2015 New CPT Coding Changes for General Surgery Practice

2015_Coding_Changes_for_General_SurgeryI have been a coder for General Surgery for almost 10 years now changes are not new to me. In 2015 we need to know that we have new, revised and deleted codes for General Surgery and this will affect our reimbursement if we are not aware of these changes.

2015 New CPT Coding Changes for General Surgery Practice Effective January 1, 2015

We have 2 deleted Codes for transendoscopic stent placement and ablation of lesion:

45339 – Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot biopsy forceps, bipolar cautery or snare technique) and 45345 … with transendoscopic stent placement (includes predilation).

 

Effective January 1, 2015 the Flex Sigmoidoscopy procedure will have 4 Additional New Codes:

 

45346 — Sigmoidoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed) 45347 — with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage, when performed) 45349 — with endoscopic mucosal resection 45350 — with band ligation(s) (e.g., hemorrhoids)

Wound Therapy is also a part of 2015 New CPT Coding Changes for General Surgery

 

97605 — Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters 97606 — total wound(s) surface area greater than 50 square centimeters 97607 — Negative pressure wound therapy, (e.g., vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongoing care, per session; total wound(s) surface area less than or equal to 50 square centimeters 97608 — total wound(s) surface area greater than 50 square centimeters.

Anoscopy Procedures 2015 New CPT Coding Changes for General Surgery

 

46600 — Anoscopy; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure) 46601 — diagnostic, with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, including collection of specimen(s) by brushing or washing, when performed 46607 — with high-resolution magnification (HRA) (eg, colposcope, operating microscope) and chemical agent enhancement, with biopsy, single or multiple.    

 

Colonoscopy 2015 New CPT Coding Changes for General Surgery

 

 

 

Colonoscopy 2015 New CPT Coding Changes for General Surgery

44401 – Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed).
44402 – Colonoscopy through stoma; with transendoscopic stent placement (includes predilation);
*** 44402 will replace 44397
44408 Colonoscopy through stoma; with decompression; for pathologic distention (eg, volvulus, megacolon), including placement of decompression tube, when performed.

Added Two Unlisted Codes 2015 New CPT Coding Changes for General Surgery
44799 (Unlisted procedure, small intestine)
45399 (Unlisted procedure, colon)

There goes your some of your 2015 New CPT Coding Changes for General Surgery Practice

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References: CPT Changes 2015, CPT Code Book 2015, CMS Guidelines and Policies

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Author: Pinky Maniri

Ms. Pinky, as she is fondly called - is a Reputable Professional Consultant and Expert in Practice Administration, Medical Billing, Coding, Health Information Technology, Insurance Credentialing and Compliance for Physician Offices. Well-educated with a Degree in Computer Systems Engineering and a background in Clinical Nursing and Small Business Management. Her professional mission is to make sure her clients/physicians maximize reimbursement while they remain compliant with the current rules, changes, guidelines and policies. Read More About Ms. Pinky here and See what Other's say about her Expertise Testimonials

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