Category III Codes

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Added Codes - New & Emerging Technology
Code Long Description
0784T Insertion or replacement of percutaneous electrode array, spinal, with integrated
neurostimulator, including imaging guidance, when performed
0785T Revision or removal of neurostimulator electrode array, spinal, with integrated
neurostimulator
0786T Insertion or replacement of percutaneous electrode array, sacral, with integrated
neurostimulator, including imaging guidance, when performed
0787T Revision or removal of neurostimulator electrode array, sacral, with integrated
neurostimulator
• New codes for electronic analysis (0788T and 0789T) have also been added

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Added Codes - New & Emerging Technology
Code Long Description
0790T Revision (eg, augmentation, division of tether), replacement, or removal of
thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when
performed
• 0790T has been created to match the Category I code structure of the thoracic vertebral
body tethering
• Revision, replacement, or removal of thoracic vertebral body tethering is reported with
22838

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Added Codes - New & Emerging Technology
Code Long Description
0813T Esophagogastroduodenoscopy, flexible, transoral, with volume adjustment of
intragastric bariatric balloon
• Do not report in conjunction with 43197, 43198, 43235, 43241, 43247, 43290, or 43291

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Added Codes - New & Emerging Technology
Code Long Description
0814T Percutaneous injection of calcium-based biodegradable osteoconductive material,
proximal femur, including imaging guidance, unilateral
• Involves implanting a calcium-based, osteoconductive material under imaging guidance to
form new bone in the proximal femur of patients with disorders such as osteoporosis
• Do not report in conjunction with 26992 or 77002

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Added Codes - New & Emerging Technology
Code Long Description
0816T Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including
electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, programming,
and imaging guidance, when performed, posterior tibial nerve; subcutaneous
0817T Open insertion or replacement of integrated neurostimulation system for bladder dysfunction including
electrode(s) (eg, array or leadless), and pulse generator or receiver, including analysis, programming,
and imaging guidance, when performed, posterior tibial nerve; subfascial
• Use for open insertion or replacement of integrated posterior tibial neurostimulator
services for bladder dysfunction
• Programming devices on the date of implantation is included in these codes
• Percutaneous posterior tibial integrated neurostimulator services for bladder dysfunction
are reported with 0587T and 0588T

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Added Codes - New & Emerging Technology
Code Long Description
0818T Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis,
programming, and imaging, when performed, posterior tibial nerve; subcutaneous
0819T Revision or removal of integrated neurostimulation system for bladder dysfunction, including analysis,
programming, and imaging, when performed, posterior tibial nerve; subfascial
• Use for open revision or removal of integrated posterior tibial neurostimulator services for bladder
dysfunction
• Programming devices on the date of service is included in these codes
• Percutaneous posterior tibial integrated neurostimulator services for bladder dysfunction are reported with
0587T and 0588T

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Added Codes - New & Emerging Technology
Code Long Description
0823T Transcatheter insertion of permanent single-chamber leadless pacemaker, right atrial,
including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography
and/or right ventriculography, femoral venography, cavography) and device evaluation
(eg, interrogation or programming), when performed
0824T Transcatheter removal of permanent single-chamber leadless pacemaker, right atrial,
including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography
and/or right ventriculography, femoral venography, cavography), when performed
0825T Transcatheter removal and replacement of permanent single-chamber leadless
pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound,
right atrial angiography and/or right ventriculography, femoral venography, cavography)
and device evaluation (eg, interrogation or programming), when performed
• New code (0826T) also created for in-person device evaluation with adjustment

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Added Guidelines – Leadless Pacemaker
 Leadless pacemaker consists of generator and electrode which is implanted in a
cardiac chamber via transcatheter transvenous approach
 Right ventricular single-chamber leadless pacemaker services are reported using
33274-33275
 Right atrial single-chamber leadless pacemaker services are reported using 0823T-
0825T
 Dual-chamber leadless pacemaker services in the right atrium and/or right ventricle
are reported using 0795T-0803T
 Right heart catheterization is included in all leadless pacemaker services unless done
for a separate and distinct indication
 Procedures also include fluoroscopy, venous access, and radiological guidance
 Device evaluation at the time of surgery is included and is not separately reported

