Current Procedural Terminology CPT Update (ACPT) · 2020-01-07 · Current Procedural Terminology...

RESOURCE AND PATIENT MANAGEMENT SYSTEM

Office of Information Technology Division of Information Technology

Current Procedural Terminology CPT Update

(ACPT)

Installation Guide and Release Notes

Version 2.20 January 2020

Current Procedural Terminology CPT Update (ACPT) Version 2.20

Installation Guide and Release Notes Table of Contents January 2020

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Table of Contents

1.0 Release Notes ..................................................................................................... 1 1.1 General Information ................................................................................. 1

2.0 Installation Notes ................................................................................................ 2 2.1 Contents of Distribution ........................................................................... 2 2.2 Required Resources ................................................................................ 2 2.3 Before You Begin: Installation Issues ...................................................... 3

3.0 Installation Instructions ..................................................................................... 4

4.0 Sample Installations ........................................................................................... 5 4.1 Sample Install: acpt2020.b ...................................................................... 5 4.2 Sample Install: acpt2020.k ....................................................................... 6

5.0 Installation Configuration ................................................................................ 10

Appendix A: 2020 CPT/HCPCS Categories ........................................................... 11

Appendix B: 2020 CPT/HCPCS New Codes ........................................................... 18

Appendix C: 2020 CPT/HCPCS Modified Codes ................................................... 25

Appendix D: 2020 CPT/HCPCS Deleted Codes ..................................................... 34

Appendix E: 2020 CPT/HCPCS Modifier Codes .................................................... 39

Glossary ....................................................................................................................... 40

Acronym List ............................................................................................................... 41

Contact Information .................................................................................................... 42


Installation Guide and Release Notes Preface January 2020

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Preface

This manual contains the installation guide for the Indian Health Service (IHS) Current Procedural Terminology (CPT) Update, Version 2020 (ACPT 2.20).


Installation Guide and Release Notes Release Notes January 2020

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1.0 Release Notes Note: Read the entire installation manual prior to attempting any

installation.

1.1 General Information • This release contains the annual CPT/HCPCS (Healthcare Common Procedure

Coding System) code updates for fiscal year/calendar year (FY/CY) 2020.

• As part of the annual update, this release will run the following clean-up utilities before updating the CPT codes:

− Inactivate CPT codes that were improperly inactivated. • The CPT Category file has been updated for 2020. This includes updates to

existing ranges.

• Following the category updated, the 2020 CPT and Modifier code sets for both CPT and HCPCS will be installed.

• As part of the annual update, this release will run the following consistency reports after updating the CPT codes:

− Active duplicate CPT/HCPCS codes: • This report will display CPT/HCPCS codes present in the local system

which contain active duplicates.

• Only one active entry should exist for a code, which assists with data consistency and integrity.

• Sites may choose to manually inactivate any duplicates – we recommend the most recently updated entry be left active.

− Active CPT/HCPCS codes not found in the annual code set: • This report will display CPT?HCPCS codes present in the local system

that are active but do not exist in the annual code set.

• Common examples of entries in this report include locally added CPT codes (which are not part of the standard release) and improperly inactivated CPT codes (missed patch/inactivation or local modification).

• Sites may choose to manually inactivate any “invalid” codes on this list. For example: 94725 was inactivated 1/1/2012 but remains active on the local system.

• As part of the CPT Category update, this release will scan the CPT file and update the Category assignments as needed.


Installation Guide and Release Notes Installation Notes January 2020

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2.0 Installation Notes Prefix: ACPT Current Version: 2.20

2.1 Contents of Distribution Table 2-1: Distributed files with descriptions

File Description acpt2020.k KIDS file acpt2020.b 2020 CPT Global KIDS file acpt2020i.pdf Installation Guide

2.2 Required Resources • Kernel v8 or later

• Kernel Toolkit v7.3 or later

• FileMan v22 or later

• ACPT 2.19 Patch 2 or later

• BCSV 1.0 Patch 3 or later Application FARS/DFARS Restrictions Apply to Government Use

U.S. Government Rights

CPT is commercial technical data and/or computer databases and/or commercial computer software and/or commercial computer software documentation, as applicable, which were developed exclusively at private expense by the American Medical Association, 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885.

U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer databases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015 (b) (2) (November 1995) and/or subject to the restrictions of DFARS 227.7202-1 (a) (June 1995) and DFARS 227.7202-3 (a) (June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.


Installation Guide and Release Notes Installation Notes January 2020

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2.3 Before You Begin: Installation Issues Save your current files. This release should be installed during off-peak hours.

D ^%GOGEN saving the following GLOBALS: ^ICPT CPT ^DIC(81.1 CPT CATEGORY ^DIC(81.3 CPT MODIFIER


Installation Guide and Release Notes Installation Instructions January 2020

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3.0 Installation Instructions 1. Load the Global Distribution into KIDS using option 1 on the Installation menu.

The distribution was released in a file named acpt2020.b.

2. Load the KIDS Distribution into KIDS using option 1 on the Installation menu. The distribution was released in a file named acpt2020.k.

3. Verify the load using option 2 on the Installation menu.

4. Consider using options 3 and 4 to print and compare the transport.

5. Install the distribution using option 6 on the Installation menu.

6. For results, use the KIDS Install File Print option to view/print the ACPT 2.20 entry.


Installation Guide and Release Notes Sample Installations January 2020

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4.0 Sample Installations Figure 4-1 and Figure 4-2 show sample installations. Screens may not be exactly the same during installation. Note that a message stating, “Couldn’t find code to inactivate” will display when deleting codes and the code is not found.

4.1 Sample Install: acpt2020.b D ^XUP Setting up programmer environment This is a PRODUCTION account. Terminal Type set to: C-VT100 Select OPTION NAME: XPD MAIN Kernel Installation & Distribution System Edits and Distribution ... Utilities ... Installation ... Patch Monitor Main Menu ... Select Kernel Installation & Distribution System Option: INstallation 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution Select Installation Option: 1 Load a Distribution Enter a Host File: C:\Patches\ACPT 2.20\acpt2020.b KIDS Distribution saved on Dec 17, 2019@14:36:13 Comment: CPT Version 2020 This Distribution contains Transport Globals for the following Package(s): ACPT GLOBAL 2.20 Distribution OK! This is a Global Distribution. It contains Global(s) that will update your system at this time. The following Global(s) will be installed: ^ACPT Replace **WARNING - Global will be KILLED before install, Check global protection on ALL systems before continuing. If you continue with the Load, the Global(s) will be Installed at this time. Want to Continue with Load? YES// Loading Distribution...



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ACPT GLOBAL 2.20 Globals will now be installed, OK? YES// Install Started for ACPT GLOBAL 2.20 : Dec 17, 2019@14:54:47 Installing Globals: ^ACPT Dec 17, 2019@14:54:48 Updating KIDS files... No link to PACKAGE file NO Install Message sent to FORUM ACPT GLOBAL 2.20 Installed. Dec 17, 2019@14:54:48

Figure 4-1: Installing ACPT global (sample installation)

4.2 Sample Install: acpt2020.k D ^XUP Setting up programmer environment This is a PRODUCTION account. Terminal Type set to: C-VT100 Select OPTION NAME: XPD MAIN Kernel Installation & Distribution System Edits and Distribution ... Utilities ... Installation ... Patch Monitor Main Menu ... Select Kernel Installation & Distribution System Option: INstallation 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution Select Installation Option: 1 Load a Distribution Enter a Host File: C:\Patches\ACPT 2.20\acpt2020.k KIDS Distribution saved on Dec 17, 2019@14:53:18 Comment: FY/CY2020 CPT/HCPCS Code Update



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This Distribution contains Transport Globals for the following Package(s): ACPT 2.20 Distribution OK! Want to Continue with Load? YES// Loading Distribution... Build ACPT 2.20 has an Environmental Check Routine Want to RUN the Environment Check Routine? YES// ACPT 2.20 Will first run the Environment Check Routine, ACPT220 Hello, SYSTEM MANAGER Checking Environment for CPT FILES V 2.20. Need at least XU v8.0 p1018.....XU v8.0 p1018 Present Need at least DI v22.0 p1018.....DI v22.0 p1019 Present Need at least XT v7.3.....XT v7.3 Present Need at least ACPT v2.19 p2.....ACPT v2.19 p2 Present Need at least BCSV v1.0 p3.....BCSV v1.0 p3 Present Need at least ACPT GLOBAL 2.20.....ACPT GLOBAL 2.20 Present ENVIRONMENT OK. Use INSTALL NAME: ACPT 2.20 to install this Distribution. 1 Load a Distribution 2 Verify Checksums in Transport Global 3 Print Transport Global 4 Compare Transport Global to Current System 5 Backup a Transport Global 6 Install Package(s) Restart Install of Package(s) Unload a Distribution Select Installation Option: 6 Install Package(s) Select INSTALL NAME: ACPT 2.20 Loaded from Distribution 12/17/19@14:55 :03 => FY/CY2020 CPT/HCPCS Code Update ;Created on Dec 17, 2019@14:53:18 This Distribution was loaded on Dec 17, 2019@14:55:03 with header of FY/CY2020 CPT/HCPCS Code Update ;Created on Dec 17, 2019@14:53:18 It consisted of the following Install(s): ACPT 2.20 Checking Install for Package ACPT 2.20 Will first run the Environment Check Routine, ACPT220 Hello, SYSTEM MANAGER Checking Environment for CPT FILES V 2.20. Need at least XU v8.0 p1018.....XU v8.0 p1018 Present Need at least DI v22.0 p1018.....DI v22.0 p1019 Present Need at least XT v7.3.....XT v7.3 Present Need at least ACPT v2.19 p2.....ACPT v2.19 p2 Present Need at least BCSV v1.0 p3.....BCSV v1.0 p3 Present Need at least ACPT GLOBAL 2.20.....ACPT GLOBAL 2.20 Present



