The Current Procedural Terminology, (CPT) code set for 2017 includes a few updates of interest to ob-gyns. As in previous years, extensive new instructions and guidelines have been added to the CPT manual to help clarify coding in a variety of situations. This new guidance is in addition to new, revised and deleted CPT codes for 2017. These changes took effect January 1, 2017.
HIPAA requires insurers to accept new procedure codes beginning on January 1st.
The American Medical Association CPT Editorial Panel approved these changes for 2017.
New, Revised, and Deleted Codes
The “” was introduced to indicate telemedicine services codes.
Modifier 95 was introduced for reporting synchronous telemedicine services rendered via real-time interactive audio and video telecommunications.
- Modifier 95 may be appended to the codes listed in new CPT Appendix P
- Synchronous telemedicine services codes are identified with a star character in CPT
Evaluation and Management
Health and Behavior Assessment/Intervention
Code 99420 (Administration and interpretation of health risk assessment instrument) was deleted.
This code has been replaced with the following 2 new codes for patient and caregiver focused health risk assessment.
96160 - Administration of patient-focused health risk assessment instrument (e.g., health hazard appraisal) with scoring and documentation, per standardized instrument
96161 - Administration of caregiver-focused health risk assessment instrument (e.g., depression inventory) with scoring and documentation, per standardized instrument
Female Genital System
Code 57155 (Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy) has been revised to remove the symbol for moderate sedation. New codes for moderate sedation have been added.
Code 58674 (Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring, radiofrequency) has been introduced to report this service. Code 0336T previously used to report these services has been deleted.
The guidelines have been updated to clarify and standardize reporting requirements.
Codes 77051-77052, 77055-77057 have been deleted. The following new mammography codes which include computer –aided detection, when performed, have been introduced to report these services.
77065 Diagnostic mammography, including computer-aided detection (CAD) when performed; unilateral
77066 Diagnostic mammography, including computer-aided detection (CAD) when performed; bilateral
77067 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed
Codes 99143-99145 and 99148-99150 have been deleted. New codes 99151-99157 have been introduced to report these services.
Many vaccine codes (90655-90734) have been revised to replace age indications with dosage amounts.
The following new influenza vaccine was introduced.
90674 Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit preservative and antibiotic free, 0.5mL dosage, for intramuscular use
Medicare payments for this code began on January 3, 2017 for services provided on or after August 1, 2106.
For all flu vaccines, report vaccine administration separately using codes, 90460-90474 for commercial payers. For vaccine administration for Medicare beneficiaries, report the administration with HCPCS code, G0008.
CPT Category III Codes
The following new CAT III code has been introduced.
0422T (Tactile breast imaging by computer-aided tactile sensors, unilateral or bilateral) This code may be reported for breast imaging by tactile sensors.