CPT Code Changes for 2010

Transcription

1 14302 Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part thereof (List separately in addition to code for primary procedure) Filleted finger or toe flap, including preparation of recipient site Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less than 2 cm Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; less than 2 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm or Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less than 5 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; less than 5 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax; 5 cm or Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; less than 5 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or Percutaneous vertebroplasty, 1 vertebral body, unilateral or bilateral injection; thoracic Percutaneous vertebroplasty, 1 vertebral body, unilateral or bilateral injection; lumbar Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm

2 22903 Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less than 5 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); less than 5 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; less than 5 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or Radical resection of tumor; clavicle Radical resection of tumor; scapula Radical resection of tumor, proximal humerus Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm or Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; less than 3 cm Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); less than 5 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; less than 5 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow area; 5 cm or Radical resection of tumor, shaft or distal humerus Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3 cm or Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less than 3 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; less than 3 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist area; 3 cm or Radical resection of tumor, radius or ulna Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5 cm or Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); 1.5 cm or

3 26115 Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less than 1.5 cm Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg, intramuscular); less than 1.5 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; less than 3 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or Radical resection of tumor, metacarpal Radical resection of tumor, proximal or middle phalanx of finger Radical resection of tumor, distal phalanx of finger Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than 5 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; less than 5 cm Radical resection of tumor; wing of ilium, 1 pubic or ischial ramus or symphysis pubis Radical resection of tumor; ilium, including acetabulum, both pubic rami, or ischium and acetabulum Radical resection of tumor; innominate bone, total Radical resection of tumor; ischial tuberosity and trochanter of femur Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; less than 5 cm Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm or Radical resection of tumor, femur or knee Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle area; less than 5 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle area; 5 cm or Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than cm

4 27632 Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); tibia Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Radical resection of tumor; tibia Radical resection of tumor; fibula Radical resection of tumor; talus or calcaneus Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); less than 1.5 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; less than 3 cm Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or Radical resection of tumor; tarsal (except talus or calcaneus) Radical resection of tumor; metatarsal Application of multi-layer venous wound compression system, below knee Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); superficial Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg, electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie, submucosal) placement of fiducial markers, single or multiple computer-assisted, image-guided navigation (List separately in addition to code for primary procedure[s]) destruction of tumor or relief of stenosis by any method other than excision (eg, laser therapy, cryotherapy) placement of catheter(s) for intracavitary radioelement application therapeutic aspiration of tracheobronchial tree, initial (eg, drainage of lung abscess) therapeutic aspiration of tracheobronchial tree, subsequent

5 31656 injection of contrast material for segmental bronchography (fiberscope only) Removal of indwelling tunneled pleural catheter with cuff Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-thoracic, single or multiple Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent pneumothorax) Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); initial day Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break up of multiloculated effusion); subsequent day Insertion of a single transvenous electrode, permanent pacemaker or cardioverterdefibrillator Insertion of 2 transvenous electrodes, permanent pacemaker or cardioverter-defibrillator Revision of skin pocket for cardioverter-defibrillator Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); without coronary ostium reimplantation Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie, Nikaidoh procedure); with reimplantation of 1 or both coronary ostia Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s), single or each pump Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, without cardiopulmonary bypass Replacement of ventricular assist device pump(s); implantable intracorporeal, single ventricle, with cardiopulmonary bypass Introduction of needle and/or catheter, arteriovenous shunt created for dialysis (graft/fistula); initial access with complete radiological evaluation of dialysis access, including fluoroscopy, image documentation and report (includes access of shunt, injection[s] of contrast, and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava) Introduction of needle and/or catheter, arteriovenous shunt created for dialysis (graft/fistula); additional access for therapeutic intervention (List separately in addition to code for primary procedure) Percutaneous portal vein catheterization by any method Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access, hepatic and portal vein catheterization, portography with hemodynamic evaluation, intrahepatic tract recanulization/dilatation, stent placement and all associated imaging guidance and documentation) Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when performed, open,1 leg Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when performed, 1 leg

