CPT Code Changes for 2010 Change CPT Description

CPT Code Changes for 2010

Change CPT Description

New Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm, or part
New 14302 thereof (List separately in addition to code for primary procedure)
14350 Filleted finger or toe flap, including preparation of recipient site

New 21011 Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm

New 21012 Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater
New Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); less
New
Revised 21013 than 2 cm
New Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2

21014 cm or greater
Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; less than

21015 2 cm
Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scalp; 2 cm or

21016 greater

New 21552 Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or greater
New Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); 5 cm

21554 or greater

Revised 21555 Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; less than 3 cm
Revised Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg, intramuscular); less
Revised
New 21556 than 5 cm
Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax;

21557 less than 5 cm
Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or anterior thorax;

21558 5 cm or greater

Revised 21930 Excision, tumor, soft tissue of back or flank, subcutaneous; less than 3 cm

New 21931 Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater

New 21932 Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); less than 5 cm

New 21933 Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); 5 cm or greater
Revised Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; less than
New
21935 5 cm
Radical resection of tumor (eg, malignant neoplasm), soft tissue of back or flank; 5 cm or

21936 greater

Revised 22520 Percutaneous vertebroplasty, 1 vertebral body, unilateral or bilateral injection; thoracic

Revised 22521 Percutaneous vertebroplasty, 1 vertebral body, unilateral or bilateral injection; lumbar

Revised 22900 Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); less than 5 cm
New Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or

22901 greater

New 22902 Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm

CPT Code Changes for 2010

Change CPT Description

New 22903 Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater
New Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; less
New
22904 than 5 cm
Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wall; 5 cm or

22905 greater

New 23071 Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater

Revised 23075 Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm

Revised 23076 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
Revised
23077 5 cm
New Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder area; 5 cm or
Revised
Revised 23078 greater
Revised 23200 Radical resection of tumor; clavicle
23210 Radical resection of tumor; scapula
23220 Radical resection of tumor, proximal humerus

New 24071 Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or greater
New Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg, intramuscular); 5 cm

24073 or greater

Revised 24075 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
Revised
24076 than 5 cm
Revised Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow

New 24077 area; less than 5 cm
Revised Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper arm or elbow

24079 area; 5 cm or greater
24150 Radical resection of tumor, shaft or distal humerus

New 25071 Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or greater
New Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); 3

25073 cm or greater

Revised 25075 Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; less than 3 cm
Revised Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intramuscular); less
Revised
New 25076 than 3 cm
Revised Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist
New
New 25077 area; less than 3 cm
Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/or wrist

25078 area; 3 cm or greater
25170 Radical resection of tumor, radius or ulna

Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; 1.5
26111 cm or greater

Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg,
26113 intramuscular); 1.5 cm or greater

CPT Code Changes for 2010

Change CPT Description

Revised Excision, tumor or vascular malformation, soft tissue of hand or finger, subcutaneous; less

Revised 26115 than 1.5 cm

Revised Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfascial (eg,

New 26116 intramuscular); less than 1.5 cm
Revised
Revised Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; less than
Revised
26117 3 cm

Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or finger; 3 cm or

26118 greater

26250 Radical resection of tumor, metacarpal

26260 Radical resection of tumor, proximal or middle phalanx of finger

26262 Radical resection of tumor, distal phalanx of finger

New 27043 Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater
New Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or

27045 greater

Revised 27047 Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; less than 3 cm
Revised Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); less than
Revised
27048 5 cm
Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and hip area; less

27049 than 5 cm

Revised 27075 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
Revised
Revised 27076 acetabulum
27077 Radical resection of tumor; innominate bone, total

Revised 27078 Radical resection of tumor; ischial tuberosity and greater trochanter of femur

Revised 27327 Excision, tumor, soft tissue of thigh or knee area, subcutaneous; less than 3 cm
Revised Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); less than 5
Revised
27328 cm
Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; less

27329 than 5 cm

New 27337 Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greater
New Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscular); 5 cm or
New
Revised 27339 greater
Revised Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or knee area; 5 cm
New
27364 or greater
27365 Radical resection of tumor, femur or knee

Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle area; less
27615 than 5 cm

Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle area; 5 cm
27616 or greater

Revised 27618 Excision, tumor, soft tissue of leg or ankle area, subcutaneous; less than 3 cm
Revised Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5

27619 cm

CPT Code Changes for 2010

Change CPT Description

New 27632 Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater
Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); 5 cm or
New
27634 greater
Revised Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis);