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ENVIRONMENT OK. Install Questions for ACPT 2.20 Want KIDS to INHIBIT LOGONs during the install? YES// Want to DISABLE Scheduled Options, Menu Options, and Protocols? NO// Enter the Device you want to print the Install messages. You can queue the install by enter a 'Q' at the device prompt. Enter a '^' to abort the install. DEVICE: HOME// Virtual ACPT 2.20 Install Started for ACPT 2.20 : Dec 17, 2019@14:55:10 Build Distribution Date: Dec 17, 2019 Installing Routines: Dec 17, 2019@14:55:10 Running Pre-Install Routine: PRE^ACPT220 ----- Fixing improperly inactivated CPT codes Running Post-Install Routine: POST^ACPT220 172 CPT/HCPCS Categories: NAME NEW TYP SRC BEGIN END ==== === === === ===== ===== 210 CPT New Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= 10291 CPT Updated Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= 72 CPT Inactive Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= 38 CPT Modifier Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG EFFECTIVE ==== ================= === ====== ===== ==== ========= 230 HCPCS New Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= 5875 HCPCS Updated Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === ========= 605 HCPCS Inactive Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG CAT EFFECTIVE ==== ================= === ====== ===== ==== === =========



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369 HCPCS Modifier Codes: CODE SHORT DESCRIPTION NEW STATUS SHORT LONG EFFECTIVE ==== ================= === ====== ===== ==== ========= ----- Annual consistency reports ----- ----- Duplicate Report: Active duplicate CPT/HCPCS codes ----- CPT Report: Active CPT entries not found in annual code set ----- HCPCS Report: Active HCPCS entries not found in annual code set G9976 G9977 K0400 ----- Checking CPT codes for updated category assignments........ TOTAL CODES SCANNED: 25771 UPDATED: 30 ASSIGNMENT CATEGORY (MAJOR): 1812 (SUB): 23862 Updating Routine file Updating KIDS files ACPT 2.20 Installed. Dec 17, 2019@14:56:31 NO Install Message sent Install Completed

Figure 4-2: Sample install of acpt2020.k


Installation Guide and Release Notes Installation Configuration January 2020

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5.0 Installation Configuration This is an update of CPT and HCPCS codes, modifiers and categories for FY/CY 2020.


Installation Guide and Release Notes 2020 CPT/HCPCS Categories January 2020

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Appendix A: 2020 CPT/HCPCS Categories NAME TYPE SRC BEGIN END ANESTHESIA Major CPT 00100 01999 ANESTHESIA FOR PROCEDURES ON THE HEAD Sub CPT 00100 00222 ANESTHESIA FOR PROCEDURES ON THE NECK Sub CPT 00300 00352 ANESTHESIA FOR PROCEDURES ON THE THORAX (CHEST WALL AND SHOULDER GIRDLE)

Sub CPT 00400 00474

ANESTHESIA FOR INTRATHORACIC PROCEDURES Sub CPT 00500 00580 ANESTHESIA FOR PROCEDURES ON THE SPINE AND SPINAL CORD

Sub CPT 00600 00670

ANESTHESIA FOR PROCEDURES ON THE UPPER ABDOMEN

Sub CPT 00700 00797

ANESTHESIA FOR PROCEDURES ON THE LOWER ABDOMEN

Sub CPT 00800 00882

ANESTHESIA FOR PROCEDURES ON THE PERINEUM

Sub CPT 00902 00952

ANESTHESIA FOR PROCEDURES ON THE PELVIS (EXCEPT HIP)

Sub CPT 01112 01173

ANESTHESIA FOR PROCEDURES ON THE UPPER LEG (EXCEPT KNEE)

Sub CPT 01200 01274

ANESTHESIA FOR PROCEDURES ON THE KNEE AND POPLITEAL AREA

Sub CPT 01320 01444

ANESTHESIA FOR PROCEDURES ON THE LOWER LEG (BELOW KNEE)

Sub CPT 01462 01522

ANESTHESIA FOR PROCEDURES ON THE SHOULDER AND AXILLA

Sub CPT 01610 01680

ANESTHESIA FOR PROCEDURES ON THE UPPER ARM AND ELBOW

Sub CPT 01710 01782

ANESTHESIA FOR PROCEDURES ON THE FOREARM, WRIST, AND HAND

Sub CPT 01810 01860

ANESTHESIA FOR RADIOLOGICAL PROCEDURES Sub CPT 01916 01936 ANESTHESIA FOR BURN EXCISIONS OR DEBRIDEMENT PROCEDURES

Sub CPT 01951 01953

ANESTHESIA FOR OBSTETRIC PROCEDURES Sub CPT 01958 01969 ANESTHESIA FOR OTHER PROCEDURES Sub CPT 01990 01999 SURGERY Major CPT 10004 69990 FINE NEEDLE ASPIRATION BIOPSY PROCEDURES Sub CPT 10004 10021 SURGICAL PROCEDURES ON THE INTEGUMENTARY SYSTEM

Sub CPT 10030 19499



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NAME TYPE SRC BEGIN END SURGICAL PROCEDURES ON THE MUSCULOSKELETAL SYSTEM

Sub CPT 20100 29999

SURGICAL PROCEDURES ON THE RESPIRATORY SYSTEM

Sub CPT 30000 32999

SURGICAL PROCEDURES ON THE CARDIOVASCULAR SYSTEM

Sub CPT 33010 37799

SURGICAL PROCEDURES ON THE HEMIC AND LYMPHATIC SYSTEMS

Sub CPT 38100 38999

SURGICAL PROCEDURES ON THE MEDIASTINUM AND DIAPHRAGM

Sub CPT 39000 39599

SURGICAL PROCEDURES ON THE DIGESTIVE SYSTEM

Sub CPT 40490 49999

SURGICAL PROCEDURES ON THE URINARY SYSTEM

Sub CPT 50010 53899

SURGICAL PROCEDURES ON THE MALE GENITAL SYSTEM

Sub CPT 54000 55899

REPRODUCTIVE SYSTEM PROCEDURES Sub CPT 55920 55920 INTERSEX SURGERY Sub CPT 55970 55980 SURGICAL PROCEDURES ON THE FEMALE GENITAL SYSTEM

Sub CPT 56405 58999

SURGICAL PROCEDURES FOR MATERNITY CARE AND DELIVERY

Sub CPT 59000 59899

SURGICAL PROCEDURES ON THE ENDOCRINE SYSTEM

Sub CPT 60000 60699

SURGICAL PROCEDURES ON THE NERVOUS SYSTEM

Sub CPT 61000 64999

SURGICAL PROCEDURES ON THE EYE AND OCULAR ADNEXA

Sub CPT 65091 68899

SURGICAL PROCEDURES ON THE AUDITORY SYSTEM

Sub CPT 69000 69979

OPERATING MICROSCOPE PROCEDURES Sub CPT 69990 69990 RADIOLOGY PROCEDURES Major CPT 70010 79999 DIAGNOSTIC RADIOLOGY (DIAGNOSTIC IMAGING) PROCEDURES

Sub CPT 70010 76499

DIAGNOSTIC ULTRASOUND PROCEDURES Sub CPT 76506 76999 RADIOLOGIC GUIDANCE Sub CPT 77001 77022 BREAST, MAMMOGRAPHY Sub CPT 77046 77067 BONE/JOINT STUDIES Sub CPT 77071 77086 RADIATION ONCOLOGY TREATMENT Sub CPT 77261 77799 NUCLEAR MEDICINE PROCEDURES Sub CPT 78012 79999 PATHOLOGY AND LABORATORY PROCEDURES Major CPT 80047 89398



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NAME TYPE SRC BEGIN END ORGAN OR DISEASE ORIENTED PANELS Sub CPT 80047 80081 THERAPEUTIC DRUG ASSAYS Sub CPT 80150 80377 DRUG ASSAY PROCEDURES Sub CPT 80305 80377 EVOCATIVE/SUPPRESSION TESTING PROCEDURES Sub CPT 80400 80439 CLINICAL PATHOLOGY CONSULTATIONS Sub CPT 80500 80502 URINALYSIS PROCEDURES Sub CPT 81000 81099 MOLECULAR PATHOLOGY PROCEDURES Sub CPT 81105 81408 GENOMIC SEQUENCING PROCEDURES AND OTHER MOLECULAR MULTIANALYTE ASSAYS

Sub CPT 81410 81479

MULTIANALYTE ASSAYS WITH ALGORITHMIC ANALYSES

Sub CPT 81490 81599

CHEMISTRY PROCEDURES Sub CPT 82009 84999 HEMATOLOGY AND COAGULATION PROCEDURES Sub CPT 85002 85999 IMMUNOLOGY PROCEDURES Sub CPT 86000 86849 TRANSFUSION MEDICINE PROCEDURES Sub CPT 86850 86999 MICROBIOLOGY PROCEDURES Sub CPT 87003 87999 POSTMORTEM EXAMINATION PROCEDURES Sub CPT 88000 88099 CYTOPATHOLOGY PROCEDURES Sub CPT 88104 88199 CYTOGENETIC STUDIES Sub CPT 88230 88299 SURGICAL PATHOLOGY PROCEDURES Sub CPT 88300 88399 IN VIVO (EG, TRANSCUTANEOUS) LABORATORY PROCEDURES

Sub CPT 88720 88749

OTHER PATHOLOGY AND LABORATORY PROCEDURES

Sub CPT 89049 89240

REPRODUCTIVE MEDICINE PROCEDURES Sub CPT 89250 89398 MEDICINE SERVICES AND PROCEDURES Major CPT 90281 99756 IMMUNE GLOBULINS, SERUM OR RECOMBINANT PRODUCTS

