2007 CPT Update Demo

Introduction

New and changed CPT4 codes are introduced for 2007.  These changes are affective January 1, 2007.     This tutorial will list the new codes and changes.  New technology codes must be used if they exist in place of the CPT code.  The new technology codes are not discussed in this tutorial. 

 Anesthesia

New

00625

Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; not uti­lizing one lung ventilation

New

 

Anesthesia for procedures on the thoracic spine and cord, via an anterior transthoracic approach; utilizing one lung ventilation

Changed

 

Anesthesia for all procedures on the larynx and trachea in children younger than 1 year of age

Changed

 

Anesthesia for procedures on heart, pericardial sac, and great vessels of chest; with pump oxygenator, younger than one year of age

Changed

 

Anesthesia for hernia repairs in the lower abdomen not otherwise specified, younger than 1 year of age

Changed

 

Anesthesia for hernia repairs in the lower abdomen not otherwise specified, infants younger than 37 weeks gestational age at birth and younger than 50 weeks gestational age at time of surgery

Changed

 

Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; renal procedures, including upper one-third of ureter, or donor nephrectomy

Changed

 

Anesthesia for open procedures involving upper two-thirds of femur; not otherwise specified

Changed

 

Anesthesia for open procedures involving upper two-thirds of femur; amputation

Changed

 

Anesthesia for open procedures involving upper two-thirds of femur; radical resection

Changed

 

Anesthesia for all closed procedures on lower one-third of femur

Changed

 

Anesthesia for all open procedures on lower one-third of femur

Integumentary System

New

15002

Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; first 100 sq cm or 1% of body area of infants and children.  This code replaces 15000

New

 

Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, trunk, arms, legs; each additional 100 sq cm or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure)  This code replaces 15001

New

 

Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children. 

New

 

Surgical preparation or creation of recipient site by excision of open wounds, burn eschar, or scar (including subcutaneous tissues), or incisional release of scar contracture, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and/or multiple digits; each additional 100 sq cm or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure)

New

 

Forehead flap with preservation of vascular pedicle (such as axial pattern flap, paramedian forehead flap)

New

 

Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy.  This code replaces 15831

New

 

Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (such as abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary proce­dure).  This code replaces 15831.

New

 

Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histo-pathologic preparation including routine stain(s) (such as hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; first stage, up to 5 tissue blocks.  This code replaces 17304

New

 

Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histo-pathologic preparation including routine stain(s) (such as hematoxylin and eosin, toluidine blue), head, neck, hands, feet, genitalia, or any location with surgery directly involving muscle, cartilage, bone, tendon, major nerves, or vessels; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure).    This code replaces 17305.

New

 

Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histo-pathologic preparation including routine stain(s) (such as  hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; first stage, up to 5 tissue blocks.  This code replaces 17306.

New

 

Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histo-pathologic preparation including routine stain(s) (such as hematoxylin and eosin, toluidine blue), of the trunk, arms, or legs; each additional stage after the first stage, up to 5 tissue blocks (List separately in addition to code for primary procedure).  This code replaces 17307.

New

 

Mohs micrographic technique, including removal of all gross tumor, surgical excision of tissue specimens, mapping, color coding of specimens, microscopic examination of specimens by the surgeon, and histo-pathologic preparation including routine stain(s) (such as hematoxylin and eosin, toluidine blue), each additional block after the first 5 tissue blocks, any stage (List separately in addition to code for primary procedure).  This code replaces 17310.

New

 

Ablation, cryosurgical, of fibroadenoma, including ultrasound guidance, each fibroadenoma

New

 

Mastectomy for gynecomastia.  This code replaces 19140

New

 

Mastectomy, partial (such as lumpectomy, tylectomy, quadrantectomy, segmentectomy).  This code replaces 19160.

New

 

Mastectomy, partial (such as lumpectomy, tylectomy, quadrantectomy, segmentectomy); with axillary lym-phadenectomy.  This code replaces 19162.

New

 

Mastectomy, simple, complete.  This code replaces 19180

New

 

Mastectomy, subcutaneous.  This code replaces 19182

New

 

Mastectomy, radical, including pectoral muscles, axillary lymph nodes. 

