CPT code changes to be implemented in 2023 – What should Medical Practices, Medical Billers and Medical Coders know?
Just like every year, The AMA has released its Current Procedural Terminology (CPT®) code set update for 2023 which encompass 393 editorial changes, 225 new codes, 75 deleted codes and 93 revised codes. The new CPT code set will go into effect on January 1, 2023.
Surgery: Cardiovascular CPT
CPT 2023 includes five new codes for percutaneous pulmonary artery revascularization by stent placement. Introductory guidelines and parentheticals are also added:
- Code 33900 is for an initial procedure performed unilaterally in normal native connections.
- Code 33901 is for an initial procedure performed bilaterally in normal native connections.
- Code 33902 is for an initial procedure performed unilaterally in abnormal connections.
- Code 33903 is for an initial procedure performed bilaterally in abnormal connections.
- Code +33904 reports each additional vessel or separate lesion in normal or abnormal connections. This add-on code can be reported with 33900, 33901, 33902, or 33903.
Two new codes are added for percutaneous arteriovenous fistula creation:
- Code 36836 describes stent placement across major side branches (existing code 33895 describes single access of both the peripheral artery and peripheral vein including fistula maturation procedures).
- Code 36837 describes separate access sites of the peripheral artery and peripheral vein including fistula maturation procedures. Both procedures include vascular access, imaging guidance, and radiologic supervision and interpretation.
Surgery: Nervous System CPT
Codes in the nerve injection family are revised to include imaging guidance when performed:
- Imaging guidance and localization may be reported separately for 64400, 64405, 64408, 64420, 64421, 64425, 64430, 64435, 64449, 64450.
- Imaging guidance and any injection of contrast are inclusive components of 64415, 64416, 64417, 64445, 64446, 64447, 64448, 64451, 64454.
- Imaging guidance and any injection of contrast are inclusive components of 64461, 64462, 64463, 64486, 64487, 64488, 64489 and are not reported separately.
Nerve Ultrasound:
- 76882 ‐ Ultrasound, limited, joint or focal evaluation of other nonvascular extremity structure(s) (e.g. joint space, peri‐articular tendon[s], muscle[s], nerve[s], other soft‐tissue structure[s], or soft‐ tissue mass[es]), real‐time with image documentation.
- 76883 ‐ Ultrasound, nerve(s) and accompanying structures throughout their entire anatomic course in one extremity, comprehensive, including real‐time cine imaging with image documentation, per extremity .
Radiology Coding Changes & Updates 2023
The descriptor for limited ultrasound code:
- 76882 is revised to include “focal evaluation of,” and the descriptors for tomographic SPECT codes 78803, 78830, 78831, and 78832 are revised to include “or acquisition.”
- New code 76883 describes an ultrasound of the nerves and accompanying structures throughout the entire anatomic course in one extremity.
Pathology & Laboratory Coding Changes & Updates 2023
There are 11 New codes & three revision in the pathology & lab:
- Three new codes ( 81449, 81451, & 81456) describe targeted genomic sequence analyses.
- Four new codes( 87468, 87469, 87479, 87484) describe various infection agent detection using DNA or RNA.
- One new code ( 81418) has been added for drug metabolism analysis using a genomic sequence.
- Another new code ( 81441) describe the detection of inherited bone marrow failure syndromes ( IBMFS).
- Code 84433 describe the detection of an enzyme called thiopurine S- methyltransferase ( TPMT).
- Code (87467) describe the detection of the hepatitis B surface antigen.
Three Codes are revised in this section:
- 81445 , 81450 & 81455 to move the placement of some of the examples & descriptive wording within the descriptors but the overall meaning of the descriptor didn’t change.
Proprietary Laboratory Analyses:
For diagnostic laboratory tests (CLFS),
- No professional component must be commercially available in the US, for use on human specimens.
- Code review is on a quarterly cycle, available the second quarter following review
- 70 new codes
- 7 revised codes
- 7 deleted codes
These codes describe PLAs provided by either a single laboratory or licensed/marketed to multiple providing laboratories. This subsection includes multianalyte assays with algorithmic analyses (MAAA) and genomic sequencing procedures (GSP).
Category III CPT Codes Changes & Updates 2023
There are many new Category III codes created for new and emerging technology:
- 0751T-0763T for digital pathology digitization procedures.
- 0764T-0765T for assistive algorithmic EKG risk-based assessment.
- 0766T-0769T for transcutaneous magnetic stimulation of nerves for chronic nerve pain.
- 0771T-0774T for virtual reality patient procedural dissociation.
Category III – Digital Pathology:
Glass microscope slides are scanned by clinical staff and captured images are used for digital examination for pathologic diagnosis distinct from direct visualization through a microscope.
Do not report:
- solely for archival purposes
- solely for educational purposes
- solely for developing a database for training or validation of AI algorithms
- solely for clinical conference presentation
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