CPT Errata-Technical Corrections

Errata and Technical Corrections – CPT® 2014
Date: November 26, 2013
The information that follows is sourced to either a publication errata or a technical correction by the CPT Editorial
Panel. An errata (denoted as E) for the current edition of the CPT code set will publish information that was approved
by the CPT Editorial Panel and inadvertently excluded from the current code set. Technical corrections (denoted as
T) are clarifications of original Panel intent for the current code structure. All items below are errata if they are not
designated as a technical correction in the right hand column. The order of the entries on this document is by code
order. Additionally, each entry shows the date of publication to this document. The links immediately following are
provided as a guide to the most recently added items. The effective date for each item is January 1, 2014. Updates
to this document are made as issues surface requiring clarification. Users are encouraged to sign up on theCPT
listserv to receive email notification as updates are posted to the AMA website.
Most recent entries added to Errata and Technical Corrections - CPT® 2014


Revise the “eg” in code 81405
Revise codes 64644, 64645, and 64647
1
CPT is a registered trademark of the American Medical Association
Copyright 2012-2013, American Medical Association, all rights reserved
Last Updated: 11-26-13
La
Errata and Technical Corrections
Front Matter
Introduction
Instructions for Use of the CPT Codebook
Date posted
to Site
Posted
11/11/13
E
Throughout the CPT code set the use of terms such as “physician,” “qualified health care
professional,” or “individual” is not intended to indicate that other entities may not report the service. In
selected instances, specific instructions may define a service as limited to professionals or limited to
other entities (eg, hospital or home health agency).
Revise the instructions for use of the CPT codebook guidelines to include missing content
“define a service as limited to professionals or limited to other entities (eg, hospital or home
health agency).”
Surgery
Musculoskeletal System
General
Introduction or Removal
20661
Posted
11/21/13
E
Application of halo, including removal; cranial
CPT Assistant Nov 97:14, Aug 12:14
Revise the CPT Assistant citation for code 20661.
Surgery
Hemic and Lymphatic Systems
General
Transplantation and Post-Transplantation Cellular Infusions
Hematopoietic cell transplantation (HCT) refers to the infusion of hematopoietic progenitor …
HCT may be autologous (when the HPC donor and recipient are the same person) or allogeneic (when
the HPC donor and recipient are not the same person). Code 38241 is used to report any autologous
transplant while 38240 is used to report an allogeneic transplant. In some cases allogeneic transplants
involve more than one donor and cells from each donor are infused sequentially whereby one unit of
38240 is reported for each donor infused. Code 38242 is used to report a donor lymphocyte infusion.
Code 38243 is used to report a HPC boost from the original allogeneic HPC donor. A lymphocyte
infusion or HPC boost can occur days, months or even years after the initial hematopoietic cell
transplant. The lymphocyte infusion is used to treat relapse, infection, or post-transplant
lymphoproliferative syndrome. HPC boost represents an infusion of hematopoietic progenitor cells
from the original donor that is being used to treat a relapse or post-transplant cytopenia(s). Codes
38240, 38242, and 38243 should not be reported together on the same date of service.
Posted
11/11/13
T
Effective
10/14/13
If a separately identifiable evaluation and management service is performed on the same date…
38240
38241
# 38243
Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor
autologous transplantation
HPC boost
Revise the transplantation and post-transplantation cellular infusion guidelines by removing
the inaccurate statement that HPC boost is used for treatment of relapse, infection, or posttransplant lymphoproliferative syndrome
2
CPT is a registered trademark of the American Medical Association
Copyright 2012-2013, American Medical Association, all rights reserved
Last Updated: 11-26-13
La
Errata and Technical Corrections
Date posted
to Site
Surgery
Digestive System
Esophagus
Endoscopy
Posted
11/11/13
E
▲43235
▲43238
Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of
specimen(s) by brushing or washing, when performed (separate procedure)
with transendoscopic ultrasound-guided intramural or transmural fine needle
aspiration/biopsy(s), esophagus (includes endoscopic ultrasound examination
limited to the esophagus, stomach or duodenum, and adjacent structures)
Revise code 43238 removing reference to the term “esophagus”.
Surgery
Female Genital System
Cervix Uteri
Posted
11/11/13
E
(For cervicography, use Category III code 0003T)
Delete parenthetical note referencing deleted code 0003T.
Surgery
Nervous System
Extracranial Nerves, Peripheral
Nerves, and Autonomic Nervous System
Destruction by Neurolytic Agent (eg,
Chemical, Thermal, Electrical or
Radiofrequency), Chemodenervation
64620
Posted
Posted
11/21/13
E09/11/12
E
Destruction by neurolytic agent, Intercostal nerve
(Imaging guidance [fluoroscopy or CT] are inclusive components of 64633-64636)
Revise the transposed code included in the parenthetical note following 64620.