Sub CPT 90281 90399

IMMUNIZATION ADMINISTRATION FOR VACCINES/TOXOIDS

Sub CPT 90460 90474

VACCINES, TOXOIDS (IMMUNIZATION) Sub CPT 90476 90756 PSYCHIATRY SERVICES AND PROCEDURES Sub CPT 90785 90899 BIOFEEDBACK SERVICES AND PROCEDURES Sub CPT 90901 90911 DIALYSIS SERVICES AND PROCEDURES Sub CPT 90935 90999 GASTROENTEROLOGY PROCEDURES Sub CPT 91010 91299 OPHTHALMOLOGY SERVICES AND PROCEDURES Sub CPT 92002 92499 SPECIAL OTORHINOLARYNGOLOGIC SERVICES AND PROCEDURES

Sub CPT 92502 92700



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NAME TYPE SRC BEGIN END CARDIOVASCULAR PROCEDURES Sub CPT 92920 93799 NON-INVASIVE VASCULAR DIAGNOSTIC STUDIES Sub CPT 93880 93998 PULMONARY PROCEDURES Sub CPT 94002 94799 ALLERGY AND CLINICAL IMMUNOLOGY PROCEDURES

Sub CPT 95004 95199

ENDOCRINOLOGY SERVICES Sub CPT 95250 95251 NEUROLOGY AND NEUROMUSCULAR PROCEDURES

Sub CPT 95782 96020

MEDICAL GENETICS AND GENETIC COUNSELING SERVICES

Sub CPT 96040 96040

CENTRAL NERVOUS SYSTEM ASSESSMENTS/TESTS (EG, NEURO-COG, MENT STAT, SPCH TSTING)

Sub CPT 96105 96146

HEALTH AND BEHAVIOR ASSESSMENT/INTERVENTION PROCEDURES

Sub CPT 96150 96161

HYD, THR, PRO, DIAG INJS/INFS, & CHEMO & OTH HIGHLY COMPLEX DRUG/BIO AGENT ADMN

Sub CPT 96360 96549

PHOTODYNAMIC THERAPY PROCEDURES Sub CPT 96567 96574 SPECIAL DERMATOLOGICAL PROCEDURES Sub CPT 96900 96999 PHYSICAL MEDICINE AND REHABILITATION EVALUATIONS

Sub CPT 97010 97799

ADAPTIVE BEHAVIOR SERVICES Sub CPT 97151 97158 MEDICAL NUTRITION THERAPY PROCEDURES Sub CPT 97802 97804 ACUPUNCTURE PROCEDURES Sub CPT 97810 97814 OSTEOPATHIC MANIPULATIVE TREATMENT PROCEDURES

Sub CPT 98925 98929

CHIROPRACTIC MANIPULATIVE TREATMENT PROCEDURES

Sub CPT 98940 98943

EDUCATION AND TRAINING FOR PATIENT SELF-MANAGEMENT

Sub CPT 98960 98962

NON-FACE-TO-FACE NONPHYSICIAN SERVICES Sub CPT 98966 98969 SPECIAL SERVICES, PROCEDURES AND REPORTS Sub CPT 99000 99091 QUALIFYING CIRCUMSTANCES FOR ANESTHESIA Sub CPT 99100 99140 MODERATE (CONSCIOUS) SEDATION Sub CPT 99151 99157 OTHER MEDICINE SERVICES AND PROCEDURES Sub CPT 99170 99199 HOME HEALTH PROCEDURES AND SERVICES Sub CPT 99500 99602 MEDICATION THERAPY MANAGEMENT SERVICES Sub CPT 99605 99607 EVALUATION AND MANAGEMENT SERVICES Major CPT 99201 99499 OFFICE OR OTHER OUTPATIENT SERVICES Sub CPT 99201 99215



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NAME TYPE SRC BEGIN END HOSPITAL OBSERVATION SERVICES Sub CPT 99217 99226 HOSPITAL INPATIENT SERVICES Sub CPT 99221 99239 CONSULTATION SERVICES Sub CPT 99241 99255 EMERGENCY DEPARTMENT SERVICES Sub CPT 99281 99288 CRITICAL CARE SERVICES Sub CPT 99291 99292 NURSING FACILITY SERVICES Sub CPT 99304 99318 DOMICILIARY, REST HOME (EG, BOARDING HOME), OR CUSTODIAL CARE SERVICES

Sub CPT 99324 99337

DOMICILIARY, REST HOME (EG, ASSISTED LIVING FCTY), HOME CARE PLAN OVERSIGHT SVCS

Sub CPT 99339 99340

HOME SERVICES Sub CPT 99341 99350 PROLONGED SERVICES Sub CPT 99354 99416 CASE MANAGEMENT SERVICES Sub CPT 99366 99368 CARE PLAN OVERSIGHT SERVICES Sub CPT 99374 99380 PREVENTIVE MEDICINE SERVICES Sub CPT 99381 99429 NON-FACE-TO-FACE SERVICES Sub CPT 99441 99452 SPECIAL EVALUATION AND MANAGEMENT SERVICES

Sub CPT 99450 99457

DIGITALLY STORED DATA AND REMOTE PHYSIOLOGIC MONITORING SERVICES

Sub CPT 99453 99454

REMOTE PHYSIOLOGIC MONITORING TREATMENT MANAGEMENT SERVICES

Sub CPT 99457 99457

NEWBORN CARE SERVICES Sub CPT 99460 99463 DELIVERY/BIRTHING ROOM ATTENDANCE AND RESUSCITATION SERVICES

Sub CPT 99464 99465

INPATIENT NEONATAL INTENSIVE CARE SVCS & PEDIATRIC & NEONATAL CRITICAL CARE SVCS

Sub CPT 99466 99467

COGNITIVE ASSESSMENT AND CARE PLAN SERVICES

Sub CPT 99483 99483

GENERAL BEHAVIORAL HEALTH INTEGRATION CARE MANAGEMENT

Sub CPT 99484 99484

CARE MANAGEMENT EVALUATION AND MANAGEMENT SERVICES

Sub CPT 99487 99490

PSYCHIATRIC COLLABORATIVE CARE MANAGEMENT SERVICES

Sub CPT 99492 99494

TRANSITIONAL CARE EVALUATION AND MANAGEMENT SERVICES

Sub CPT 99495 99496

ADVANCE CARE PLANNING EVALUATION AND MANAGEMENT SERVICES

Sub CPT 99497 99498

OTHER EVALUATION AND MANAGEMENT SERVICES Sub CPT 99499 99499



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NAME TYPE SRC BEGIN END CATEGORY II CODES Major CPT 0001F 9999F COMPOSITE MEASURES Sub CPT 0001F 0015F PATIENT MANAGEMENT Sub CPT 0500F 0584F PATIENT HISTORY Sub CPT 1000F 1505F PHYSICAL EXAMINATION Sub CPT 2000F 2060F DIAGNOSTIC/SCREENING PROCESSES OR RESULTS

Sub CPT 3001F 3999F

THERAPEUTIC, PREVENTIVE OR OTHER INTERVENTIONS

Sub CPT 4000F 4563F

FOLLOW-UP OR OTHER OUTCOMES Sub CPT 5005F 5250F PATIENT SAFETY Sub CPT 6005F 6150F STRUCTURAL MEASURES Sub CPT 7010F 7025F NON-MEASURE CLAIMS BASED REPORTING Sub CPT 9001F 9007F MULTIANALYTE ASSAY Major CPT 0001M 9999M CATEGORY III CODES Major CPT 0001T 9999T LABORATORY ANALYSES Major CPT 0001U 9999U HCPCS CODES Major HCPCS A0021 V5364 AMBULANCE AND OTHER TRANSPORT SERVICES AND SUPPLIES

Sub HCPCS A0021 A0999

MEDICAL AND SURGICAL SUPPLIES Sub HCPCS A4206 A8004 ADMINISTRATIVE, MISCELLANEOUS AND INVESTIGATIONAL

Sub HCPCS A9150 A9999

ENTERAL AND PARENTERAL THERAPY Sub HCPCS B4000 B9999 OUTPATIENT PPS Sub HCPCS C1300 C9899 DURABLE MEDICAL EQUIPMENT Sub HCPCS E0100 E9999 PROCEDURES / PROFESSIONAL SERVICES Sub HCPCS G0008 G9999 ALCOHOL AND DRUG ABUSE TREATMENT Sub HCPCS H0001 H9999 DRUGS ADMINISTERED OTHER THAN ORAL METHOD

Sub HCPCS J0120 J8999

CHEMOTHERAPY DRUGS Sub HCPCS J9000 J9999 DURABLE MEDICAL EQUIPMENT (DME) MEDICARE ADMINISTRATIVE CONTRACTORS (MACS)

Sub HCPCS K0000 K9999

ORTHOTIC PROCEDURES AND SERVICES Sub HCPCS L0000 L4999 PROSTHETIC PROCEDURES Sub HCPCS L5000 L9999 MISCELLANEOUS MEDICAL SERVICES Sub HCPCS M0000 M0301 SCREENING PROCEDURES Sub HCPCS M1000 M1071 PATHOLOGY AND LABORATORY SERVICES Sub HCPCS P0000 P9999 TEMPORARY CODES Sub HCPCS Q0035 Q9999



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NAME TYPE SRC BEGIN END DIAGNOSTIC RADIOLOGY SERVICES Sub HCPCS R0000 R5999 TEMPORARY NATIONAL CODES (NON-MEDICARE) Sub HCPCS S0000 S9999 NATIONAL CODES ESTABLISHED FOR STATE MEDICAID AGENCIES