Revised 27640 tibia
Revised Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis);
Revised
Revised 27641 fibula
27645 Radical resection of tumor; tibia
27646 Radical resection of tumor; fibula
27647 Radical resection of tumor; talus or calcaneus

New 28039 Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater

New 28041 Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 cm or greater

Revised 28043 Excision, tumor, soft tissue of foot or toe, subcutaneous; less than 1.5 cm

Revised 28045 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
Revised
28046 cm
New Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; 3 cm or
Revised
Revised 28047 greater
28171 Radical resection of tumor; tarsal (except talus or calcaneus)
28173 Radical resection of tumor; metatarsal

New 29581 Application of multi-layer venous wound compression system, below knee

Revised Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg,
Revised 30801 electrocautery, radiofrequency ablation, or tissue volume reduction); superficial
New
New Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method (eg,
Revised electrocautery, radiofrequency ablation, or tissue volume reduction); intramural (ie,
30802 submucosal)
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with
31626 placement of fiducial markers, single or multiple
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with
computer-assisted, image-guided navigation (List separately in addition to code for primary
31627 procedure[s])
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with
destruction of tumor or relief of stenosis by any method other than excision (eg, laser
31641 therapy, cryotherapy)

Revised Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with
31643 placement of catheter(s) for intracavitary radioelement application

Revised Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with
31645 therapeutic aspiration of tracheobronchial tree, initial (eg, drainage of lung abscess)

Revised Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with
31646 therapeutic aspiration of tracheobronchial tree, subsequent

CPT Code Changes for 2010

Change CPT Description

Revised Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with
New 31656 injection of contrast material for segmental bronchography (fiberscope only)
32552 Removal of indwelling tunneled pleural catheter with cuff

New Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers,
Revised 32553 dosimeter), percutaneous, intra-thoracic, single or multiple
New
New Instillation, via chest tube/catheter, agent for pleurodesis (eg, talc for recurrent or persistent
Revised 32560 pneumothorax)

Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break
32561 up of multiloculated effusion); initial day

Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolytic agent for break
32562 up of multiloculated effusion); subsequent day

Insertion of a single transvenous electrode, permanent pacemaker or cardioverter-
33216 defibrillator

Revised 33217 Insertion of 2 transvenous electrodes, permanent pacemaker or cardioverter-defibrillator
Revised 33223 Revision of skin pocket for cardioverter-defibrillator

New Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie,
33782 Nikaidoh procedure); without coronary ostium reimplantation

New Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie,
New 33783 Nikaidoh procedure); with reimplantation of 1 or both coronary ostia
New
New Replacement of extracorporeal ventricular assist device, single or biventricular, pump(s),
33981 single or each pump

Replacement of ventricular assist device pump(s); implantable intracorporeal, single
33982 ventricle, without cardiopulmonary bypass

Replacement of ventricular assist device pump(s); implantable intracorporeal, single
33983 ventricle, with cardiopulmonary bypass

New Introduction of needle and/or catheter, arteriovenous shunt created for dialysis
(graft/fistula); initial access with complete radiological evaluation of dialysis access,
New including fluoroscopy, image documentation and report (includes access of shunt,
Revised injection[s] of contrast, and all necessary imaging from the arterial anastomosis and
36147 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
36148 code for primary procedure)
36481 Percutaneous portal vein catheterization by any method

Revised Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous
Revised access, hepatic and portal vein catheterization, portography with hemodynamic evaluation,
New intrahepatic tract recanulization/dilatation, stent placement and all associated imaging
37183 guidance and documentation)
Ligation of perforator veins, subfascial, radical (Linton type), including skin graft, when
37760 performed, open,1 leg
Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, when
37761 performed, 1 leg

CPT Code Changes for 2010

Change CPT Description

Revised Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap
New 42894 or free muscle, skin, or fascial flap with microvascular anastamosis
New
Revised Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when
New 43281 performed; without implantation of mesh
New
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when
43282 performed; with implantation of mesh

Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric
43761 nutrition

Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy (ie, sleeve
43775 gastrectomy)

Excision of rectal tumor, transanal approach; not including muscularis propria (ie, partial
45171 thickness)

