Added and Deleted CPTs in 2024. Notable Changes to look into!! (Procedural Coding Edition)
CPT Changes Expected in 2024
Changes in Category of CPTs
Several Category III codes will be converted to Category I codes in the Current Procedural Terminology 2024 Codes Set, which includes dorsal sacroiliac (SI) arthrodesis; coronary fractional flow reserve (FFR) with computerized tomography (CT); coronary intravascular lithotripsy (IVL) interventions; transcervical radiofrequency ablation (RFA) of uterine fibroids; and cardiac intraoperative ultrasound services (IOUS).
Anticipated CPT 2024 Code Set: New Category 1 Codes
Transcervical RFA of Uterine Fibroids
Transcervical RFA of uterine fibroids includes intraoperative ultrasound guidance and monitoring, a minimally invasive procedure that includes real-time intrauterine ultrasound guidance for the treatment of symptomatic uterine fibroids (ie, leiomyomas) will be converted from Category III code 0404T to a new Category I code.
Dorsal SI Joint Arthrodesis
Category III code 0775T will be converted to a Category I code to report percutaneous arthrodesis of the SI joint using an intra-articular implant(s) without the placement of a transfixion device across the joint. The new Category I code will enable the reporting of percutaneous intra-articular placement of one or more fusion implants directly into the SI joint under imaging guidance. This is usually performed from a posterior approach.
In contrast, existing code 27279 is used to report the percutaneous placement of a transfixion device, such as a screw, across the SI joint to perform fusion. This is usually performed from a lateral approach.
Coronary FFR with CT
Coronary FFR with CT Codes 0501T-0504T will be converted to a single, new Category I code to report non-invasive estimated coronary FFR derived from augmentative artificial intelligence (AI) software analysis of coronary CT angiography (CCTA) data.
Coronary IVL Interventions
Coronary IVL is a revascularization technique used to treat heavily calcified coronary arteries using pulsatile sonic pressure waves that pass through soft tissue and selectively interact with high-density calcium to produce shear stresses that fracture the calcium.
A new Category I add-on code will replace Category III code 0715T to report percutaneous transluminal coronary lithotripsy.
Cardiac IOUS
Cardiac IOUS are used to evaluate cardiovascular structures, provide intraoperative guidance, and provide real-time perioperative surgical decision-making information that may affect the intraoperative strategy (eg, changing cannulation strategies, altering bypass targets, and identifying additional defects). Four new Category I codes will be available to report cardiac IOUS, which are used primarily in cardiothoracic surgery procedures, including epi-aortic ultrasound and congenital epicardial echocardiography.
Deleted Codes
The investigational procedural codes below will be deleted from the CPT 2024 code set:
- 0404T: Transcervical uterine fibroid(s) ablation with ultrasound guidance, radiofrequency.
- 0501T: Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of coronary artery disease; data preparation and transmission, analysis of fluid dynamics and simulated maximal coronary hyperemia, generation of estimated FFR model, with anatomical data review in comparison with estimated FFR model to reconcile discordant data, interpretation and report.
- 0502T: Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of coronary artery disease; data preparation and transmission.
- 0503T: Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of coronary artery disease; analysis of fluid dynamics and simulated maximal coronary hyperemia, and generation of estimated FFR model.
- 0504T: Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of coronary artery disease; anatomical data review in comparison with estimated FFR model to reconcile discordant data, interpretation, and report.
- 0715T: Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure).
- 0775T: Arthrodesis, sacroiliac joint, percutaneous, with image guidance, includes placement of the intra-articular implant(s) (eg, bone allograft[s], the synthetic device[s])
Changes in Reporting Guidelines for Unlisted Codes
There will be revisions to the reporting guidelines for unlisted service codes for various sections of the CPT 2024 code set to reflect the appropriate use of unlisted codes when reporting with other services.
In 2024, revisions will be made to various sections of the CPT code set that contain unlisted service codes to reflect their appropriate use when reporting with other services. An unlisted code workgroup was established by the CPT Editorial Panel to evaluate the use of unlisted service codes. The workgroup addressed how unlisted codes are used in conjunction with existing Category I and III codes during the same intervention and whether there is a need for guidance on their appropriate use.
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