Sub HCPCS T1000 T9999

VISION SERVICES Sub HCPCS V0000 V2999 HEARING SERVICES Sub HCPCS V5000 V5999


Installation Guide and Release Notes 2020 CPT/HCPCS New Codes January 2020

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Appendix B: 2020 CPT/HCPCS New Codes

CODE SHORT DESCRIPTION 15769 GRFG AUTOL SOFT TISS DIR EXC

15771 GRFG AUTOL FAT LIPO 50 CC/<

15772 GRFG AUTOL FAT LIPO EA ADDL

15773 GRFG AUTOL FAT LIPO 25 CC/<

15774 GFRG AUTOL FAT LIPO EA ADDL

20560 NDL INSJ W/O NJX 1 OR 2 MUSC

20561 NDL INSJ W/O NJX 3+ MUSC

20700 MNL PREP&INSJ DP RX DLVR DEV

20701 RMVL DEEP RX DELIVERY DEVICE

20702 MNL PREP&INSJ IMED RX DEV

20703 RMVL IMED RX DELIVERY DEVICE

20704 MNL PREP&INSJ I-ARTIC RX DEV

20705 RMVL I-ARTIC RX DELIVERY DEV

21601 EXC CHEST WALL TUMOR W/RIBS

21602 EXC CH WAL TUM W/O LYMPHADEC

21603 EXC CH WAL TUM W/LYMPHADEC

33016 PERICARDIOCENTESIS W/IMAGING

33017 PRCRD DRG 6YR+ W/O CGEN CAR

33018 PRCRD DRG 0-5YR OR W/ANOMLY

33019 PERQ PRCRD DRG INSJ CATH CT

33858 AS-AORT GRF F/AORTIC DSJ

33859 AS-AORT GRF F/DS OTH/THN DSJ

33871 TRANSVRS A-ARCH GRF HYPTHRM

34717 EVASC RPR A-ILIAC NDGFT

34718 EVASC RPR N/A A-ILIAC NDGFT

35702 EXPL N/FLWD SURG UXTR ART

35703 EXPL N/FLWD SURG LXTR ART

46948 INT HRHC TRANAL DARTLZJ 2+

49013 PRPERTL PEL PACK HEMRRG TRMA

49014 REEXPLORATION PELVIC WOUND

CODE SHORT DESCRIPTION 62328 DX LMBR SPI PNXR W/FLUOR/CT

62329 THER SPI PNXR CSF FLUOR/CT

64451 NJX AA&/STRD NRV NRVTG SI JT

64454 NJX AA&/STRD GNCLR NRV BRNCH

64624 DSTRJ NULYT AGT GNCLR NRV

64625 RF ABLTJ NRV NRVTG SI JT

66987 XCAPSL CTRC RMVL CPLX W/ECP

66988 XCAPSL CTRC RMVL W/ECP

74221 X-RAY XM ESOPHAGUS 2CNTRST

74248 X-RAY SM INT F-THRU STD

78429 MYOCRD IMG PET 1 STD W/CT

78430 MYOCRD IMG PET RST/STRS W/CT

78431 MYOCRD IMG PET RST&STRS CT

78432 MYOCRD IMG PET 2RTRACER

78433 MYOCRD IMG PET 2RTRACER CT

78434 AQMBF PET REST & RX STRESS

78830 RP LOCLZJ TUM SPECT W/CT 1

78831 RP LOCLZJ TUM SPECT 2 AREAS

78832 RP LOCLZJ TUM SPECT W/CT 2

78835 RP QUAN MEAS SINGLE AREA

80145 DRUG ASSAY ADALIMUMAB

80187 DRUG ASSAY POSACONAZOLE

80230 DRUG ASSAY INFLIXIMAB

80235 DRUG ASSAY LACOSAMIDE

80280 DRUG ASSAY VEDOLIZUMAB

80285 DRUG ASSAY VORICONAZOLE

81277 CYTOGENOMIC NEO MICRORA ALYS

81307 PALB2 GENE FULL GENE SEQ

81308 PALB2 GENE KNOWN FAMIL VRNT

81309 PIK3CA GENE TRGT SEQ ALYS



19

CODE SHORT DESCRIPTION 81522 ONC BREAST MRNA 12 GENES

81542 ONC PROSTATE MRNA 22 CNT GEN

81552 ONC UVEAL MLNMA MRNA 15 GENE

87563 M. GENITALIUM AMP PROBE

90694 VACC AIIV4 NO PRSRV 0.5ML IM

90912 BFB TRAINING 1ST 15 MIN

90913 BFB TRAINING EA ADDL 15 MIN

92201 OPSCPY EXTND RTA DRAW UNI/BI

92202 OPSCPY EXTND ON/MAC DRAW

92549 CDP-SOT 6 COND W/I&R MCT&ADT

93356 MYOCRD STRAIN IMG SPCKL TRCK

93985 DUP-SCAN HEMO COMPL BI STD

93986 DUP-SCAN HEMO COMPL UNI STD

95700 EEG CONT REC W/VID EEG TECH

95705 EEG W/O VID 2-12 HR UNMNTR

95706 EEG WO VID 2-12HR INTMT MNTR

95707 EEG W/O VID 2-12HR CONT MNTR

95708 EEG WO VID EA 12-26HR UNMNTR

95709 EEG W/O VID EA 12-26HR INTMT

95710 EEG W/O VID EA 12-26HR CONT

95711 VEEG 2-12 HR UNMONITORED

95712 VEEG 2-12 HR INTMT MNTR

95713 VEEG 2-12 HR CONT MNTR

95714 VEEG EA 12-26 HR UNMNTR

95715 VEEG EA 12-26HR INTMT MNTR

95716 VEEG EA 12-26HR CONT MNTR

95717 EEG PHYS/QHP 2-12 HR W/O VID

95718 EEG PHYS/QHP 2-12 HR W/VEEG

95719 EEG PHYS/QHP EA INCR W/O VID

95720 EEG PHY/QHP EA INCR W/VEEG

95721 EEG PHY/QHP>36<60 HR W/O VID

95722 EEG PHY/QHP>36<60 HR W/VEEG

CODE SHORT DESCRIPTION 95723 EEG PHY/QHP>60<84 HR W/O VID

95724 EEG PHY/QHP>60<84 HR W/VEEG

95725 EEG PHY/QHP>84 HR W/O VID

95726 EEG PHY/QHP>84 HR W/VEEG

96156 HLTH BHV ASSMT/REASSESSMENT

96158 HLTH BHV IVNTJ INDIV 1ST 30

96159 HLTH BHV IVNTJ INDIV EA ADDL

96164 HLTH BHV IVNTJ GRP 1ST 30

96165 HLTH BHV IVNTJ GRP EA ADDL

96167 HLTH BHV IVNTJ FAM 1ST 30

96168 HLTH BHV IVNTJ FAM EA ADDL

96170 HLTH BHV IVNTJ FAM WO PT 1ST

96171 HLTH BHV IVNTJ FAM W/O PT EA

97129 THER IVNTJ 1ST 15 MIN

97130 THER IVNTJ EA ADDL 15 MIN

98970 QNHP OL DIG E/M SVC 5-10MIN

98971 QNHP OL DIG EM SVC 11-20MIN

98972 QNHP OL DIG E/M SVC 21+ MIN

99421 OL DIG E/M SVC 5-10 MIN

99422 OL DIG E/M SVC 11-20 MIN

99423 OL DIG E/M SVC 21+ MIN

99458 REM PHYSIOL MNTR EA ADDL 20

99473 SELF-MEAS BP PT EDUCAJ/TRAIN

99474 SELF-MEAS BP 2 READG BID 30D

0105U NEPH CKD MULT ECLIA TUM NEC

0106U GSTR EMPTG 7 TIMED BRTH SPEC

0107U C DIFF TOX AG DETCJ IA STOOL

0108U GI BARRETT ESOPH 9 PRTN BMRK

0109U ID ASPERGILLUS DNA 4 SPECIES

0110U RX MNTR 1+ORAL ONC RX&SBSTS

0111U ONC COLON CA KRAS&NRAS ALYS

0112U IADI 16S&18S RRNA GENES

0113U ONC PRST8 PCA3&TMPRSS2-ERG



20

CODE SHORT DESCRIPTION 0114U GI BARRETTS ESOPH VIM&CCNA1

0115U RESPIR IADNA 18 VIRAL&2 BACT

0116U RX MNTR NZM IA 35+ORAL FLU

0117U PAIN MGMT 11 ENDOGENOUS ANAL

0118U TRNSPLJ DON-DRV CLL-FR DNA

0119U CRD CERAMIDES LIQ CHROM PLSM

0120U ONC B CLL LYMPHM MRNA 58 GEN

0121U SC DIS VCAM-1 WHOLE BLOOD

0122U SC DIS P-SELECTIN WHL BLOOD

0123U MCHNL FRAGILITY RBC PRFLG

0124U FTL CGEN ABNOR 3 ANALYTES

0125U FTL CGEN ABNOR PRNT COMP 5

0126U FTL CGEN ABNOR PRNT COMP 5 Y

0127U OB PE 3 ANALYTES

0128U OB PE 3 ANALYTES Y CHRMSM

0129U HERED BRST CA RLTD DO PANEL

0130U HERED COLON CA DO MRNA PNL

0131U HERED BRST CA RLTD DO PNL 13

0132U HERED OVA CA RLTD DO PNL 17

0133U HERED PRST8 CA RLTD DO 11

0134U HERED PAN CA MRNA PNL 18 GEN

0135U HERED GYN CA MRNA PNL 12 GEN

0136U ATM MRNA SEQ ALYS

0137U PALB2 MRNA SEQ ALYS

0138U BRCA1 BRCA2 MRNA SEQ ALYS

0139U NEURO AUSTM MEAS 6 C METABLT

0140U NFCT DS FUNGI DNA 15 TRGT

0141U NFCT DS BACT&FNG GRAM POS

0142U NFCT DS BACT&FNG GRAM NEG

0143U DRUG ASSAY 120+ RX/METABLT



CODE SHORT DESCRIPTION 0146U DRUG ASSAY 80+ RX/METABLT





0151U NFCT BCT/VIR RESP NFCTJ 33

0152U NFCT BCT FNG PRST DNA >1000

0153U ONC BREAST MRNA 101 GENES

0154U FGFR3 GENE ANALYSIS

0155U PIK3CA GENE ANALYSIS

0156U COPY NUMBER SEQUENCE ALYS

0157U APC MRNA SEQ ALYS

0158U MLH1 MRNA SEQ ALYS

0159U MSH2 MRNA SEQ ALYS

0160U MSH6 MRNA SEQ ALYS

0161U PMS2 MRNA SEQ ALYS

0162U HERED COLON CA TRGT MRNA PNL

0563T EVAC MEIBOMIAN GLND HEAT BI

0564T ONC CHEMO RX CYTOTOX CSC 14

0565T AUTOL CELL IMPLT ADPS HRVG

0566T AUTOL CELL IMPLT ADPS NJX

0567T PERM FLP TUBE OCCLS W/IMPLT

0568T INTRO MIX SALINE&AIR F/SSG

0569T TTVR PERQ APPR 1ST PROSTH

0570T TTVR PERQ EA ADDL PROSTH

0571T INSJ/RPLCMT ICDS SS ELTRD

0572T INSERTION SS DFB ELECTRODE

0573T REMOVAL SS DFB ELECTRODE

0574T REPOS PREV SS IMPL DFB ELTRD

0575T PRGRMG DEV EVAL ICDS SS IP

0576T INTERROG DEV EVAL ICDS SS IP

0577T EPHYS EVAL ICDS SS



21

CODE SHORT DESCRIPTION 0578T REM INTERROG DEV ICDS PHYS

0579T REM INTERROG DEV ICDS TECH

0580T RMVL SS IMPL DFB PG ONLY