New 45172 Excision of rectal tumor, transanal approach; including muscularis propria (ie, full thickness)
Revised 46200 Fissurectomy, including sphincterotomy, when performed
Revised 46220 Excision of single external papilla or tag, anus
Revised 46221 Hemorrhoidectomy, internal, by rubber band ligation(s)
Revised 46230 Excision of multiple external papillae or tags, anus
Revised 46250 Hemorrhoidectomy, external, 2 or more columns/groups
Revised 46255 Hemorrhoidectomy, internal and external, single column/group;

Revised Hemorrhoidectomy, internal and external, single column/group; with fistulectomy, including
Revised 46258 fissurectomy, when performed
46260 Hemorrhoidectomy, internal and external, 2 or more columns/groups;
Revised
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy,
46262 including fissurectomy, when performed

Revised 46275 Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric
Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric,
Revised suprasphincteric, extrasphincteric or multiple, including placement of seton, when
Revised
46280 performed
46320 Excision of thrombosed hemorrhoid, external

New 46707 Repair of anorectal fistula with plug (eg, porcine small intestine submucosa [SIS])
Hemorrhoidectomy, internal, by ligation other than rubber band; single hemorrhoid
Revised
46945 column/group
Revised Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid
Revised
Revised 46946 columns/groups
47382 Ablation, 1 or more liver tumor(s), percutaneous, radiofrequency
New 47525 Change of percutaneous biliary drainage catheter
Revised
Revised Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers,
dosimeter), percutaneous, intra-abdominal, intra-pelvic (except prostate), and/or
49411 retroperitoneum, single or multiple
50200 Renal biopsy; percutaneous, by trocar or needle
51726 Complex cystometrogram (ie, calibrated electronic equipment);

New Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure
New 51727 profile studies (ie, urethral closure pressure profile), any technique

Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure
51728 studies (ie, bladder voiding pressure), any technique

CPT Code Changes for 2010

Change CPT Description

New Complex cystometrogram (ie, calibrated electronic equipment); with voiding pressure
studies (ie, bladder voiding pressure) and urethral pressure profile studies (ie, urethral
51729 closure pressure profile), any technique

Revised Voiding pressure studies, intra-abdominal (ie, rectal, gastric, intraperitoneal) (List separately
Revised 51797 in addition to code for primary procedure)
52282 Cystourethroscopy, with insertion of permanent urethral stent

New 53855 Insertion of a temporary prostatic urethral stent, including urethral measurement

Revised 55873 Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring)
Revised Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial markers,

55876 dosimeter), percutaneous, prostate, single or multiple

New 57426 Revision (including removal) of prosthetic vaginal graft, laparoscopic approach

Revised 59897 Unlisted fetal invasive procedure, including ultrasound guidance, when performed
New Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy,
New
63661 when performed
Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or

63662 laminectomy, including fluoroscopy, when performed

New Revision including replacement, when performed, of spinal neurostimulator electrode
New 63663 percutaneous array(s), including fluoroscopy, when performed
New
Revision including replacement, when performed, of spinal neurostimulator electrode
plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when
63664 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;
64490 single level

New Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or
nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic;
64491 second level (List separately in addition to code for primary procedure)

New Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or
New nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic;
New 64492 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;
64493 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;
64494 second level (List separately in addition to code for primary procedure)

CPT Code Changes for 2010

Change CPT Description

New Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or
nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral;
64495 third and any additional level(s) (List separately in addition to code for primary procedure)

Revised Radiological supervision and interpretation, percutaneous vertebroplasty, vertebral
augmentation, or sacral augmentation (sacroplasty), including cavity creation, per vertebral
Revised 72291 body or sacrum; under fluoroscopic guidance
New Radiological supervision and interpretation, percutaneous vertebroplasty, vertebral
augmentation, or sacral augmentation (sacroplasty), including cavity creation, per vertebral
72292 body or sacrum; under CT guidance
Computed tomographic (CT) colonography, diagnostic, including image postprocessing;
74261 without contrast material

New Computed tomographic (CT) colonography, diagnostic, including image postprocessing;
74262 with contrast material(s) including non-contrast images, if performed

New 74263 Computed tomographic (CT) colonography, screening, including image postprocessing
New Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition
New
75565 to code for primary procedure)
Computed tomography, heart, without contrast material, with quantitative evaluation of

75571 coronary calcium

New Computed tomography, heart, with contrast material, for evaluation of cardiac structure and
morphology (including 3D image postprocessing, assessment of cardiac function, and
75572 evaluation of venous structures, if performed)

New 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
75573 structures, if performed)

New 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
75574 venous structures, if performed)

