2012 Radiology CPT Code Update

New Radiology Codes

74174: Computed tomographic angiography, abdomen and pelvis, with contrast material(s), including noncontrast images, if performed, and image postprocessing

77424: Intraoperative radiation treatment delivery, x-ray, single treatment session

77425: Intraoperative radiation treatment delivery, electrons, single treatment session

77469: Intraoperative radiation treatment management

78226: Hepatobiliary system imaging, including gallbladder when present;

78227: Hepatobiliary system imaging, including gallbladder when present; with pharmacologic intervention, including quantitative measurement(s) when performed

78579: Pulmonary ventilation imaging (eg, aerosol or gas)

78582: Pulmonary ventilation (eg, aerosol or gas) and perfusion imaging

78597: Quantitative differential pulmonary perfusion, including imaging when performed

78598: Quantitative differential pulmonary perfusion and ventilation (eg, aerosol or gas), including imaging when performed

93998: Unlisted noninvasive vascular diagnostic study

0274T: Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), with or without the use of an endoscope, single or multiple levels, unilateral or bilateral; cervical or thoracic

0275T: Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements, (with or without ligamentous resection, discectomy, facetectomy and/or foraminotomy), any method, under indirect image guidance (eg, fluoroscopic, CT), with or without the use of an endoscope, single or multiple levels, unilateral or bilateral; lumbar

0282T: Percutaneous or open implantation of neurostimulator electrode array(s), subcutaneous (peripheral subcutaneous field stimulation), including imaging guidance, when performed, cervical, thoracic or lumbar; for trial, including removal at the conclusion of trial period

0283T: Percutaneous or open implantation of neurostimulator electrode array(s), subcutaneous (peripheral subcutaneous field stimulation), including imaging guidance, when performed, cervical, thoracic or lumbar; permanent, with implantation of a pulse generator

0284T: Revision or removal of pulse generator or electrodes, including imaging guidance, when performed, including addition of new electrodes, when performed

0285T: Electronic analysis of implanted peripheral subcutaneous field stimulation pulse generator, with reprogramming when performed

Revised Codes

70355: Orthopantogram (eg, panoramic x-ray);

72114: complete, including bending views, minimum of 6 views

72120: bending views only, 2 or 3 views

75962: Transluminal balloon angioplasty, peripheral artery other than renal, or other visceral artery, iliac or lower extremity, radiological supervision and interpretation;

75964: Transluminal balloon angioplasty, each additional peripheral artery other than renal, or other visceral artery, iliac or lower extremity, radiological supervision and interpretation (List separately in addition to code for primary procedure);

77003: Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid)

77470: Special treatment procedure (eg, total body irradiation, hemibody radiation, per oral, endocavitary irradiation);

78580: Pulmonary perfusion imaging (eg, particulate);

0240T: Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with high resolution esophageal pressure topography

0241T: with stimulation or perfusion during high resolution esophageal pressure topography study, (eg, stimulant, acid or alkali perfusion) (List separately in addition to code for primary procedure)

Deleted Codes

71090: Insertion pacemaker, fluoroscopy and radiography, radiological supervision and interpretation;

73542: Radiological examination, sacroiliac joint arthrography, radiological supervision and interpretation;

75722: Angiography, renal, unilateral, selective (including flush aortogram), radiological supervision and interpretation; (To report see 36251, 36253)

75724: Angiography, renal, bilateral, selective (including flush aortogram), radiological supervision and interpretation; (To report see 36252, 36254)

75940: Percutaneous placement of IVC filter, radiological supervision and interpretation; (To report, use 37191)

77079: appendicular skeleton (peripheral) (eg, radius, wrist, heel)

77083: Radiographic absorptiometry (eg, photodensitometry, radiogrammetry), 1 or more sites;

78220: Liver function study with hepatobiliary agents, with serial images

78223: Hepatobiliary ductal system imaging, including gallbladder, with or without pharmacologic intervention, with or without quantitative measurement of gallbladder function;

78584: Pulmonary perfusion imaging, particulate, with ventilation; single breath

78585: Pulmonary perfusion imaging, particulate, with ventilation; rebreathing and washout, with or without single breath

78586: Pulmonary ventilation imaging, aerosol; single projection

78587: multiple projections (eg, anterior, posterior, lateral views)

78588: Pulmonary perfusion imaging, particulate, with ventilation imaging, aerosol, 1 or multiple projections;

78591: Pulmonary ventilation imaging, gaseous, single breath, single projection;

78593: Pulmonary ventilation imaging, gaseous, with rebreathing and washout with or without single breath; single projection

78594: multiple projections (eg, anterior, posterior, lateral views)

78596: Pulmonary quantitative differential function (ventilation/ perfusion) study;

93875: Noninvasive physiologic studies of extracranial arteries, complete bilateral study (eg, periorbital flow direction with arterial compression, ocular pneumoplethysmography, Doppler ultrasound spectral analysis)

Source: AMA