Get Cardiology CPT Code Changes 2015 and latest Cardiovascular Coding Updates.

More than 500 CPT Code Changes are being implemented in 2015. Cardiovascular CPT Code Changes in 2015 includes 33 new codes, 23 revised codes and 6 deleted codes.

Current Procedural Terminology (CPT) is a system that codes the existing medical procedures, treatments, and services. The CPT codes are essential for the documentation and discussions of medical procedures and services among healthcare providers such as medical practitioners (general physicians, cardiologists, dermatologists, and other specialists), nurse practitioners (nurse anesthetist, nurse midwife), patients, medical technicians, insurance companies, hospital administrators as well as medical billers and codes.

Use of CPT Codes is essential in US healthcare system, to reduce the possibility of miscommunication. For that reason also, it is important that the CPT Codes are kept up to date to keep up with the latest developments in medical field. That's why, Medical Billing and Coding professional in United States are required to keep updated with the revised CPT Code Changes, every year by American Medical Association (AMA).

Cardiology CPT Code Changes 2015 are important to be reviewed particularly by medical people who work in cardiology. CPT Codes are divided into 3 categories. Category I CPT Codes are further divided into 6 main sections, including Evaluation and Management, Anesthesia, Surgery, Radiology, Pathology and Laboratory, and Medicine. Category II CPT Codes are intended for performance measurement, and therefore, is not for reimbursement. Category III CPT Codes are about Emerging Technology.

Cardiology / Cardiovascular CPT Code Changes and Updates 2015

Each year, CPT Codes are discussed and, if necessary, revised by CPT Editorial Panel, a panel in AMA that is responsible for managing and revising CPT Codes each year. In fact, CPT Editorial Panel holds three meetings every year to review and discuss what needs to be changed in CPT Codes based on the new developments in medical technologies, procedures, and techniques. Likewise, Cardiology CPT Code Changes 2015 are also based on the new developments in technologies, procedures, and techniques concerning cardiology. CPT Editorial Panel establishes and publishes the new CPT Codes, usually in the fall (around October), each year. The new CPT Codes are started to be officially used in the beginning of the next year (January, 1st). Although CPT Codes are renewed every year, the revision is kept to minimum to avoid massive confusion, especially among people who work in medical field, and to make it easier for them to adapt to the new CPT Codes.

Below we are summary and list of Cardiology CPT Codes Changes in 2015:

Cardiology / Cardiovascular CPT Code Changes and Updates 2015

Cardiology CPT Code Changes 2015 can obviously be found under sections about Cardiovascular such as CPT Codes 92950 - 93799 (under medicine section in Category I), CPT Codes 33010 - 37799 (under surgery section in Category I), and also in other sections and categories.

CPT Editorial Panel only made a few changes in CPT Codes about cardiology. The changes in Cardiovascular CPT Codes aincludes several procedures such as TEE, FEVAR, ECMO, Stent and Complex Chronic Care.
  1. New Interventional TEE CPT Codes for Transesophageal Echocardiography

    The Cardiology CPT Code Changes 2015 about TEE may include the addition of new codes that describe specific types of TEE. When you use the previous CPT Codes, you might use one CPT Code for more than one type of TEE. This is because in the previous CPT Codes, one code may be used for more than one type of TEE. The 2015 CPT Codes, however, break down a clump of TEE in one code into several different codes.

  2. New FEVAR CPT Codes 2015

    Another change in Cardiology CPT Code Changes 2015 is about FEVAR (Fenestrated Endovascular Aortic Aneurysm Repair) procedures. Similar to the changes in Cardiology CPT Codes about TEE, the changes in Cardiology CPT Codes about FEVAR also include the addition of new codes that can specify FEVAR procedures. In other words, it is no longer clumped in one code.

  3. ECMO CPT Code Changes 2015

    The previous CPT Codes for ECMO (Extracorporeal Membrane Oxygenation) are deleted and replaced by many more codes to specify the procedures.

  4. TMVR new CPT codes for Transcatheter Mitral Valve Repair

    New coding notes pertaining to transcatheter mitral valve repair (TMVR) were added for the subheading Mitral Valve. These notes pertain exclusively to the two new CPT codes added for TMVR, 33418, and add-on code for additional prosthesis during the same session, 33419.

  5. 25 ECMO/ECLS new CPT Codes Changes for Cardiac Support

    Twenty-five new codes were added to the new subheading of Extracorporeal Membrane Oxygenation (ECMO) or Extracorporeal Life Support Services (ECLS). These procedures provide cardiac and/or respiratory support to the heart and lungs. The codes represent the services directly related to the cannulation, initiation, management, and discontinuation of the ECMO/ECLS (33946-33989).

  6. Stent Procedures CPT Codes Changes

    2015 CPT Codes also get a new code related to Stent procedures.

  7. Pacemaker or Pacing Cardioverter-Defrillator

    The 2014 subheading of Pacemaker or Pacing Cardioverter-Defrillator was replaced by Pacemaker and Implantable Defibrillator. There are extensive new and revised notes which include updated definitions as well as additions to the table for Pacemaker and Implantable Defibrillator code selections. A new code has been added for the insertion of an implantable defibrillator system, 33270, and one for electrode insertion, 33271. Two new codes were added for the removal (33272) and repositioning (33273) of the electrodes.

  8. Complex Chronic Care for Cardiology

    Complex Chronic Care for Cardiology is also put into a new code in 2015 Cardiology CPT Codes.