New 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
75791 supervision and interpretation

Revised Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous
New diagnostic or therapeutic injection procedures (epidural, transforaminal epidural,
77003 subarachnoid, or sacroiliac joint), including neurolytic agent destruction
Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT),
77338 design and construction per IMRT plan

CPT Code Changes for 2010

Change CPT Description

New Radiation treatment delivery, stereotactic radiosurgery (SRS), complete course of treatment
New 77371 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
78451 pharmacologic)

New 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
78452 or pharmacologic) and/or redistribution and/or rest reinjection

New Myocardial perfusion imaging, planar (including qualitative or quantitative wall motion,
New ejection fraction by first pass or gated technique, additional quantification, when performed);
78453 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
78454 and/or rest reinjection

Revised Obstetric panel This panel must include the following: Blood count, complete (CBC),
Revised automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood
Revised count, complete (CBC), automated (85027) and appropriate manual differential WBC count
Revised (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody, rubella (86762)
Revised 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,
Revised 80055 Rh (D) (86901)
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed
Revised 82652 Vitamin D; 1, 25 dihydroxy, includes fraction(s), if performed
82784 Gammaglobulin (immunoglobulin); IgA, IgD, IgG, IgM, each
Revised 82785 Gammaglobulin (immunoglobulin); IgE

Revised 82787 Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg, IgG1, 2, 3, or 4), each

Revised Immunoassay for analyte other than infectious agent antibody or infectious agent antigen;
New 83516 qualitative or semiquantitative, multiple step method
New
New Immunoassay for analyte other than infectious agent antibody or infectious agent antigen;
New 83518 qualitative or semiquantitative, single step method (eg, reagent strip)

Immunoassay for analyte other than infectious agent antibody or infectious agent antigen;
83519 quantitative, by radioimmunoassay (eg, RIA)

Immunoassay for analyte other than infectious agent antibody or infectious agent antigen;
83520 quantitative, not otherwise specified
83987 pH; exhaled breath condensate
84145 Procalcitonin (PCT)
84431 Thromboxane metabolite(s), including thromboxane if performed, urine
86305 Human epididymis protein 4 (HE4)

CPT Code Changes for 2010

Change CPT Description

Cellular function assay involving stimulation (eg, mitogen or antigen) and detection of

New 86352 biomarker (eg, ATP)

Revised 86592 Syphilis test, non-treponemal antibody; qualitative (eg, VDRL, RPR, ART)
Revised 86593 Syphilis test, non-treponemal antibody; quantitative
New 86780 Antibody; Treponema pallidum
New
Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); first
New 86825 serum sample or dilution
Revised
New Human leukocyte antigen (HLA) crossmatch, non-cytotoxic (eg, using flow cytometry); each
New additional serum sample or sample dilution (List separately in addition to primary
New 86826 procedure)
Revised Culture, typing; identification by nucleic acid (DNA or RNA) probe, direct probe technique,
87149 per culture or isolate, each organism probed
Culture, typing; identification by nucleic acid (DNA or RNA) probe, amplified probe
87150 technique, per culture or isolate, each organism probed
Culture, typing; identification by nucleic acid sequencing method, each isolate (eg,
87153 sequencing of the 16S rRNA gene)
Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile, toxin gene(s),
87493 amplified probe technique
Special stains; Group I for microorganisms (eg, Gridley, acid fast, methenamine silver),
88312 including interpretation and report, each

Revised Special stains; Group II, all other (eg, iron, trichrome), except immunocytochemistry and
88313 immunoperoxidase stains, including interpretation and report, each

Revised Special stains; histochemical staining with frozen section(s), including interpretation and
New 88314 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
88387 single lymph node)

New Macroscopic examination, dissection, and preparation of tissue for non-microscopic
New analytical studies (eg, nucleic acid-based molecular studies); in conjunction with a touch
New imprint, intraoperative consultation, or frozen section, each tissue preparation (eg, a single
88388 lymph node) (List separately in addition to code for primary procedure)
Revised 88738 Hemoglobin (Hgb), quantitative, transcutaneous
Revised 89398 Unlisted reproductive medicine laboratory procedure
New Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50
Revised 90378 mg, each
90669 Pneumococcal conjugate vaccine, 7 valent, for intramuscular use
90670 Pneumococcal conjugate vaccine, 13 valent, for intramuscular use
90738 Japanese encephalitis virus vaccine, inactivated, for intramuscular use

New Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze
New fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with
recording, optokinetic nystagmus test, bidirectional foveal and peripheral stimulation, with
92540 recording, and oscillating tracking test, with recording
92550 Tympanometry and reflex threshold measurements

CPT Code Changes for 2010

Change CPT Description

New Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex
92570 threshold testing, and acoustic reflex decay testing

Revised 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
93279 with physician analysis, review and report; single lead pacemaker system

Revised 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
93280 with physician analysis, review and report; dual lead pacemaker system

Revised Programming device evaluation (in person) with iterative adjustment of the implantable
Revised device to test the function of the device and select optimal permanent programmed values
Revised 93281 with physician analysis, review and report; multiple lead pacemaker system
Revised 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 physician analysis, review and report; single lead implantable cardioverter-defibrillator
93282 system
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 physician analysis, review and report; dual lead implantable cardioverter-defibrillator
93283 system
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 physician analysis, review and report; multiple lead implantable cardioverter-
93284 defibrillator system

Revised 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
93285 with physician analysis, review and report; implantable loop recorder system

Revised 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
93286 report; single, dual, or multiple lead pacemaker system

Revised Peri-procedural device evaluation (in person) and programming of device system
Revised parameters before or after a surgery, procedure, or test with physician analysis, review and
93287 report; single, dual, or multiple lead implantable cardioverter-defibrillator system
93701 Bioimpedance-derived physiologic cardiovascular analysis

New Interrogation of ventricular assist device (VAD), in person, with physician analysis of device
New parameters (eg, drivelines, alarms, power surges), review of device function (eg, flow and
New 93750 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
94011 age
Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an
94012 infant or child through 2 years of age

CPT Code Changes for 2010

Change CPT Description

New Measurement of lung volumes (ie, functional residual capacity [FRC], forced vital capacity
94013 [FVC], and expiratory reserve volume [ERV]) in an infant or child through 2 years of age

Revised Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation,
New 95806 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
95905 interpretation and report

Revised 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
96570 endoscopy or bronchoscopy procedures of lung and gastrointestinal tract)

Revised 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
96571 to code for endoscopy or bronchoscopy procedures of lung and gastrointestinal tract)

Deletions

Deleted 23222 Radical resection of bone tumor; proximal humerus with prosthetic replacement

Deleted 24153 Radical resection for tumor; radial head or neck with autograft
Deleted 26255 Radical resection, metacarpal with autograft

Deleted 26261 Radical resection, proximalor middle phalanx of finger with autograft
Radical resection of tumor or infection; ischial tuberosity and greater trochanter of femur,
Deleted
27079 with skin flaps
Deleted
Deleted 36145 Introduction of needle or intracatheter; arteriovenous shunt created for dialysis
Deleted 36834 Plastic repair of arteriovenous aneurysm
Deleted 45170 Excision of rectal tumor, transanal approach
Deleted 46210 Cryptectomy; single
Deleted 46211 ; multiple
51772 Urethral pressure profile studies (UPP), any technique
Deleted
51795 Voiding pressure studies (VP) bladder voiding pressure, any technique
Deleted Revision or removal of spinal neurostimulator electrode percutaneous array or

Deleted 63660 plate/paddles
Deleted
Deleted Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve;
Deleted 64470 cervical or thoracic, single level
64472 add-on
Deleted 64475 ; lumbar or sacral
Deleted 64476 ; add-on

Cardiac MRI for morphology and function without contrast material; with flow/velocity
75558 quantification
75560 ; with flow/velocity quantification and stress

CPT Code Changes for 2010

Change CPT Description

Deleted Cardiac MRI for morphology and function without contrast material followed by contrast
Deleted 75562 studies; with flow/velocity quantification
75564 ; with flow/velocity quantification and stress

Deleted 75790 Angiography, arteriovenous shunt, radiological supervision and interpretation
Deleted 78460 Myocardial perfusion imaging, single study
Deleted 78461 ; multiple studies
Deleted 78464 ; SPECT; single study
Deleted 78465 ; SPECT; multiple studies
Deleted 82307 Chemistry test, Calciferol

Deleted 86781 Qualitative immunoassay, Treponema palladium, confirmatory test
Deleted 90379 Immune globulins, Respiratory synctial virus
Deleted 92569 Acoustic reflex testing; decay