3
CPT is a registered trademark of the American Medical Association
Copyright 2012-2013, American Medical Association, all rights reserved
Last Updated: 11-26-13
La
Errata and Technical Corrections
Date posted
to Site
Surgery
Nervous System
Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency),
Chemodenervation
Posted
11/11/13
T
Report 64642, 64643, 64644, 64645 once per extremity. Codes 64642, 64643, 64644, 64645 can be
reported together up to a combined total of four units of service per patient when all four extremities are
injected. Report only one base code (64642 or 64644) per session. Report one or more units of
additional extremity code(s) (64643 or 64645) for each additional extremity injected.
Report 64646 or 64647 for chemodenervation of muscles of the trunk.
Effective
10/14/13
Trunk muscles include the erector spinae and paraspinal muscles, rectus abdominus and obliques. All
other somatic muscles are extremity muscles, head muscles, or neck muscles.
(For chemodenervation guided by needle electromyography or muscle electrical
stimulation, see 95873, 95874. Do not report more than one guidance code for each
corresponding chemodenervation of extremity or trunk code)
(Do not report modifier 50 in conjunction with 64642, 64643, 64644, 64645, 64646,
64647)
64642
Chemodenervation of one extremity; 1-4 muscle(s)
Revise the guidelines preceding code 64642 to limit injections to reporting of one unit for
injection of each additional extremity.
Surgery
Nervous System
Destruction by Neurolytic Agent (eg, Chemical, Thermal, Electrical or Radiofrequency),
Chemodenervation
64644
64645
64646
64647
Posted
11/26/13
E
Chemodenervation of one extremity; 5 or more muscles
each additional extremity, 5 or more muscles (List separately in addition to
code for primary procedure)
Chemodenervation of trunk muscle(s); 1-5 muscle(s)
6 or more muscles
Revise codes 64644, 64645 and 64647 by removing the parenthetical included in the term
muscles, as the (s) only makes sense in code 64646 as all the others are always plural.
4
CPT is a registered trademark of the American Medical Association
Copyright 2012-2013, American Medical Association, all rights reserved
Last Updated: 11-26-13
La
Errata and Technical Corrections
Date posted
to Site
Pathology and Laboratory
Molecular Pathology
Tier 2 Molecular Pathology Procedures
Posted
11/26/13
E
▲81405
Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA sequence
analysis, mutation scanning or duplication/deletion variants of 11-25 exons, regionally
targeted cytogenomic array analysis), regionally targeted cytogenomic array analysis
ABCD1 (ATP-binding cassette, sub-family D [ALD], member 1) (eg,
adrenoleukodystrophy), full gene sequence
Revise code 81405 with specification that example of the regionally targeted cytogenomic array
analysis is intended to be a part of the “eg” reference within the parentheses.
Medicine
Cardiovascular
Cardiography
Posted
11/11/13
E
Codes 93040-93042 are appropriate when an order for the test is triggered by an event, the
rhythm strip is used to help diagnose the presence or absence of an arrhythmia, and a report
is generated. There must be a specific order for an electrocardiogram or rhythm strip followed
by a separate, signed, written, and retrievable report. It is not appropriate to use these codes
for reviewing the telemetry monitor strips taken from a monitoring system. The need for an
electrocardiogram or rhythm strip should be supported by documentation in the patient
medical record.
(For echocardiography, see 93303-93350)
(For electrocardiogram, 64 leads or greater, with graphic presentation and analysis, see 0178T0180T use 93799)
93000
Electrocardiogram, routine ECG…
Delete reference to code 93799 from the parenthetical note preceding 93000 and replace
with codes 0178T-0180T.
5
CPT is a registered trademark of the American Medical Association
Copyright 2012-2013, American Medical Association, all rights reserved
Last Updated: 11-26-13
La
Errata and Technical Corrections
Date posted
to Site
Medicine
Cardiovascular
Cardiac Catheterization
93454
Catheter placement in coronary artery(s) for coronary angiography, including
intraprocedural injection(s) for coronary angiography, imaging supervision and
interpretation;
93461
with right and left heart catheterization including intraprocedural injection(s) for
left ventriculography, when performed, catheter placement(s) in bypass
graft(s) (internal mammary, free arterial, venous grafts) with bypass graft
angiography
93462
Left heart catheterization by transseptal puncture through intact septum or by
transapical puncture (List separately in addition to code for primary procedure)
(Use 93462 in conjunction with 93452, 93453, 93458- 93461, 93653, 93654)
(Do not report 93462 in conjunction with 93656)
93463
Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous
infusion of nitroprusside, dobutamine, milrinone, or other agent) including
assessing hemodynamic measurements before, during, after and repeat
pharmacologic agent administration, when performed (List separately in
addition to code for primary procedure)
(Use 93463 in conjunction with 93451-93453, 93456-93461, 93530, 93531, 93532,
93533, 93563, 93564, 93580, 93581)
(Report 93463 only once per catheterization procedure)
(Do not report 93463 for pharmacologic agent administration in conjunction with
coronary interventional procedure codes 92920-92944, 92975, 92977)
Posted
11/11/13
T
Effective
10/14/13
Revise the parenthetical cross-reference following code 93463 to include the congenital cardiac
catheterization codes 93530-93533 and delete codes 93563, 93564.
