Neurology & Pain Management Coding Alert

CPT® 2024:

T Code Expansion Coming Next Year

Published on Fri Nov 17, 2023

Reimbursement of these codes is payer-dependent.

If CPT^® 2024 is any indication, there could be a bevy of CPT^® Category I codes for your specialty coming in the next few years.

Meaning: There are quite a few new codes in the Category III section of CPT^® 2024, which means CPT^® is looking at adding these codes to the permanent roster of codes.

Check out this rundown of new Category III (or T) codes that will be available for use on January 1, 2024.

Know How to Use Category III Codes

According to the AMA, “CPT^® Category III codes are a set of temporary codes that allow data collection for emerging technologies, services, procedures, and service paradigms. These codes are intended to be used for data collection to substantiate widespread usage or to provide documentation for the Food and Drug Administration (FDA) approval process.”

Remember: Category III codes aren’t always reimbursable. Payment is determined by case and by payer. Basically, these codes have been created to establish usage so that in the future a Category I code might be created. Reach out to the payer to see if it reimburses the code.

Check Out New 2024 T Codes

The list of new Category III/T codes for 2024 that you’ll want to note are listed below:

0784T (Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator, including imaging guidance, when performed)
0785T (Revision or removal of neurostimulator electrode array, spinal, with integrated neurostimulator)
0786T (Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator, including imaging guidance, when performed)
0787T (Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator)
0788T (Electronic analysis with simple programming of implanted integrated neurostimulation system (eg, electrode array and receiver), including contact group(s), amplitude, pulse width, frequency (Hz), on/off cycling, burst, dose lockout, patient-selectable parameters, responsive neurostimulation, detection algorithms, closed-loop parameters, and passive parameters, when performed by physician or other qualified health care professional, spinal cord or sacral nerve, 1-3 parameters)

0789T (Electronic analysis with complex programming of implanted integrated neurostimulation system (eg, electrode array and receiver), including contact group(s), amplitude, pulse width, frequency (Hz), on/off cycling, burst, dose lockout, patient-selectable parameters, responsive neurostimulation, detection algorithms, closed-loop parameters, and passive parameters, when performed by physician or other qualified health care professional, spinal cord or sacral nerve, 4 or more parameters)
0790T (Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar vertebral body tethering, including thoracoscopy, when performed)
0865T (Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies), including lesion identification, characterization, and quantification, with brain volume(s) quantification and/or severity score, when performed, data preparation and transmission, interpretation and report, obtained without diagnostic MRI examination of the brain during the same session)
0866T (Quantitative magnetic resonance image (MRI) analysis of the brain with comparison to prior magnetic resonance (MR) study(ies), including lesion detection, characterization, and quantification, with brain volume(s) quantification and/or severity score, when performed, data preparation and transmission, interpretation and report, obtained with diagnostic MRI examination of the brain (List separately in addition to code for primary procedure)).