0581T ABLTJ MAL BRST TUM PERQ CRTX

0582T TRURL ABLTJ MAL PRST8 TISS

0583T TMPST AUTO TUBE DLVR SYS

0584T PERQ ISLET CELL TRANSPLANT

0585T LAPS ISLET CELL TRANSPLANT

0586T OPEN ISLET CELL TRANSPLANT

0587T PERQ IMPLTJ/RPLCMT ISDNS PTN

0588T REVISION/REMOVAL ISDNS PTN

0589T ELEC ALYS SMPL PRGRMG IINS

0590T ELEC ALYS CPLX PRGRMG IINS

0591T HLTH&WB COACHING INDIV 1ST

0592T HLTH&WB COACHING INDIV F-UP

0593T HLTH&WB COACHING GROUP

2023F DILAT RTA XM W/O RTNOPTHY

2025F 7 FLD RTA PHOTO W/O RTNOPTHY

2033F EYE IMG VALID W/O RTNOPTHY

3051F HG A1C>EQUAL 7.0%<8.0%

3052F HG A1C>EQUAL 8.0%<EQUAL 9.0%

A4226 Weekly supply maint cgs pump

A9590 Iodine i-131 iobenguane 1mci

B4187 Omegaven, 10 grams lipids

C1734 Orth/devic/drug bn/bn,tis/bn

C1824 Generator, ccm, implant

C1839 Iris prosthesis

C1982 Cath, pressure,valve-occlu

C2596 Probe, robotic, water-jet

C9047 Injection, caplacizumab-yhdp

C9054 Injection, lefamulin

C9055 Inj, brexanolone

C9756 Fluorescence lymph map w/icg

CODE SHORT DESCRIPTION C9757 Spine/lumbar disk surgery

C9758 Interatrial shunt ide

E0787 Cgs dose adj insulin inf pmp

E2398 Wc dynamic pos back hardware

G1000 Cdsm applied pathways

G1001 Cdsm evicore

G1002 Cdsm medcurrent

G1003 Cdsm medicalis

G1004 Cdsm ndsc

G1005 Cdsm nia

G1006 Cdsm test approp

G1007 Cdsm aim

G1008 Cdsm cranberry pk

G1009 Cdsm sage health

G1010 Cdsm stanson

G1011 Cdsm qualified nos

G2021 Hea care pract tx in place

G2022 Benef refuses service, mod

G2058 Ccm add 20min

G2061 Qual nonmd est pt 5-10m

G2062 Qual nonmd est pt 11-20m

G2063 Qual nonmd est pt 21>min

G2064 Md mang high risk dx 30

G2065 Clin mang h risk dx 30

G2066 Inter devc remote 30d

G2067 Med assist tx meth wk

G2068 Med assist tx bupre oral

G2069 Med assist tx inject

G2070 Med assist tx implant

G2071 Med tx remove implant

G2072 Med tx insert/remove imp

G2073 Med tx naltrexone

G2074 Med assist tx no drug



22

CODE SHORT DESCRIPTION G2075 Med tx meds nos

G2076 Intake act w/med exam

G2077 Periodic assessment

G2078 Take-home meth

G2079 Take-hom buprenorphine

G2080 Add 30 mins counsel

G2081 Pt 66+ snp or ltc pos > 90d

G2082 Visit esketamine 56m or less

G2083 Visit esketamine, > 56m

G2086 Off base opioid tx 70min

G2087 Off base opioid tx, 60 m

G2088 Off base opioid tx, add30

G2089 A1c level 7 to 9%

G2090 Pt 66+ frailty and med dem

G2091 Pt 66+ frailty and adv ill

G2092 Ace arb arni

G2093 Med doc rsn no ace arn arni

G2094 Pt rsn no ace arn arni

G2095 Sys rsn no ace arn arni

G2096 No rsn ace arb arni

G2097 Child dx uri 3d of other dx





G2102 Dil retinal eye exam

G2103 7 stereo photos interpret

G2104 Eye img valid w/7 stereo

G2105 Pt 66+ lt ints > 90

G2106 Pt 66+ lt ints > 90


G2108 Pt 66+ lt ints > 90


CODE SHORT DESCRIPTION G2110 Pt 66+ frailty and adv ill

G2112 Pred<=5 mg ra glu <6m

G2113 Pred>5 mg >6m, no chg da

G2114 Pt 66-80 frailty and med dem



G2117 Pt 66-80 frailty and adv ill

G2118 Pt 81+ frailty

G2119 Calc vitd opt

G2120 No calc vitd opt

G2121 Psy dep anx ap and icd asse

G2122 Psy/dep/anx/apandicd noasse

G2123 Pt 66-80 frailty med dem

G2124 Pt 66-80 frailty adv ill


G2126 Pt 66+ frailty adv ill

G2127 Pt 66+ frailty med dem

G2128 No aspirin med rsn

G2129 No bp outpt

G2130 Pt 66+ lt inst > 90


G2132 Pt 66-80 frailty and med dem

G2133 Pt 66-80 frailty and adv ill



G2136 Bk pain vas 6-20wk = 3

G2137 Bk pain vas 6-20wk > 3

G2138 Bk pain vas 9-15mo = 3

G2139 Bk pain vas 9-20mo > 3

G2140 Leg pain vas 6-20wk = 3

G2141 Leg pain vas 6-20wk > 3

G2142 Fs odi 9-15mo postop<= 22

G2143 Fs odi 9-15mo > 22



23

CODE SHORT DESCRIPTION G2144 Fs odi 6-20wk postop > 22

G2145 Fsodi 6-20wk >22 or chg 30pt

G2146 Leg pain vas 9-15mo <= 3

G2147 Leg pain vas 9-15mo > 3

G2148 Mpm used

G2149 No mpm med rsn

G2150 No mpm

G2151 Dx degen neuro

G2152 Res change sc =0

G2153 Hosp dur meas pd

G2154 Td 9 yrs start end meas

G2155 Hist contraindications

G2156 No prior td or hx contra

G2157 Pneum vacc 12 mo 60+

G2158 Pneum vacc adv rx

G2159 No pneum vacc 12 mo 60+

G2160 Herpzos 50+

G2161 Adv rx zos

G2162 No herpzos 50+

G2163 Infl vacc 07/01 to 06/30

G2164 Adv rx infl vacc

G2165 No infl vacc 07/01 to 06/30

G2166 No pt adm dx no neck fs prom

G2167 Res change sc < 0

J0121 Inj., omadacycline, 1 mg

J0122 Inj., eravacycline, 1 mg

J0179 Inj, brolucizumab-dbll, 1 mg

J0222 Inj., patisiran, 0.1 mg

J0291 Inj., plazomicin, 5 mg

J0593 Inj., lanadelumab-flyo, 1 mg

J0642 Injection, khapzory, 0.5 mg

J1096 Dexametha opth insert 0.1 mg

J1097 Phenylep ketorolac opth soln

CODE SHORT DESCRIPTION J1303 Inj., ravulizumab-cwvz 10 mg

J1943 Inj., aristada initio, 1 mg

J1944 Aripiprazole lauroxil 1 mg

J2798 Inj., perseris, 0.5 mg

J3031 Inj., fremanezumab-vfrm 1 mg

J3111 Inj. romosozumab-aqqg 1 mg

J7314 Inj., yutiq, 0.01 mg

J7331 Synojoynt, inj., 1 mg

J7332 Inj., triluron, 1 mg

J7401 Mometasone furoate sinus imp

J9118 Inj. calaspargase pegol-mknl

J9119 Inj., cemiplimab-rwlc, 1 mg

J9199 Injection, infugem, 200 mg

J9204 Inj mogamulizumab-kpkc, 1 mg

J9210 Inj., emapalumab-lzsg, 1 mg

J9269 Inj. tagraxofusp-erzs 10 mcg

J9309 Inj, polatuzumab vedotin 1mg

J9313 Inj., lumoxiti, 0.01 mg

K1001 Electronic posa treatment

K1002 Ces system w/supplies access

K1003 Whirlpool tub walkin portabl

K1004 Lo freq us diathermy device

K1005 Disp col sto bag breast milk

L2006 Kaf sng/dbl swg/stn mcpr cus

L8033 Nipple prosthesis custom, ea

M1106 Start eoc doc med rec

M1107 Docu dx degen neuro

M1108 Oc ni pt 1-2 vis

M1109 Oc ni pt dc 1-2 vis

M1110 Oc ni pt selfdc 1-2 vis






24

CODE SHORT DESCRIPTION M1114 Oc ni pt dc 1-2 vis
















M1130 Oc ni pt self dc 1-2 vis











CODE SHORT DESCRIPTION M1141 Fs no oks

M1142 Emerge cases

M1143 Ni rehab med chiro

M1144 Oc no ind pt 1-2 vis

P9099 Blood component/product noc

Q4205 Membrane graft or wrap sq cm

Q4206 Fluid flow or fluid gf 1 cc

Q4208 Novafix per sq cm

Q4209 Surgraft per sq cm

Q4210 Axolotl graf dualgraf sq cm

Q4211 Amnion bio or axobio sq cm

Q4212 Allogen, per cc

Q4213 Ascent, 0.5 mg

Q4214 Cellesta cord per sq cm

Q4215 Axolotl ambient, cryo 0.1 mg

Q4216 Artacent cord per sq cm

Q4217 Woundfix biowound plus xplus

Q4218 Surgicord per sq cm

Q4219 Surgigraft dual per sq cm

Q4220 Bellacell hd, surederm sq cm

Q4221 Amniowrap2 per sq cm

Q4222 Progenamatrix, per sq cm

Q4226 Myown harv prep proc sq cm

Q5116 Inj., trazimera, 10 mg

Q5117 Inj., kanjinti, 10 mg

Q5118 Inj., zirabev, 10 mg


Installation Guide and Release Notes 2020 CPT/HCPCS Modified Codes January 2020

25

Appendix C: 2020 CPT/HCPCS Modified Codes CODE SHORT DESCRIPTION SHORT LONG CAT 10004 FNA BX W/O IMG GDN EA ADDL

