As we move towards the end of 2018, we will be soon having lot of updates in ICD 10 and CPT codes. New ICD 10 codes get effective from 1st october, every year and just new CPT codes get effective from 1st of January.
This year also, there are lot of new ICD 10 codes and CPT codes. We have already discussed about new & deleted ICD 10 codes previously. Today, we will learn about new CPT codes for 2019, which will be effective from 1st January 2019. Below are the main section having new CPT codes in 2019.
- Three new remote patient monitoring codes
- Two interprofessional internet consultation codes
- New and revised codes for skin biopsy, FNA (Fine Needle Aspiration biopsy), adaptive behavior analysis and central nervous system evaluations, including psychological and neuropsychological testing.
New cpt codes for remote monitoring services for E/M subsection in 2019
99453 (Remote monitoring of physiologic parameter[s] [eg, weight, blood pressure, pulse oximetry, respiratory flow rate], initial; set-up and patient education on use of equipment)
99454 ( …; device[s] supply with daily recording[s] or programmed alert[s] transmission, each 30 days)
As per CPT codebook “Codes 99453 and 99454 are used to report remote physiologic monitoring services (eg, weight, blood pressure, pulse oximetry) during a 30-day period,”
Also, there is a new CPT code for “remote physiologic monitoring treatment management services” subsection.
99457 (Remote physiologic monitoring treatment management services, 20 minutes or more of clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month)
As per CPT codebook 2019, “Use 99457 for time spent managing care when patients or the practice do not meet the requirements to report more specific services
Also, there are two new CPT codes for “interprofessional consult” in 2019.
99451 (Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a written report to the patient’s treating/requesting physician or other qualified health care professional, 5 minutes or more of medical consultative time)
99452 (Interprofessional telephone/Internet/electronic health record referral service[s] provided by a treating/requesting physician or other qualified health care professional, 30 minutes)
Revised and New CPT codes fro FNA in 2019
CPT code 10021 has been revised in 2019. The FNA (Fine needle aspiration) codes now will be coded based on the number of lesion. FNA for first lesion will be reported with procedure code 10021 and additional lesion will be reported with new CPT codes.
10021 – “Fine needle aspiration biopsy; without imaging guidance; first lesion.”
10004 (Each additional lesion [List separately in addition to code for primary procedure]).
Four new CPT codes for primary and add-on pairing will be available to report for Fine needle aspiration with ultrasound guidance exam (10005-10006).
Similarly for FNA with fluoroscopic guidance will have new code from 10007-10008, CT guidance (10009-10010) or MRI (10011-10012).
As per 2019 CPT codebook, both primary and add-on codes should be used once per lesion sampled during a single session. And when multiple biopsies are perfomed with different guidance, use appropriate primary code with an add-on codes.
But, when a provider performs a FNA and core biopsy on the same lesion, then do not report the imaging guidance for the core needle biopsy.
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