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Added Codes - New & Emerging Technology
Code Long Description
0861T Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both
components (battery and transmitter)
0862T Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing,
including device interrogation and programming; battery component only
0863T Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing,
including device interrogation and programming; transmitter component only
• Created for removal and relocation of wireless cardiac stimulator for left ventricular pacing components
• Codes 0517T-0520T capture insertion and replacement of components
• Procedures include heart catheterization procedures, angiography, and imaging guidance

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Revised Codes – New & Emerging Technology
Code 2024 Long Description 2023 Long Description
0517T Insertion of wireless cardiac stimulator for left
ventricular pacing, including device interrogation
and programming, and imaging supervision and
interpretation, when performed; both
components of pulse generator (battery and
transmitter) only
Insertion of wireless cardiac stimulator for left
ventricular pacing, including device interrogation
and programming, and imaging supervision and
interpretation, when performed; pulse generator
component(s) (battery and/or transmitter) only
0518T Removal of pulse generator for wireless cardiac
stimulator for left ventricular pacing; battery
component only
Removal of only pulse generator component(s)
(battery and/or transmitter) of wireless cardiac
stimulator for left ventricular pacing

53. © Health Catalyst. Confidential and Proprietary.
Revised Codes – New & Emerging Technology
Code 2024 Long Description 2023 Long Description
0519T Removal and replacement of pulse generator for
wireless cardiac stimulator for left ventricular
pacing, including device interrogation and
programming; both components (battery and
transmitter)
Removal and replacement of wireless cardiac
stimulator for left ventricular pacing; pulse
generator component(s) (battery and/or
transmitter)
0520T Removal and replacement of pulse generator for
wireless cardiac stimulator for left ventricular
pacing, including device interrogation and
programming; battery component only
Removal and replacement of wireless cardiac
stimulator for left ventricular pacing; pulse
generator component(s) (battery and/or
transmitter), including placement of a new
electrode

54. © Health Catalyst. Confidential and Proprietary.
Instructional Notes – Wireless Cardiac Stimulation for LV Pacing
 The complete wireless left ventricular pacing system consists of a wireless endocardial left
ventricle electrode and a pulse generator (battery and transmitter). The electrode is typically
implanted into the left ventricular wall and powered wirelessly using ultrasound delivered by
a subcutaneously implanted transmitter. Two subcutaneous pockets are created on the chest
wall for the battery and for the transmitter.
 A wireless cardiac stimulator for left ventricular pacing may need to be removed, relocated,
or replaced. The electrode component of the stimulator typically is not removed once
implanted. For removal of both components of the pulse generator (battery and transmitter)
without replacement, use 0861T. For removal of only the battery component of the pulse
generator without replacement, use 0518T. For relocation of the pulse generator, use 0862T
for relocation of the battery component or 0863T for relocation of the transmitter
component. For removal and replacement of both components of the pulse generator, use
0519T. For removal and replacement of only the battery component, use 0520T.

55. © Health Catalyst. Confidential and Proprietary.
Added Codes - New & Emerging Technology
Code Long Description
0864T Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low
energy
• Do not report in conjunction with 0101T for treatment of the same area

56. © Health Catalyst. Confidential and Proprietary.
Deleted Codes - New & Emerging Technology
Deleted Code Suggested Replacement Codes
0404T – Transcervical uterine fibroid(s) ablation with ultrasound guidance,
radiofrequency
58580

57. © Health Catalyst. Confidential and Proprietary.
Deleted Codes - New & Emerging Technology
Deleted Code Suggested Replacement Codes
0424T – Insertion or replacement of neurostimulator system for treatment
of central sleep apnea; complete system (transvenous placement of right
or left stimulation lead, sensing lead, implantable pulse generator)
33276
33287
33288
0425T - Insertion or replacement of neurostimulator system for treatment
of central sleep apnea; sensing lead only
33277
33288
0426T - Insertion or replacement of neurostimulator system for treatment
of central sleep apnea; stimulation lead only
33288
0427T - Insertion or replacement of neurostimulator system for treatment
of central sleep apnea; pulse generator only
33276
33287
• Removal and replacement are included in codes 33287 and 33288; replacement of entire system would require
both codes