6 42894 Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle, skin, or fascial flap with microvascular anastamosis Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of mesh Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve gastrectomy) Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial thickness) Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness) Fissurectomy, including sphincterotomy, when performed Excision of single external papilla or tag, anus Hemorrhoidectomy, internal, by rubber band ligation(s) Excision of multiple external papillae or tags, anus Hemorrhoidectomy, external, 2 or more columns/groups Hemorrhoidectomy, internal and external, single column/group; Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including fissurectomy, when performed Hemorrhoidectomy, internal and external, 2 or more columns/groups; Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when performed Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric, suprasphincteric, extrasphincteric or multiple, including placement of seton, when performed Excision of thrombosed hemorrhoid, external Repair of anorectal fistula with plug (eg, porcine small intestine submucosa [SIS]) Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid column/group Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency Change of percutaneous biliary drainage catheter Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or retroperitoneum, single or multiple Renal biopsy; percutaneous, by trocar or needle Complex cystometrogram (ie, calibrated electronic equipment); Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral closure pressure profile), any technique Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure), any technique

7 51729 Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral closure pressure profile), any technique Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately in addition to code for primary procedure) Cystourethroscopy, with insertion of permanent urethral stent Insertion of a temporary prostatic urethral stent, including urethral measurement Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers, dosimeter), percutaneous, prostate, single or multiple Revision (including removal) of prosthetic vaginal graft, laparoscopic approach Unlisted fetal invasive procedure, including ultrasound guidance, when performed Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure) Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; third and any additional level(s) (List separately in addition to code for primary procedure) Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)

8 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary procedure) Radiological supervision and interpretation, percutaneous vertebroplasty, vertebral augmentation, or sacral augmentation (sacroplasty), including cavity creation, per vertebral body or sacrum; under fluoroscopic guidance Radiological supervision and interpretation, percutaneous vertebroplasty, vertebral augmentation, or sacral augmentation (sacroplasty), including cavity creation, per vertebral body or sacrum; under CT guidance Computed tomographic (CT) colonography, diagnostic, including image postprocessing; without contrast material Computed tomographic (CT) colonography, diagnostic, including image postprocessing; with contrast material(s) including non-contrast images, if performed Computed tomographic (CT) colonography, screening, including image postprocessing Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) Computed tomography, heart, without contrast material, with quantitative evaluation of coronary calcium Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology (including 3D image postprocessing, assessment of cardiac function, and evaluation of venous structures, if performed) Computed tomography, heart, with contrast material, for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing, assessment of LV cardiac function, RV structure and function and evaluation of venous structures, if performed) Computed tomographic angiography, heart, coronary arteries and bypass grafts (when present), with contrast material, including 3D image postprocessing (including evaluation of cardiac structure and morphology, assessment of cardiac function, and evaluation of venous structures, if performed) Angiography, arteriovenous shunt (eg, dialysis patient fistula/graft), complete evaluation of dialysis access, including fluoroscopy, image documentation and report (includes injections of contrast and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava), radiological supervision and interpretation Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural, transforaminal epidural, subarachnoid, or sacroiliac joint), including neurolytic agent destruction Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT), design and construction per IMRT plan

9 77371 Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic) Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); single study, at rest or stress (exercise or pharmacologic) Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection Obstetric panel This panel must include the following: Blood count, complete (CBC), automated and automated differential WBC count (85025 or and 85004) OR Blood count, complete (CBC), automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) (86592) Antibody screen, RBC, each serum technique (86850) Blood typing, ABO (86900) AND Blood typing, Rh (D) (86901) Vitamin D; 25 hydroxy, includes fraction(s), if performed Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each Gammaglobulin (immunoglobulin); IgE Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, multiple step method Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative, single step method (eg, reagent strip) Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, by radioimmunoassay (eg, RIA) Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified ph; exhaled breath condensate Procalcitonin (PCT) Thromboxane metabolite(s), including thromboxane if performed, urine Human epididymis protein 4 (HE4)

