Ob-Gyn Coding Alert
New CPT Section Means Tracking E/M Components
Question: I heard that there's a new code section coming in CPT 2004. What is it and how will we use it? Answer: You're correct, there is a new section in CPT for 2004, Category II codes. Although you may be reporting more codes, you won't be seeing any additional reimbursement.
Florida Subscriber
CPT's new Category II adds supplemental tracking codes for performance measurements. AMA adds this section to comply with HIPAA regulation requirements. These codes will not affect reimbursement. Instead, AMA hopes that these codes will facilitate data collection about quality of care, and some of the codes may relate to healthcare professionals' compliance with state or federal law. You should be aware of the following:
Using Category II codes is optional, and you may not substitute them for the regular Category I CPT codes.
Category II codes describe components that are typically included in an E/M service or test results that are part of the laboratory test/procedure.
Category II codes have no relative value units assigned to them.
AMA will release new codes for this section semi-annually, and you can find them on the AMA/CPT Web site www.ama-assn.org/ama/pub/category/3885.html. They will be published in the CPT each year.
The Category II codes that will be effective Jan. 1, 2004, are:
0001F - Blood pressure, measured
0002F - Tobacco use, smoking, assessed
0003F - Tobacco use, non-smoking, assessed
0004F - Tobacco use cessation intervention, counseling
0005F - Tobacco use cessation intervention, pharmacologic therapy
0006F - Statin therapy, prescribed
0007F - Beta-blocker therapy, prescribed
0008F - ACE inhibitor therapy, prescribed
0009F - Anginal symptoms and level of activity, assessed
0010F - Anginal symptoms and level of activity, assessed using a standardized instrument (e.g., Canadian Cardiovascular Society Classification - CCSC - System, Seattle Angina Questionnaire - SAQ)
0011F - Oral antiplatelet therapy, prescribed (e.g., aspirin, clopidogrel/Plavix, or combination of aspirin and dipyridamole/Aggrenox).
Ob-Gyn Coding Alert
- Get Ready for CPT 2004:
Colpopexy and Fetal Surgery Top the List of Procedural Code Changes
CPT 2004 code changes provide needed specificity for fetal surgeries and continue the trend to [...] - 2004 Lab Codes Give Infertility Specialists More to Work With
CPT creates whole-new section that includes embryo and oocyte handling Infertility specialists who perform laboratory [...] - CPT Has the Aspirin for Your Colpopexy Headache
CPT 2004 adds a new code (57425, Laparoscopy, surgical, colpopexy [suspension of vaginal apex]) for [...] - You Be the Coder:
Ovarian Cyst Aspiration
Question: The doctor performed a transvaginal ultrasound-guided aspiration of ovarian cysts. Should I report this [...] - CPT 2004 Medicine Section Gets Vaccine Update
New Category III codes rely on Gailrisk score CPT 2004 moves to update its vaccine [...] - NCCI 9.3 Bundles Transvaginal Ultrasound
Don't report a nonobstetric transvaginal ultrasound with a complete pelvic ultrasound because the National Correct [...] - Reader Question:
New CPT Section Means Tracking E/M Components
Question: I heard that there's a new code section coming in CPT 2004. What is [...] - Reader Question:
Choose -59 for Curettage Bleeding Control
Question: One of our ob-gyns was performing a loop electrosurgical excision procedure with conization in [...] - Reader Question:
Unlisted-Procedure Code Only Option for McCall Culdoplasty
Question: A patient has a vaginal vault prolapse. The ob-gyn will be doing a laparoscopic [...]