Category III
(0256T has been deleted. To report, see 33361, 33362, 33363, 33364)
Posted
11/11/13
E
(0257T has been deleted. To report, see 33365, 33366)
►(0258T has been deleted. To report, see 33365, 33366)◄
(0259T has been deleted. To report, see 33365, 33367, 33368, 33369)
The deleted parenthetical notes for codes 0256T, 0257T, and 0259T should not be in green text
with bowties as they were deleted in 2013.
6
CPT is a registered trademark of the American Medical Association
Copyright 2012-2013, American Medical Association, all rights reserved
Last Updated: 11-26-13
La
Errata and Technical Corrections
Date posted
to Site
Medium Descriptors
Posted
11/11/13
E
43238 EGD intrmural US needle aspirate/biopsy esophags
43239 EGD transoral biopsy single/multiple
43240 EGD transoral transmural drainage pseudocyst
43241 EGD intraluminal tube/catheter insertion
43242 EGD intrmural needle aspir/biop altered anatomy
43243 EGD injection sclerosis esophgl/gastric varices
43244 EGD band ligation esophgeal/gastric varices
43245 EGD dilation gastric/duodenal stricture
43246 EGD percutaneous placement gastrostomy tube
43247 EGD flexible foreign body removal
43248 EGD insert guide wire dilator passage esophagus
43249 EGD balloon dilation esophagus <30 mm diam
43250 EGD flex removal lesion hot bx/bipolar cautery
43251 EGD removal tumor polyp/other lesion snare tech
43252 EGD flex transoral w/optical endomicroscopy
43253 EGD US guided transmural injxn/fiducial marker
43254 EGD transoral endoscopic mucosal resection
43255 EGD transoral control bleeding any method
43257 EGD deliver thermal energy sphnctr/cardia GERD
43259 EGD US exam surgical alter stom duodenum/jejunum
43266 EGD endoscopic stent placement w/wire& dilation
43270 EGD ablate tumor polyp/lesion w/dilation& wire
Revise codes 43238-43259, 43266, and 43270 to reflect “EGD” not EDG.
7
CPT is a registered trademark of the American Medical Association
Copyright 2012-2013, American Medical Association, all rights reserved
Last Updated: 11-26-13
La
Errata and Technical Corrections
Date posted
to Site
Short Descriptor
Posted
11/11/13
E
43752 NASAL/OROGASTRIC W/TUBE PLMT
Revise short descriptor for code 43752 to reflect “tube plmt”.
Medium Descriptor
60605 Exc carotid body tumor w exc carotid artery
Posted
11/19/13
E
Revise medium descriptor for code 60605.
Medium Descriptor
64645 Chemodenervation 1 extremity ea addl 5/> muscles
Posted
11/11/13
E
Revise medium descriptor for code 64645 to reflect “5/>”.
Medium Descriptor
64821 Sympathectomy radial artery
Posted
11/21/13
E
Revise medium descriptor for code 64821 to reflect “radial”.
Medium Descriptor
75805 Lymphangiography pelvic/abdominal unilat rs&i
Posted
11/21/13
E
Revise medium descriptor for code 75805.
Medium Descriptor
96119 Neuropsyc tstg w/prof I&R admn by tech pr hr
Posted
11/11/13
E
Revise medium descriptor for code 96119 to reflect “Neuro”.
Category II
Patient History
Medium and Short Descriptor
Posted
11/11/13
E
1040F DSM-5 criteria for major depressive disorder documented at the initial evaluation (MDD, MDD
1
ADOL)
1040F Dsm-5 criteria mdd docd at the initial eval
1040F DSM-5 INFO MDD DOCD
Revise code descriptor, medium, and short descriptor for code 1040F to reflect “5”.
Index
Mastoidectomy
Posted
11/21/13
E
With Skull Base Surgery… 61590, 61591, 61597
Revise transposed code 61591.
8
CPT is a registered trademark of the American Medical Association
Copyright 2012-2013, American Medical Association, all rights reserved
Last Updated: 11-26-13
La
E-mail notifications
Sign up to receive e-mail notification when changes are posted to the AMA Web site for CPT Announcements,
Category II codes, Category III codes, Vaccine codes, Errata and Panel Agenda Proposals and Subsequent Actions.
You may also receive notice when registration opens for the CPT Editorial Panel meeting.
30
CPT is a registered trademark of the American Medical Association
Copyright 2012-2013, American Medical Association, all rights reserved