C

10005 FNA BX W/US GDN 1ST LES C

10006 FNA BX W/US GDN EA ADDL C

10007 FNA BX W/FLUOR GDN 1ST LES C

10008 FNA BX W/FLUOR GDN EA ADDL C

10009 FNA BX W/CT GDN 1ST LES C

10010 FNA BX W/CT GDN EA ADDL C

10011 FNA BX W/MR GDN 1ST LES C

10012 FNA BX W/MR GDN EA ADDL C

31233 NSL/SINS NDSC DX MAX SINUSC S L

31235 NSL/SINS NDSC DX SPHN SINUSC S L

31292 NSL/SINS NDSC MED/INF DCMPRN S L

31293 NSL/SINS NDSC MED&INF DCMPRN S L

31294 NSL/SINS NDSC SURG ON DCMPRN S L

31295 NSL/SINS NDSC SURG MAX SINS S L

31296 NSL/SINS NDSC SURG FRNT SINS S L

31297 NSL/SINS NDSC SURG SPHN SINS S L

31298 NSL/SINS NDSC SURG FRNT&SPHN S L

33275 TCAT RMVL PERM LDLS PM W/IMG S L

35701 EXPL N/FLWD SURG NECK ART S L

46945 INT HRHC LIG 1 HROID W/O IMG S L

46946 INT HRHC LIG 2+HROID W/O IMG S L

54640 ORCHIOPEXY INGUN/SCROT APPR S L

62270 DX LMBR SPI PNXR S L

62272 THER SPI PNXR DRG CSF S L

64400 NJX AA&/STRD TRIGEMINAL NRV S L

64405 NJX AA&/STRD GR OCPL NRV S L

64408 NJX AA&/STRD VAGUS NRV S L

64415 NJX AA&/STRD BRACH PLEXUS S L

64416 NJX AA&/STRD BRACH PLEX NFS S L



26

CODE SHORT DESCRIPTION SHORT LONG CAT 64417 NJX AA&/STRD AXILLARY NRV S L

64418 NJX AA&/STRD SPRSCAP NRV S L

64420 NJX AA&/STRD NTRCOST NRV 1 S L

64421 NJX AA&/STRD NTRCOST NRV EA S L

64425 NJX AA&/STRD II IH NERVES S L

64430 NJX AA&/STRD PUDENDAL NERVE S L

64435 NJX AA&/STRD PARACRV NRV S L

64445 NJX AA&/STRD SCIATIC NERVE S L

64446 NJX AA&/STRD SCIATIC NRV NFS S L

64447 NJX AA&/STRD FEMORAL NERVE S L

64448 NJX AA&/STRD FEM NERVE NFS S L

64449 NJX AA&/STRD LMBR PLEX NFS S L

64450 NJX AA&/STRD OTHER PN/BRANCH S L

66711 ECP CILIARY BODY DESTRUCTION S L

66982 XCAPSL CTRC RMVL CPLX WO ECP S L

66984 XCAPSL CTRC RMVL W/O ECP S L

74022 X-RAY EXAM COMPLETE ABDOMEN S L

74210 X-RAY XM PHRNX&/CRV ESOPH C+ S L

74220 X-RAY XM ESOPHAGUS 1CNTRST S L

74230 X-RAY XM SWLNG FUNCJ C+ S L

74240 X-RAY XM UPR GI TRC 1CNTRST S L

74246 X-RAY XM UPR GI TRC 2CNTRST S L

74250 X-RAY XM SM INT 1CNTRST STD S L

74251 X-RAY XM SM INT 2CNTRST STD S L

74270 X-RAY XM COLON 1CNTRST STD S L

74280 X-RAY XM COLON 2CNTRST STD S L

76805 OB US >= 14 WKS SNGL FETUS S

76810 OB US >= 14 WKS ADDL FETUS S

77046 MRI BREAST C- UNILATERAL C

77047 MRI BREAST C- BILATERAL C

77048 MRI BREAST C-+ W/CAD UNI C

77049 MRI BREAST C-+ W/CAD BI C

78459 MYOCRD IMG PET SINGLE STUDY S L



27

CODE SHORT DESCRIPTION SHORT LONG CAT 78491 MYOCRD IMG PET 1STD RST/STRS S L

78492 MYOCRD IMG PET MLT RST&STRS S L

78800 RP LOCLZJ TUM 1 AREA 1 D IMG S L

78801 RP LOCLZJ TUM 2+AREA 1+D IMG S L

78802 RP LOCLZJ TUM WHBDY 1 D IMG S L

78803 RP LOCLZJ TUM SPECT 1 AREA S L

78804 RP LOCLZJ TUM WHBDY 2+D IMG S L

81105 HPA-1 GENOTYPING C








81120 IDH1 COMMON VARIANTS C

81121 IDH2 COMMON VARIANTS C

81350 UGT1A1 GENE COMMON VARIANTS S L

81404 MOPATH PROCEDURE LEVEL 5 L



90756 CCIIV4 VACC ABX FREE IM C

92548 CDP-SOT 6 COND W/I&R S L

92626 EVAL AUD FUNCJ 1ST HOUR S L

92627 EVAL AUD FUNCJ EA ADDL 15 S L

93784 AMBL BP MNTR W/SOFTWARE S L

93786 AMBL BP MNTR W/SW REC ONLY S L

93788 AMBL BP MNTR W/SW A/R S L

93790 AMBL BP MNTR W/SW I&R S L

93792 PT/CAREGIVER TRAING HOME INR S

94728 AIRWY RESIST BY OSCILLOMETRY S L

95813 EEG EXTND MNTR 61-119 MIN S L

96130 PSYCL TST EVAL PHYS/QHP 1ST C



28

CODE SHORT DESCRIPTION SHORT LONG CAT 96131 PSYCL TST EVAL PHYS/QHP EA C

96132 NRPSYC TST EVAL PHYS/QHP 1ST C

96133 NRPSYC TST EVAL PHYS/QHP EA C

96136 PSYCL/NRPSYC TST PHY/QHP 1ST C

96137 PSYCL/NRPSYC TST PHY/QHP EA C

96138 PSYCL/NRPSYC TECH 1ST C

96139 PSYCL/NRPSYC TST TECH EA C

96146 PSYCL/NRPSYC TST AUTO RESULT C

96573 PDT DSTR PRMLG LES PHYS/QHP C

96574 DBRDMT PRMLG LES W/PDT C

97151 BHV ID ASSMT BY PHYS/QHP C

97152 BHV ID SUPRT ASSMT BY 1 TECH C

97153 ADAPTIVE BEHAVIOR TX BY TECH C

97154 GRP ADAPT BHV TX BY TECH C

97155 ADAPT BEHAVIOR TX PHYS/QHP C

97156 FAM ADAPT BHV TX GDN PHY/QHP C

97157 MULT FAM ADAPT BHV TX GDN C

97158 GRP ADAPT BHV TX BY PHY/QHP C

97605 NEG PRESS WOUND TX <=50 CM S

97607 NEG PRESS WND TX <=50 SQ CM S

97760 ORTHOTIC MGMT&TRAING 1ST ENC S

97761 PROSTHETIC TRAING 1ST ENC S

99453 REM MNTR PHYSIOL PARAM SETUP C

99454 REM MNTR PHYSIOL PARAM DEV C

99457 REM PHYSIOL MNTR 1ST 20 MIN S L C

99468 NEONATE CRIT CARE INITIAL C

99469 NEONATE CRIT CARE SUBSQ C

99471 PED CRITICAL CARE INITIAL C

99472 PED CRITICAL CARE SUBSQ C

99475 PED CRIT CARE AGE 2-5 INIT C

99476 PED CRIT CARE AGE 2-5 SUBSQ C

99477 INIT DAY HOSP NEONATE CARE C

99478 IC LBW INF < 1500 GM SUBSQ C



29

CODE SHORT DESCRIPTION SHORT LONG CAT 99479 IC LBW INF 1500-2500 G SUBSQ C

99480 IC INF PBW 2501-5000 G SUBSQ C

99483 ASSMT & CARE PLN PT COG IMP C

99484 CARE MGMT SVC BHVL HLTH COND C

99485 SUPRV INTERFACILTY TRANSPORT C

99486 SUPRV INTERFAC TRNSPORT ADDL C

99492 1ST PSYC COLLAB CARE MGMT C

99493 SBSQ PSYC COLLAB CARE MGMT C

99494 1ST/SBSQ PSYC COLLAB CARE C

0003U ONC OVAR 5 PRTN SER ALG SCOR S

0006U DETC IA MEDS 120+ ANALYTES S L

