Part 2: 17 Changes Coming Your Way in CPT® 2017

2017 CPT changes

In Part 1, SuperCoder blog covered six areas expecting changes under CPT® 2017. Get ready to explore lucky numbers 7 to 17.

Remember: This summary is based on a preliminary list of expected changes. The code set is not final yet, so there could be adjustments before you start applying the codes on Jan. 1, 2017.

Let’s get back to the expected updates!

7. Watch Imaging Guidance for 62310-62319 Replacements

If all goes as planned, you’ll be swapping out your old spinal injection codes 62310-62319 for new codes that allow you to distinguish which services the provider performed using imaging guidance.

8. Add New AAA Screening and Mammography Options for Radiology

AAA: All you coders who’ve been asking which CPT® code to use for abdominal aortic aneurysm screening by ultrasound, rejoice! CPT® 2017 will be adding that new AAA screening code at long last, providing clarity if you’re reporting to a payer who doesn’t accept the HCPCS option.

Mammo: Mammography codes are changing with the times and including computer-aided detection when performed.

9. Plan Now for Path/Lab Changes

Drug tests: Prepare to pack up and ship out old drug screen codes 80300-80304. You’ll have some new presumptive drug test codes to learn, too.

Molecular pathology: You’ll see some changes affecting MoPath levels 2, 4, and 7.

Genomic sequencing/MAAA: CPT® 2017 also dishes up new codes related to cardiac, fetal, and prostate cancer testing.

More! CPT® has a few changes in store for Chemistry and Microbiology codes, too. Be sure you get expert analysis to understand the changes for this unique specialty.

10. Dig Into Dosage for Flu Vax Codes

Many of your old familiar 906xx flu vaccine code descriptors will get a new look, swapping out the age of the patient for a new focus on dosage amount to dictate your code choice.

11. See How Revisions Affect Psychotherapy Coding

Psychotherapy coders should watch for a change removing “and/or family” from codes 90832-90838. Family psychotherapy codes 90846 and 90847 will see the addition of 50 minute time criteria in their descriptors.

12. Capture 1 Eye or 2 With Angiography Update

Eye coders will need to watch changes for fluorescein angiography code 92235 and indocyanine-green angiography code 92240. CPT® 2017 revises these codes to specify that they apply whether the service is unilateral or bilateral. Plus there will be a new code option for when the patient has both services at the same encounter.

13. Expect More Cardiovascular Changes in Medicine Section

IVUS: Coronary intravascular ultrasound (IVUS) codes 92978 and 92979 will now also apply to optical coherence tomography (OCT). In 2016, you use a Cat. III code for OCT.

Valve: Watch for new options for reporting percutaneous occlusion of mitral and aortic valve leaks.

Vein study: It appears noninvasive vein study code 93965 will bow out, deleted for 2017.

14. Anticipate 2 New Health Assessment Choices

You’ll have two new codes available for administering health risk assessment instruments. Choose between them based on whether the patient or caregiver supplies answers.

15. Know What’s New for Injectors

CPT® 2017 includes a new code for applying an on-body injector (subcutaneous) for a patient.

16. Prepare for Therapy Eval Makeover

Therapy coders will have fresh options for evaluation and reevaluation related to physical therapy, occupational therapy, and athletic training. The codes vary by complexity, and the descriptors are structured in a way that’s similar to E/M codes.

17. Last But Not Least — Larval Therapy

With the addition of “larval therapy” to the list of examples in debridement code 97602, you can be sure you’ve got the right code when documentation shows application of medical-grade, live maggots to wounds.

What Do You Think?

Which changes look the most helpful? Are you eager to see the guidelines that go along with any of these new codes?

About 

Deborah concentrates on coding and compliance for radiology and cardiology, including the tricky world of interventional procedures, as well as oncology and hematology. Since joining The Coding Institute in 2004, she’s also covered the ins and outs of coding for orthopedics, audiology, skilled nursing facilities (SNFs), and more.

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4 Comments For This Post

  1. Marcia truran Says:

    Thank you for providing this valuable information. I am looking forward to the changes.

  2. Olabisi Obasa Says:

    Thank you for sharing these helpful tips

  3. Josie Mapp Says:

    Which code should we use in 2017 instead of this one?

  4. Deborah Marsh Says:

    Hi, Josie – Will you please specify whether your question was related to a particular procedure? Thanks!

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