New

 

Mastectomy, radical, including pectoral muscles, axillary and internal mammary lymph nodes (Urban type operation).  This code replaces 19200

New

 

Mastectomy, modified radical, including axillary lymph nodes, with or without pectoralis minor muscle, but excluding pectoralis major muscle.  This code replaces 19240

Changed

 

Split-thickness autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)

Changed

 

Split-thickness autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Epidermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Changed

 

Epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple dig­its; first 100 sq cm or less, or 1% of body area of infants and children

Changed

 

Epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple dig­its; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children (except 15050)

Changed

 

Split-thickness autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or par t thereof (List separately in addition to code for primary procedure)

Changed

 

Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Changed

 

Dermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Changed

 

Dermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Tissue cultured epidermal autograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary proce­dure)

Changed

 

Tissue cultured epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/ or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Acellular dermal replacement, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Changed

 

Acellular dermal replacement, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Acellular dermal replacement, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Changed

 

Acellular dermal replacement, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Allograft skin for temporary wound closure, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Changed

 

Allograft skin for temporary wound closure, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Allograft skin for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Changed

 

Allograft skin for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Acellular dermal allograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and chil­dren

Changed

 

Acellular dermal allograft, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Acellular dermal allograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Changed

 

Acellular dermal allograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or par t thereof (List separately in addition to code for primary procedure)

Changed

 

Tissue cultured allogeneic dermal substitute, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Changed

 

Tissue cultured allogeneic dermal substitute, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Tissue cultured allogeneic dermal substitute, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Changed

 

Tissue cultured allogeneic dermal substitute, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Xenograft, skin (dermal), for temporary wound closure, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children

Changed

 

Xenograft, skin (dermal), for temporary wound closure, trunk, arms, legs; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Xenograft skin (dermal), for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or 1% of body area of infants and children

Changed

 

Xenograft skin (dermal), for temporary wound closure, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Acellular xenograft implant; first 100 sq cm or less, or 1% of body area of infants and children

Changed

 

Acellular xenograft implant; each additional 100 sq cm, or each additional 1% of body area of infants and children, or part thereof (List separately in addition to code for primary procedure)

Changed

 

Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh

Changed

 

Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg

Changed

 

Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip

Changed

 

Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock

Changed

 

Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm

Changed

 

Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand

Changed

 

Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad

Changed

 

Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area

Changed

 

Destruction (such as, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (such as actinic keratoses); first lesion

Changed

 

Destruction (such as laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalignant lesions (such as actinic keratoses); second through 14 lesions, each (List separately in addition to code for first lesion)

Changed

 

Destruction (such as laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), premalig-nant lesions (such as actinic keratoses), 15 or more lesions

Changed

 

Destruction (such as, laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular lesions; up to 14 lesions

Changed

 

Destruction (such as laser surgery, electrosurgery, cryosurgery, chemosurgery, surgical curettement), of benign lesions other than skin tags or cutaneous vascular lesions; 15 or more lesions

Changed

 

Electrolysis epilation, each 30 minutes

Changed

 

Excision of cyst, fibroadenoma, or other benign or malignant tumor, aberrant breast tissue, duct lesion, nip­ple or areolar lesion (except 19300), open, male or female, one or more lesions

Changed

 

Breast reconstruction with latissimus dorsi flap, without prosthetic implant

Musculoskeletal System

New

22526

Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; single level

New

 

Percutaneous intradiscal electrothermal annuloplasty, unilateral or bilateral including fluoroscopic guidance; one or more additional levels (List separately in addition to code for primary procedure)

New

 

Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than for decompression), lumbar, single interspace

New

 

Revision including replacement of total disc arthroplasty (artificial disc) anterior approach, lumbar, single interspace

New

 

Removal of total disc arthroplasty (artificial disc), anterior approach, lumbar, single interspace

New

 

Excision of tendon, forearm and/or wrist, flexor or extensor, each. 

New

 

Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation.  This code replaces 25611.

New

 

Open treatment of distal radial extra-articular fracture or epiphyseal separation, with internal fixation.  This code replaces 25620

New

 

Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments.  This code replaces 25620

New