2024 CPT Changes for Radiology, Interventional, and Cardiology Specialists
Changes for 2024 are minimum for Radiology / Imaging Specialists, as outlined below; most new codes are Category III T codes. Cardiology has many new category III codes for next year.
In a previous post, we provided a sneak peak at upcoming changes. This post provides greater and broader detail.
Category III CPT codes are developed to report new and emerging technologies/procedures. These codes do not have RVUs assigned and insurance carriers, including CMS MACs, determine their payment policies. These codes begin with a ‘0’ (zero) and end with a ‘T’. It is important to bill these codes for data collection which supports usage and increases chances of becoming a category I CPT code which is then assigned RVUs and reimbursement policies. CPT instructs to use these codes to report services as described; do not use unlisted CPT or a similar CPT to report services accurately described by category III codes.
Review the following changes, share with your practice team members and hospital partners to ensure all associates are ready for these changes prior to 1/1/24.
Radiology Highlights
- All new category I radiology codes pertain to cardiac imaging.
- CPT 76998, US guidance, interoperative decrease in WRVU; 1.20 ->.91.
- Two new procedures codes, 27278 and 58580.
Cardiology Highlights
- Cardiology has an extensive list of new category I & III codes.
- Coronary lithotripsy and venous congenital heart catheterization procedures.
New CPT Codes for Imaging Specialists
| CPT | Description | WRVUs |
| 74710 DELETED | Pelvimetry, with or without placental localization See CPT 72190 | |
| 75580 | Noninvasive estimate of coronary fractional flow reserve (FFR) derived from augmentative software analysis of the data set from a coronary computed tomography angiography, with interpretation and report by a physician or other qualified health care professional | .75 |
| 76984 | Ultrasound, intraoperative thoracic aorta (eg, epiaortic), diagnostic | .60 |
| 76987 | Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; including placement and manipulation of transducer, image acquisition, interpretation and report | 1.90 |
| 76989 | Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for congenital heart disease, diagnostic; interpretation and report only | .70 |
| 0807T | Pulmonary tissue ventilation analysis using software-based processing of data from separately captured cinefluorograph images; in combination with previously acquired computed tomography (CT) images, including data preparation and transmission, quantification of pulmonary tissue ventilation, data review, interpretation and report
►(Do not report 0807T in conjunction with 76000, 78579, 78582, 78598)◄ |
|
| 0808T | in combination with computed tomography (CT) images taken for the purpose of pulmonary tissue ventilation analysis, including data preparation and transmission, quantification of pulmonary tissue ventilation, data review, interpretation and report ►(Do not report 0808T in conjunction with 71250, 71260, 71270, 71271, 76000, 78579, 78582, 78598)◄ | |
| 0815T | Ultrasound-based radiofrequency echographic multi-spectrometry (REMS), bone-density study and fracture-risk assessment, 1 or more sites, hips, pelvis, or spine | |
| +0857T | Opto-acoustic imaging, breast, unilateral, including axilla when performed, real-time with image documentation, augmentative analysis and report (List separately in addition to code for primary procedure) | |
| +0859T | each additional anatomic site (List separately in addition to code for primary procedure) ►(Use 0859T in conjunction with 0640T)◄
►(Report 0640T, 0859T only once, when performing noncontact near-infrared spectroscopy of multiple wounds in one anatomic site)◄ ►(For noncontact near-infrared spectroscopy studies for screening for peripheral arterial disease, use 0860T)◄ |
|
| 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
►(Do not report 0865T in conjunction with 70551, 70552, 70553)◄ |
|
| 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) ►(Use 0866T in conjunction with 70551, 70552, 70553)◄
►(For quantitative MRI analysis of the brain without comparison to prior MR study, report 0865T, 0866T with modifier 52)◄ |
New CPT Codes for Interventional and Cardiology Specialists
| CPT | Description | WRVUs |
| 27278 | Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s) (eg, bone allograft[s], synthetic device[s]), without placement of transfixation device | 7.86
|
| 58580 | Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring, radiofrequency | 7.21 |
CARDIOLOGY |
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| +92972 | Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) ▶(Use 92972 in conjunction with 92920, 92924, 92928, 92933, 92937, 92941, 92943, 92975)◀ | 2.97 |
CONGENITAL VENOGRAPHY |
||
| +93584 | Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; anomalous or persistent superior vena cava when it exists as a second contralateral superior vena cava, with native drainage to heart (List separately in addition to code for primary procedure) | 1.20 |
| +93585 | Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; azygos/hemiazygos venous system (List separately in addition to code for primary procedure) | 1.13 |