  9. Cardiology Emerging Technology

    Aside from those additional new codes for various cardiology procedures and treatments, there are also some Cardiology CPT Code Changes 2015 concerning the new technologies in Cardiology. Many new technologies in Cardiology that had been previously coded in Category III Emerging Technology are now finally moved to Category I in 2015 CPT Codes; that means, there are more awesome, better, and safer advanced medical options now when it comes to cardiology.

Revised CPT Codes- acemaker/Implantable Defibrillator

33215Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode
33216Insertion of a single transvenous electrode, permanent pacemaker or implantable defibrillator
33217Insertion of 2 transvenous electrodes, permanent pacemaker or implantable defibrillator
33218Repair of single transvenous electrode, permanent pacemaker or implantable defibrillator
33220Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator
33223Relocation of skin pocket for implantable defibrillator
33224Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, with attachment to previously placed pacemaker or implantable defibrillator pulse generator (including revision of pocket, removal, insertion, and/or replacement of existing generator)

Revised CPT Codes- acemaker/Implantable Defibrillator

33225Insertion of pacing electrode, cardiac venous system, for left ventricular pacing, at time of insertion of implantable defibrillator or pacemaker pulse generator (eg, for upgrade to dual chamber system) (List separately in addition to code for primary procedure)
33230Insertion of implantable defibrillator pulse generator only; with existing dual leads
33231Insertion of implantable defibrillator pulse generator only; with existing multiple leads
33240Insertion of implantable defibrillator pulse generator only; with existing single lead
33241Removal of implantable defibrillator pulse generator only
33243Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy
33244Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction

Revised CPT Codes- acemaker/Implantable Defibrillator

33249Insertion or replacement of permanent implantable defibrillator system with transvenous lead(s), single or dual chamber
33262Removal of implantable  defibrillator pulse generator with replacement of implantable  defibrillator pulse generator; single lead system
33263Removal of implantable  defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system
33264Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system

New CPT Codes- Pacemaker/Implantable Defibrillator

33270Insertion or replacement of permanent subcutaneous implantable defibrillator system, with subcutaneous electrode, including defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic parameters, when performed
33271Insertion of subcutaneous implantable defibrillator electrode
33272Removal of subcutaneous implantable defibrillator electrode
33273Repositioning of previously implanted subcutaneous implantable defibrillator electrode

Deleted CPT Code- Aorta and Great Vessels

33332Insertion of graft, aorta or great vessels; with shunt bypass

New CPT Code- Aorta and Great Vessels

33418Transcatheter mitral valve repair, percutaneous approach, including transseptal puncture when performed; initial prosthesis
+33419; additional prosthesis(es) during same session

Deleted CPT Code- Pulmonary Valvotomy

33472Valvotomy, pulmonary valve, open heart; with inflow occlusion

New CPT Codes- Extracorporeal membrane oxygenation (ECMO) /extracorporeal life support (ECLS)

33946Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation, veno-venous
33947initiation, veno-arterial
33948daily management, each day, veno-venous
33949daily management, each day, veno-arterial
33951insertion of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed)
339526 years and older >
33953insertion of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age
339546 years and older
33955insertion of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age
339566 years and older
33957reposition peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age (includes fluoroscopic guidance, when performed)
339586 years and older
33959reposition peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age >
339626 years and older
33963reposition of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age
33964 6 years and older
33965removal of peripheral (arterial and/or venous) cannula(e), percutaneous, birth through 5 years of age
339666 years and older
33969removal of peripheral (arterial and/or venous) cannula(e), open, birth through 5 years of age
33984 > 6 years and older
33985removal of central cannula(e) by sternotomy or thoracotomy, birth through 5 years of age
339866 years and older
33987Arterial exposure with creation of graft conduit (eg, chimney graft) to facilitate arterial perfusion for ECMO/ECLS
33988Insertion of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS
33989Removal of left heart vent by thoracic incision (eg, sternotomy, thoracotomy) for ECMO/ECLS

Deleted CPT Codes- ECMO

33960Prolonged extracorporeal circulation for cardiopulmonary insufficiency; initial day
33961each subsequent day
36822Insertion of cannula(s) for prolonged extracorporeal circulation for cardiopulmonary insufficiency (ECMO) (separate procedure)

Deleted CPT Codes- Destruction of Vein

36469Single or multiple injections of sclerosing solutions, spider veins (telangiectasia); face

Revised CPT Codes - Stenting

37215Transcatheter placement of intravascular stent(s), cervical carotid artery, percutaneous; with distal embolic protection
37216without distal embolic protection
37217Transcatheter placement of an intravascular stent(s), intrathoracic common carotid artery or innominate artery by retrograde treatment, via open ipsilateral cervical carotid artery exposure, including angioplasty, when performed, and radiological supervision and interpretation
37236Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or percutaneous, including radiological supervision and interpretation and including all angioplasty within the same vessel, when performed; initial artery
37237each additional artery (List separately in addition to code for primary procedure)

New CPT Code- Stenting

37218Transcatheter placement of intravascular stent(s), intrathoracic common carotid artery or innominate artery, open or percutaneous antegrade approach, including angioplasty, when performed, and radiological supervision and interpretation

The new Cardiology and Cardiovascular CPT changes in 2015 are likely to make the things more better for useful Cardiologists, Medical Billers and Insurances. The additions and reorganizations in Cardiology CPT Codes will reducing further the chance of error and miscommunication while documenting and discussing cardiology procedure or treatment among healthcare providers, patients, insurance companies, hospital administrators, medical technicians, and all parties concerned.

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