Current Procedural Terminology (CPT®) 2016 contains new and revised codes for a variety of diagnostic, interventional, nuclear medicine and radiation oncology procedures. McKesson Business Performance Services (McKesson) has prepared this summary to provide you with details on CPT code additions, deletions and modifications issued by the American Medical Association (AMA). At the time of this distribution, CMS Healthcare Common Procedure Coding System (HCPCS) procedure codes (new, revised and modified) had not been issued and therefore are not represented in this document.
Procedural Code Changes
With 2016 CPT, there have been 361 code changes. In the 70,000 series, Diagnostic Radiology, there were several changes, including fourteen additions, ten revised codes and twenty deleted codes. Some of those changes include the deletion of supervision and interpretation codes related to urinary catheter/ stent and biliary drainage procedures. For these codes, the instructional notes reference the proper code selection to be in the 50000 or 40000 series where new codes appear which include imaging guidance and any associated radiological supervision and interpretation.
Radiation Oncology subsection changes include five additions, three revised codes, and five deleted codes. Nuclear Medicine subsection changes include two added and one revised code. Interventional Radiology was impacted most by new codes for urinary imaging and percutaneous drainage procedures, as well as biliary tract imaging and percutaneous drainage procedures. As seen in previous years, these new codes now include imaging guidance and/or radiological supervision and interpretation. Additional instructional notes were added throughout the radiology section regarding guidance procedures now bundled into new surgical codes. The code specifics will appear later in this document.
Changes to the Diagnostic Radiology Section include deleted codes and new codes for spine, hip/pelvis, and extremity exams. New MRI codes were added for fetal evaluation. Several codes were revised to replace the term “films” with the term “images”. Urinary and biliary imaging radiological supervision and interpretation (RS&I) codes were deleted. Several parenthetical notes were added throughout the section to reflect changes in other procedures (e.g., new surgical procedures now bundling imaging).
Several changes have been made to better reflect current practices in Radiation Oncology. This included deletion of codes describing interstitial radiation source application and revision of code 77778. New codes were added for remote afterloading brachytherapy services.
New codes have been added to describe gastric emptying with small bowel and colon transit studies.
Changes include multiple deleted and new codes for urinary and biliary imaging and percutaneous drainage procedures which now include all imaging and RS&I. Previously reported as unlisted CPT codes, new codes were added to describe soft tissue marker placement and percutaneous image-guided sclerotherapy fluid collection. Mechanical thrombectomy codes have been revised and new intracranial therapy codes have been added that describe revascularization of cerebral vessels and prolonged intracranial infusion therapy.
CATEGORY III CODES
New codes were created to describe high dose rate electronic brachytherapy. These will replace HDR electronic brachytherapy code 0182T which is being deleted.
View the complete summary of CPT codes for radiology (PDF, 424 KB).