10 Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of biomarker (eg, ATP) Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART) Syphilis test, non-treponemal antibody; quantitative Antibody; Treponema pallidum Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first serum sample or dilution Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique, per culture or isolate, each organism probed Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe technique, per culture or isolate, each organism probed Culture, typing; identification by nucleic acid sequencing method, each isolate (eg, sequencing of the 16S rrna gene) Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s), amplified probe technique Special stains; Group I for microorganisms (eg, Gridley, acid fast, methenamine silver), including interpretation and report, each Special stains; Group II, all other (eg, iron, trichrome), except immunocytochemistry and immunoperoxidase stains, including interpretation and report, each Special stains; histochemical staining with frozen section(s), including interpretation and report (List separately in addition to code for primary procedure) Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies); each tissue preparation (eg, a single lymph node) Macroscopic examination, dissection, and preparation of tissue for non-microscopic analytical studies (eg, nucleic acid-based molecular studies); in conjunction with a touch imprint, intraoperative consultation, or frozen section, each tissue preparation (eg, a single lymph node) (List separately in addition to code for primary procedure) Hemoglobin (Hgb), quantitative, transcutaneous Unlisted reproductive medicine laboratory procedure Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, each Pneumococcal conjugate vaccine, 7 valent, for intramuscular use Pneumococcal conjugate vaccine, 13 valent, for intramuscular use Japanese encephalitis virus vaccine, inactivated, for intramuscular use Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic nystagmus test, bidirectional foveal and peripheral stimulation, with recording, and oscillating tracking test, with recording Tympanometry and reflex threshold measurements

11 Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testing with physician analysis, review and report; single lead pacemaker system with physician analysis, review and report; dual lead pacemaker system with physician analysis, review and report; multiple lead pacemaker system with physician analysis, review and report; single lead implantable cardioverter-defibrillator system with physician analysis, review and report; dual lead implantable cardioverter-defibrillator system with physician analysis, review and report; multiple lead implantable cardioverterdefibrillator system with physician analysis, review and report; implantable loop recorder system Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with physician analysis, review and report; single, dual, or multiple lead pacemaker system Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with physician analysis, review and report; single, dual, or multiple lead implantable cardioverter-defibrillator system Bioimpedance-derived physiologic cardiovascular analysis Interrogation of ventricular assist device (VAD), in person, with physician analysis of device parameters (eg, drivelines, alarms, power surges), review of device function (eg, flow and volume status, septum status, recovery), with programming, if performed, and report Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age

12 94013 Measurement of lung volumes (ie, functional residual capacity [FRC], forced vital capacity [FVC], and expiratory reserve volume [ERV]) in an infant or child through 2 years of age Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement) Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and report Deletions Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronchoscopy procedures of lung and gastrointestinal tract) Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscopy or bronchoscopy procedures of lung and gastrointestinal tract) Radical resection of bone tumor; proximal humerus with prosthetic replacement Radical resection for tumor; radial head or neck with autograft Radical resection, metacarpal with autograft Radical resection, proximalor middle phalanx of finger with autograft Radical resection of tumor or infection; ischial tuberosity and trochanter of femur, with skin flaps Introduction of needle or intracatheter; arteriovenous shunt created for dialysis Plastic repair of arteriovenous aneurysm Excision of rectal tumor, transanal approach Cryptectomy; single ; multiple Urethral pressure profile studies (UPP), any technique Voiding pressure studies (VP) bladder voiding pressure, any technique Revision or removal of spinal neurostimulator electrode percutaneous array or plate/paddles Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; cervical or thoracic, single level add-on ; lumbar or sacral ; add-on Cardiac MRI for morphology and function without contrast material; with flow/velocity quantification ; with flow/velocity quantification and stress

13 75562 Cardiac MRI for morphology and function without contrast material followed by contrast studies; with flow/velocity quantification ; with flow/velocity quantification and stress Angiography, arteriovenous shunt, radiological supervision and interpretation Myocardial perfusion imaging, single study ; multiple studies ; SPECT; single study ; SPECT; multiple studies Chemistry test, Calciferol Qualitative immunoassay, Treponema palladium, confirmatory test Immune globulins, Respiratory synctial virus Acoustic reflex testing; decay