58. © Health Catalyst. Confidential and Proprietary.
Deleted Codes - New & Emerging Technology
Deleted Code Suggested Replacement Codes
0428T – Removal of neurostimulator system for treatment of central sleep
apnea; pulse generator only
33280
0429T - Removal of neurostimulator system for treatment of central sleep
apnea; sensing lead only
33279
0430T - Removal of neurostimulator system for treatment of central sleep
apnea; stimulation lead only
33279
0431T - Removal and replacement of neurostimulator system for
treatment of central sleep apnea, pulse generator only
33287
• 33279 is reported only once for removal of one or more leads

59. © Health Catalyst. Confidential and Proprietary.
Deleted Codes - New & Emerging Technology
Deleted Code Suggested Replacement Codes
0432T – Repositioning of neurostimulator system for treatment of central
sleep apnea; stimulation lead only
33281
0433T - Repositioning of neurostimulator system for treatment of central
sleep apnea; sensing lead only
33281
• 33281 is reported only once per day for repositioning of one or more leads

60. © Health Catalyst. Confidential and Proprietary.
Deleted Codes - New & Emerging Technology
Deleted Code Suggested Replacement Codes
0465T – Suprachoroidal injection of a pharmacologic agent (does not
include supply of medication)
67516
0499T - Cystourethroscopy, with mechanical dilation and urethral
therapeutic drug delivery for urethral stricture or stenosis, including
fluoroscopy, when performed
52284

61. © Health Catalyst. Confidential and Proprietary.
Deleted Codes - New & Emerging Technology
Deleted Code Suggested Replacement Codes
0715T – Percutaneous transluminal coronary lithotripsy (List separately in
addition to code for primary procedure)
92972

62. © Health Catalyst. Confidential and Proprietary.
Deleted Codes - New & Emerging Technology
Deleted Code Suggested Replacement Codes
0775T – Arthrodesis, sacroiliac joint, percutaneous, with image guidance,
includes placement of intra-articular implant(s) (eg, bone allograft[s],
synthetic device[s])
27278
0809T - Arthrodesis, sacroiliac joint, percutaneous or minimally invasive
(indirect visualization), with image guidance, placement of transfixing
device(s) and intra-articular implant(s), including allograft or synthetic
device(s)
27279

63. © Health Catalyst. Confidential and Proprietary.
Revised Codes – New & Emerging Technology
Code 2024 Long Description 2023 Long Description
0656T Anterior lumbar or thoracolumbar vertebral body
tethering; up to 7 vertebral segments
Vertebral body tethering, anterior; up to 7 vertebral
segments
0657T Anterior lumbar or thoracolumbar vertebral body
tethering; 8 or more vertebral segments
Vertebral body tethering, anterior; 8 or more
vertebral segments
• Codes revised to clarify region (lumbar or thoracolumbar region)
• Thoracic vertebral body tethering procedures will be reported using new codes 22836-22838

64. © Health Catalyst. Confidential and Proprietary.
Revised Codes – New & Emerging Technology
Code 2024 Long Description 2023 Long Description
0587T Percutaneous implantation or replacement of integrated
single device neurostimulation system for bladder
dysfunction including electrode array and receiver or pulse
generator, including analysis, programming, and imaging
guidance when performed, posterior tibial nerve
Percutaneous implantation or replacement of integrated
single device neurostimulation system including electrode
array and receiver or pulse generator, including analysis,
programming, and imaging guidance when performed,
posterior tibial nerve
0588T Revision or removal of percutaneously placed integrated
single device neurostimulation system for bladder
dysfunction including electrode array and receiver or pulse
generator, including analysis, programming, and imaging
guidance when performed, posterior tibial nerve
Revision or removal of integrated single device
neurostimulation system including electrode array and
receiver or pulse generator, including analysis,
programming, and imaging guidance when performed,
posterior tibial nerve
• Codes 0589T and 0590T for analysis with programming were also revised to include “for bladder
dysfunction”

65. Questions?
© Health Catalyst. Confidential and Proprietary.
Jennifer Bishop
hcwebinars@healthcatalyst.com

66. © Health Catalyst. Confidential and Proprietary.
Thank you!