CPT Changes for 2005.pptVIP

CPT Changes for 2005 Julie A. Leu, CPC December 16, 2004 9:30 – 11:30 a.m. Overview of Changes for 2005 One new symbol: Indicates a code which typically includes conscious sedation Category I code changes: 130 codes added 26 codes deleted 60 code descriptors revised Overview of Changes for 2005 Category II code changes: 11 codes deleted 14 codes added Category III Codes: 27 codes added 9 codes deleted 1 code descriptor revised Overview of Changes for 2005 No modifiers deleted or revised Four new appendices: Appendix F - Summary of CPT Codes Exempt from Modifier 63 Appendix G - Summary of CPT Codes which Include Conscious Sedation Appendix H - Alphabetic Index of Performance Measures by Clinical Condition or Topic Appendix I - Genetic Testing Code Modifiers Apply to pathology/laboratory codes only Evaluation and Management Critical Care Services Change in guidelines for the section with reference to the age of the patient Neonate = 28 days of age or less Infant = 29 days through 24 months of age Formerly CPT utilized 30 days of age or less, and 31 days through 24 months 99293, 99294 revised to include “29 days through 24 months of age” 99295, 99296 revised to include “28 days of age or less” Anesthesia Guidelines revised in conjunction with creation of Appendix G If sedation is provided by the surgeon, CPT codes 99141, 99142 are to be reported. If sedation/anesthesia is provided by another physician (or under their supervision), the anesthesia codes are to be reported. CPT codes listed in Appendix G include the provision of sedation by the operating physician. Anesthesia One new code: 00561 Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, under one year of age. Surgery – Integumentary System Four new codes in the Skin, Subcutaneous and Accessory Structures Codes: 11004 Debridement of skin, subcutaneous tissue, muscle and fascia for necrotizing soft tissue infection; external genitalia and perine