0011M ONC PRST8 CA MRNA 12 GEN ALG L

0019U ONC RNA TISS PREDICT ALG L

0031U CYP1A2 GENE L

0032U COMT GENE L

0034U TPMT NUDT15 GENES L

0068U CANDIDA SPECIES PNL AMP PRB L

0402T COLGN CROSS-LINK CRN MED SEP S L

0554T B1 STR & FX RSK ANALYSIS L

0555T B1 STR&FX RSK TRANSMIS DATA L

0556T B1 STR & FX RSK ASSESSMENT L

0557T B1 STR & FX RSK I&R L

2022F DILAT RTA XM EVC RTNOPTHY S L

2024F 7 FLD RTA PHOTO EVC RTNOPTHY S L

2026F EYE IMG VALID EVC RTNOPTHY S L

3022F LVEF >=40% SYSTOLIC S

3027F SPIROM FEV/FVC>=70%/W/OCOPD S

3035F O2 SATURATION<=88%/PAO<=55 S

3042F FEV >=40% PREDICTED VALUE S

3050F LDL-C >= 130 MG/DL S

3077F SYST BP >= 140 MM HG S

3080F DIAST BP >= 90 MM HG S

3084F KT/V >= 1.7 S



30

CODE SHORT DESCRIPTION SHORT LONG CAT 3279F HGB LVL >= 13 G/DL S

3750F PTNOTRCVNGSTEROID>=10MG/DAY S

B4185 Pn soln nos 10 grams lipids S L

G8650 Rafs crs ki no scor no surv S L

G8654 Rafs crs hi no scor no surv S

G8662 Rafs crs lbi no scor no surv S L

G8666 Rafs crs si no scor no surv S L

G8670 Rafs crs ewh no scor no surv S L

G8674 Rafscrs neck, no msr/no foto L

G9239 Doc rsn hemod & cath acc L

G9264 Doc rsn hemod w/cath >=90d L

G9349 Ct within 28 days S L

G9355 No early ind/delivery L

G9356 Early ind/delivery L

G9359 Neg mgd pos tb notact S L

G9405 Recd f/u w/in 7d dc S L

G9414 1dose menig vac btwn 11 & 13 L

G9469 Rec cortico>90d or 1rx 900mg S L

G9510 Remis12m not phq-9 score <5 S L

G9519 Final ref +/- 1.0 w/in 90d S L

G9520 Refract not +/- 1.0 w/in 90d S L

G9531 Pt doc L

G9547 Cys ren les or adren S L

G9548 No f/u rec image study S L

G9549 Doc med rsn for f/u imag S L

G9550 Imag rec S L

G9551 Imag no les S L

G9595 Doc shnt/tum/coag S L

G9663 Fast/dir ldl <= 190 mg/dl S L

G9727 Pt unable cmplt knee fs prom L

G9729 Pt unbl cmplt hip fs prom L

G9731 Pt unbl cmplt ft/ank fs prom L

G9733 Pt unbl cmplt lb fs prom L



31

CODE SHORT DESCRIPTION SHORT LONG CAT G9735 Pt unbl cmplt shld fs prom L

G9737 Pt unbl cmplt ewh fs prom L

G9739 Pt unbl cmplt go fs prom L

G9772 Doc med rsn no temp >= 35.5 L

G9781 Doc rsn no statin L

G9785 Path report sent S L

G9786 Path report not sent S L

G9798 D/c ami btw 7/1-6/30 meas pd S L

G9898 Pt 66+ snp or ltc pos S L



G9917 Adv dem crgvr limited S L


G9942 Adtl spine proc on same date L

G9946 Bk pain no vas S

G9948 Adtl spine proc on same date L

G9949 Leg pain no vas S L

J0641 Inj levoleucovorin nos 0.5mg S L

J2794 Inj risperdal consta, 0.5 mg S L

J7311 Inj., retisert, 0.01 mg S L

J7313 Inj., iluvien, 0.01 mg S L

J9201 In gemcitabine hcl nos 200mg S L

L8032 Reusable nipple prosthesis L

M1003 Tb scr 12 mo pri fst bio dz C

M1004 Doc med rsn no srn tb C

M1005 Tb scr no perf C

M1006 Dz not ases, no rsn C

M1007 >=50% total pt outpt ra enct C

M1008 <50% total pt outpt ra encts C

M1009 Dc eoc doc med rec S L C






32

CODE SHORT DESCRIPTION SHORT LONG CAT M1013 Dc eoc doc med rec S L C

M1014 Dc epi care doc medrec S L C


M1016 Pt dx meop or sur steri C

M1017 Pt admt to palitve serv C

M1018 Pt dx hst cr pt sk lg cr scr C

M1019 Adl pt mj dep ds rs 12 phq<5 C

M1020 Adl pt mj dep ds no rs 12 mo C

M1021 Pt uc in pp C

M1022 Pt hospice during perf pd C

M1023 Adl pt mj dep ds rs 6 phq<5 C

M1024 Adl pt mj dep ds no rs 6 mo C



M1027 Img head (ct or mri) obtnd C

M1028 Doc of pt prm hda dx and otr C

M1029 Doc sysm rsn img hd C

M1031 Pt clin ind img hd C

M1032 Adt tkng pharmthry for oud C

M1033 Pharmthry for oud afr 6.30 C

M1034 Adt 180 dys pharmthry oud C

M1035 Adt pd out mat pr 180 dys tx C

M1036 Adt no 180 dys pharmthry oud C

M1037 Pt dx lum sp reg cacr C

M1038 Pt dx lum sp reg fract C

M1039 Pt dx lum sp reg inf C

M1040 Pt dx lum idi or cong scol C

M1041 Pt cr ft inf lm or pt id sl C

M1043 Fs no odi 9-15mo S L C

M1045 Fs oks 9-15mo = 37 S L C

M1046 Fs oks 9-15mo = 37 S L C

M1049 Fs wth scr no odi pre and p S L C

M1051 Pt w/cancer scoliosis C



33

CODE SHORT DESCRIPTION SHORT LONG CAT M1052 Lg pn not meas w/ vas 1yr po S L C

M1054 Pt uc in pp C

M1055 Aspirin used C

M1056 Presc antico med in pp C

M1057 Aspirin not used, no rsn C

M1058 Pt prm nurs hm res in pp C

M1059 Pt no prm nurs hm res in pp C

M1060 Pt died in pp C

M1061 Pt preg C

M1062 Pt imcomprmd C

M1063 Pt rec hg dos imsup thpy C

M1064 Shing vac doc adm or pv rec C

M1065 Shing vac no adm clinc rsn C

M1066 Shing vac no doc no rsn C

M1067 Hspc pt prv time meam per C

M1068 Pt not ambulatory C

M1069 Pt scr ft fall rsk C

M1070 Pt not scrn fut fall no rsn C

M1071 Pt had add'l sp pcr perf C

Q4122 Dermacell, awm, porous sq cm S L

Q4165 Keramatrix, kerasorb sq cm S L

Q4184 Cellesta or duo per sq cm S L

Q5105 Inj retacrit esrd on dialysi L

Q5106 Inj retacrit non-esrd use L


Installation Guide and Release Notes 2020 CPT/HCPCS Deleted Codes January 2020

34

Appendix D: 2020 CPT/HCPCS Deleted Codes CODE SHORT DESCRIPTION 19260 REMOVAL OF CHEST WALL LESION