| +93586 | Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; coronary sinus (List separately in addition to code for primary procedure) | 1.43 |
| +93587 | Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating at or above the heart (eg, from innominate vein) (List separately in addition to code for primary procedure) | 2.11 |
| +93588 | Venography for congenital heart defect(s), including catheter placement, and radiological supervision and interpretation; venovenous collaterals originating below the heart (eg, from the inferior vena cava) (List separately in addition to code for primary procedure) | 2.13 |
DUAL-CHAMBER LEADLESS PACEMAKER |
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| 0795T | Transcatheter insertion of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed; complete system (ie, right atrial and right ventricular pacemaker components) ▶(Do not report 0795T in conjunction with 75820, 76000, 76937, 77002, 93566, 0796T, 0797T)◀ | |
| 0796T | right atrial pacemaker component (when an existing right ventricular single leadless pacemaker exists to create a dual-chamber leadless pacemaker system | |
| 0797T | right ventricular pacemaker component (when part of a dualchamber leadless pacemaker system) ▶(Do not report 0795T, 0796T, 0797T in conjunction with 33274, 75820, 76000, 76937, 77002, 93566)◀
▶(Do not report 0795T, 0796T, 0797T in conjunction with 93451, 93453, 93456, 93457, 93460, 93461, 93593, 93594, 93596, 93597, 93598, unless complete right heart catheterization is performed for indications distinct from the leadless pacemaker procedure)◀ |
|
| 0798T | Transcatheter removal of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography), when performed; complete system (ie, right atrial and right ventricular pacemaker components) | |
| 0799T | right atrial pacemaker component | |
| 0800T | right ventricular pacemaker component (when part of a dualchamber leadless pacemaker system) ▶(Do not report 0798T, 0799T, 0800T in conjunction with 75820, 76000, 76937, 77002, 93451, 93453, 93456, 93457, 93460, 93461, 93566, 93593, 93594, 93596, 93597)◀
▶(Do not report 0799T, 0800T in conjunction with 33275, 0798T) |
|
| 0801T | Transcatheter removal and replacement of permanent dual-chamber leadless pacemaker, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography, right ventriculography, femoral venography) and device evaluation (eg, interrogation or programming), when performed; dual-chamber system (ie, right atrial and right ventricular pacemaker components) | |
| 0802T | right atrial pacemaker component | |
| 0803T | right ventricular pacemaker component (when part of a dualchamber leadless pacemaker system) ▶(Do not report 0801T, 0802T, 0803T in conjunction with 33274, 33275, 75820, 76000, 76937, 77002, 93451, 93453, 93456, 93457, 93460, 93461, 93566, 0795T, 0796T, 0797T, 0798T, 0799T, 0800T)◀
▶(Do not report 33274, 33275 when right ventricular single-chamber leadless pacemaker is part of a dual-chamber leadless pacemaker system)◀ |
|
| 0804T | Programming device evaluation (in person) with iterative adjustment of implantable device to test the function of device and to select optimal permanent programmed values, with analysis, review, and report, by a physician or other qualified health care professional, leadless pacemaker system in dual cardiac chambers ▶(Do not report 0804T in conjunction with 0795T, 0796T, 0797T, 0798T, 0799T, 0800T, 0801T, 0802T, 0803T)◀ | |
SINGLE-CHAMBER PACEMAKER |
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| 0823T | Transcatheter insertion of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculography, femoral venography, cavography) and device evaluation (eg, interrogation or programming), when performed | |
| 0824T | Transcatheter removal of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculography, femoral venography, cavography), when performed | |
| 0825T | Transcatheter removal and replacement of permanent single-chamber leadless pacemaker, right atrial, including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculography, femoral venography, cavography) and device evaluation (eg, interrogation or programming), when performed | |
| 0826T | Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care professional, leadless pacemaker system in single-cardiac chamber | |
| 0860T | Noncontact near-infrared spectroscopy (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation), for screening for peripheral arterial disease, including provocative maneuvers, image acquisition, interpretation, and report, one or both lower extremities ►(Do not report 0860T in conjunction with 0640T)◄
►(For noncontact near-infrared spectroscopy studies other than for screening for peripheral arterial disease, see 0640T, 0859T)◄ |
|
PULSE GENERATOR |
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| 0861T | Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both components (battery and transmitter) | |
| 0862T | Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; battery component only | |
| 0863T | Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming; transmitter component only |