19271 REVISION OF CHEST WALL

19272 EXTENSIVE CHEST WALL SURGERY

19304 MAST SUBQ

20926 REMOVAL OF TISSUE FOR GRAFT

33010 DRAINAGE OF HEART SAC

33011 REPEAT DRAINAGE OF HEART SAC

33015 INCISION OF HEART SAC

33860 ASCENDING AORTIC GRAFT

33870 TRANSVERSE AORTIC ARCH GRAFT

35721 EXPLORATION FEMORAL ARTERY

35741 EXPLORATION POPLITEAL ARTERY

35761 EXPLORATION OF ARTERY/VEIN

43401 ESOPHAGUS SURGERY FOR VEINS

64402 N BLOCK INJ FACIAL

64410 N BLOCK INJ PHRENIC

64413 N BLOCK INJ CERVICAL PLEXUS

74241 X-RAY UPPER GI DELAY W/KUB

74245 X-RAY UPPER GI&SMALL INTEST

74247 CONTRST X-RAY UPPR GI TRACT

74249 CONTRST X-RAY UPPR GI TRACT

74260 X-RAY EXAM OF SMALL BOWEL

76930 ECHO GUIDE CARDIOCENTESIS

78205 LIVER IMAGING (3D)

78206 LIVER IMAGE (3D) WITH FLOW

78320 BONE IMAGING (3D)

78607 BRAIN IMAGING (3D)

78647 CEREBROSPINAL FLUID SCAN

78710 KIDNEY IMAGING (3D)

78805 ABSCESS IMAGING LTD AREA

78806 ABSCESS IMAGING WHOLE BODY



35

CODE SHORT DESCRIPTION 78807 NUCLEAR LOCALIZATION/ABSCESS

90911 BIOFEEDBACK PERI/URO/RECTAL

92225 SPECIAL EYE EXAM INITIAL

92226 SPECIAL EYE EXAM SUBSEQUENT

93299 INTERROG EVAL ICPMS/SCRMS

95827 EEG ALL NIGHT RECORDING

95831 LIMB MUSCLE TESTING MANUAL

95832 HAND MUSCLE TESTING MANUAL

95833 BODY MUSCLE TESTING MANUAL

95834 BODY MUSCLE TESTING MANUAL

95950 AMBULATORY EEG MONITORING

95951 EEG MONITORING/VIDEORECORD

95953 EEG MONITORING/COMPUTER

95956 EEG MONITOR TECHNOL ATTENDED

96150 ASSESS HLTH/BEHAVE INIT

96151 ASSESS HLTH/BEHAVE SUBSEQ

96152 INTERVENE HLTH/BEHAVE INDIV

96153 INTERVENE HLTH/BEHAVE GROUP

96154 INTERV HLTH/BEHAV FAM W/PT

96155 INTERV HLTH/BEHAV FAM NO PT

97127 THER IVNTJ W/FOCUS COG FUNCJ

98969 ONLINE SERVICE BY HC PRO

99444 ONLINE E/M BY PHYS/QHP

0020U RX TEST PRSMV UR W/DEF CONF

0028U CYP2D6 GENE CPY NMR CMN VRNT

0081U ONC UVEAL MLNMA MRNA 15 GENE

0085U CDTB&VINCULIN IGG ANTB IA

0104U HERED PAN CA PNL 32 GENES

0205T INIRS EACH VESSEL ADD-ON

0206T CPTR DBS ALYS CAR ELEC DTA

0249T LIGATION HEMORRHOID W/US

0254T EVASC RPR ILIAC ART BIFUR

0341T QUANT PUPILLOMETRY W/RPRT



36

CODE SHORT DESCRIPTION 0357T CRYOPRESERVATION OOCYTE(S)

0375T TOTAL DISC ARTHRP ANT APPR

0377T ANOSCPY INJ AGENT FOR INCONT

0380T COMP ANIMAT RET IMAG SERIES

0399T MYOCARDIAL STRAIN IMAGING

0482T ABSL QUAN MYOCRD BLD FLO PET

3045F HG A1C LEVEL 7.0-9.0%

C9035 Injection, aristada initio

C9036 Injection, patisiran

C9037 Injection, risperidone

C9038 Inj mogamulizumab-kpkc

C9039 Injection, plazomicin

C9040 Injection, fremanezumab-vfrm

C9042 Inj., belrapzo 1 mg

C9043 Injection, levoleucovorin

C9044 Injection, cemiplimab-rwlc

C9045 Moxetumomab pasudotox-tdfk

C9141 Factor viii pegylated-aucl

C9407 Iodine i-131 iobenguane, dx

C9408 Iodine i-131 iobenguane, tx

C9447 Inj, phenylephrine ketorolac

C9746 Trans imp balloon cont

G0365 Vessel mapping hemo access

G0515 Cognitive skills development

G8649 Rafscrs ki no scor

G8653 Rafscrs hi no scor

G8657 Rafscrs llfai no scor

G8665 Rafscrs si no scor

G8669 Rafscrs

G8673 Rafscrs goi no scor

G8861 Dxa ordered for osteo

G8978 Mobility current status

G8979 Mobility goal status



37

CODE SHORT DESCRIPTION G8980 Mobility d/c status

G8981 Body pos current status

G8982 Body pos goal status

G8983 Body pos d/c status

G8984 Carry current status

G8985 Carry goal status

G8986 Carry d/c status

G8987 Self care current status

G8988 Self care goal status

G8989 Self care d/c status

G8990 Other pt/ot current status

G8991 Other pt/ot goal status

G8992 Other pt/ot d/c status

G8993 Sub pt/ot current status

G8994 Sub pt/ot goal status

G8995 Sub pt/ot d/c status

G8996 Swallow current status

G8997 Swallow goal status

G8998 Swallow d/c status

G8999 Motor speech current status

G9017 Amantadine hcl 100mg oral

G9018 Zanamivir,inhalation pwd 10m

G9019 Oseltamivir phosphate 75mg

G9020 Rimantadine hcl 100mg oral

G9033 Amantadine hcl oral brand

G9034 Zanamivir, inh pwdr, brand

G9035 Oseltamivir phosp, brand

G9036 Rimantadine hcl, brand

G9158 Motor speech d/c status

G9159 Lang comp current status

G9160 Lang comp goal status

G9161 Lang comp d/c status

G9162 Lang express current status



38

CODE SHORT DESCRIPTION G9163 Lang express goal status

G9164 Lang express d/c status

G9165 Atten current status

G9166 Atten goal status

G9167 Atten d/c status

G9168 Memory current status

G9169 Memory goal status

G9170 Memory d/c status

G9171 Voice current status

G9172 Voice goal status

G9173 Voice d/c status

G9174 Speech lang current status

G9175 Speech lang goal status

G9176 Speech lang d/c status

G9186 Motor speech goal status

G9472 No dxa no med hx no rv sx

G9742 Psych sympt assessed

G9743 Psych symp not assessed, rns

G9941 Pre and post vas wthn 3 mos

G9944 Vas 3 mon pre and 1 yr post

G9947 Pre and post vas wthn 3 mos

J1942 Aripiprazole lauroxil 1mg

M1000 Pain scr as mod to sevr

M1001 Pln to adrs pain doc

M1002 Pln to adrs pain not doc

M1030 Pt clin ind img hd

M1042 Ftl st mea sco ot odi 3 mo

M1044 Ftl st mea odi 3 mo

M1047 Fs msrd oks pre and post

M1048 Fsm wth scr odi pre and post

M1050 Fs msrd odi pre and post

M1053 Pre and post vas wthn 3 mos

S1090 Mometasone sinus implant


Installation Guide and Release Notes 2020 CPT/HCPCS Modifier Codes January 2020

39

Appendix E: 2020 CPT/HCPCS Modifier Codes CODE SHORT DESCRIPTION NEW STATUS SHORT LONG 25 SIGNIFICANT, SEPARATE ID E/M S L 50 BILATERAL PROCEDURE L 63 PROCEDURE PERFORMED ON INFANTS L 91 REPEAT CLINICAL DIAGNOSTIC LAB L 97 REHABILITATIVE SERVICES L GD UNIT OF SERVICE > MUE VALUE I MA EMER MED COND SUSP/CONFIRM N MB AUC HARDSHIP, INSUF INTERNET N MC AUC HARDSHIP, VENDOR ISSUES N MD AUC HARDSHIP, EXTREME CIRC N ME ORDER ADHERES TO AUC N MF ORDER DOES NOT ADHERE TO AUC N MG AUC NOT APPLICABLE TO ORDER N MH AUC CONSULT NOT PROVIDED N


Installation Guide and Release Notes Glossary January 2020

40

Glossary

CPT Codes One of several codes sets used by the healthcare industry to standardize data, allowing for comparison and analysis. Current Procedural Terminology was developed and is updated annually by the American Medical Association and is widely used in producing bills for services rendered to patients. CPTs include codes for diagnostic and therapeutic procedures and specify information that differentiates the codes based on cost. CPT codes are the most widely accepted nomenclature in the United States for reporting physician procedures and services for federal and private insurance third-party reimbursement.

FileMan The database management system for RPMS.

KIDS Kernel Installation and Distribution System consists of programs that function as a set of standard software tools. These tools provide a uniform interface between the underlying operating system and Veterans Health Information Systems and Technology Architecture (VistA) application modules. Kernel supports VistA modules through the coordination of database, device, menu management, background job scheduling, security, auditing, and programming functions. Kernel Installation and Distribution System is the module that is used to install the appropriate tools for each application.

RPMS The Resource and Patient Management System is a decentralized integrated solution for management of both clinical and administrative information in these healthcare facilities. Flexible hardware configurations, over 50 software applications, and network communication components combine to create a comprehensive clinical, financial, and administrative solution; a solution that can stand alone or function in concert with other components as needed.


Installation Guide and Release Notes Acronym List January 2020

41

Acronym List

Acronym Meaning CPT Current Procedural Terminology CY Calendar Year DFARS Defense Federal Acquisition Regulation Supplement FARS Federal Acquisition Regulation Supplement FY Fiscal Year IHS Indian Health Service HCPCS Healthcare Common Procedure Coding System KIDS Kernel Installation and Distribution System OIT Office of Information Technology RPMS Resource and Patient Management System


Installation Guide and Release Notes Contact Information January 2020

42

Contact Information

If you have any questions or comments regarding this distribution, please contact the IHS IT Service Desk.

Phone: (888) 830-7280 (toll free) Web: https://www.ihs.gov/itsupport/ Email: [email protected]

https://www.ihs.gov/itsupport/

mailto:[email protected]

Current Procedural Terminology CPT Update (ACPT) · 2020-01-07 · Current Procedural Terminology...

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