2006 cpt codes - 1 of 7
 

The AMA has just announced that the 2006 cpt® code set will have 281 new codes. The 2006 cpt codes will be effective January 1, 2006. HIPAA mandates that there will be no grace period for adoption of the new codes. Providers should update their billing systems to include all new and revised codes.

This training course will not cover every addition and every revision in 2006 cpt. In addition, some definitions may be abbreviated. The goal of this training is to introduce the most significant changes and provide a framework for learning.

If you are unfamiliar with a term, be sure to click on the hyperlink for the definition. In addition, there are internet links, tables and additional information available for many of the more complex subjects. Also, use the test questions to reinforce learning. For more on how Ritecode.com modules work, spend some time with the Help Menu.

For AAPC CEU credit, you will need to pay for the course, review the material, work the test questions and answer an Exam that will be sent to you. In all, it should take between 3 and 4 hours. - Jeff Restuccio, CPC, CPC-H
  2006 Deleted cpt Codes List
Topic Page Test Internet
Anesthesia Page 1    
10000 Codes Page 1    
20000 Codes Page 1    
30000 Codes Page 1    
40000 Codes Mod 2   Gastro Society  
New & Revised GI-codes in cpt 2006
50000 Codes Mod 2    
60000 Codes Mod 2    
70000 Codes Mod 2    
80000 Codes Mod 3    
Medicine - Audiology Mod 4    
Medicine - Orthotics Mod 4   Orthotics Link
Medicine - Conscious Sedation Mod 4   http://www.aafp.org/x40152.xml
Medicine - Psych Mod 4    
Medicine - Infusion & Injection Codes Mod 5    
E & M Codes Mod 6    

 

The only new anesthesia codes are for incomplete or induced abortions.

01965 Anesthesia for incomplete or missed abortion procedures

01966  

 Anesthesia for induced abortion procedures

These new graft codes are organized by type (epidermal, dermal) body part, size of the graft and primary and add-on codes. The coder needs to carefully read all the codes in a category to be sure that the correct codes are reported.

15040 Harvest of skin for tissue culture skin autograft, 100 sq cm or less
  15100 and 15101are  Revised Codes 
15110 Epidermal autograft, .... trunk, arms, legs, 1st 100sq cm
 Add-On 15111 Epidermal autograft, .... trunk, arms, legs, each add'l 100 sq cm  
15115 Epidermal autograft... face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, first 100 sq cm or less.
 Add-On 15116 Epidermal autograft... each additional 100 sq cm.  
  Codes 15120 and 15121are  Revised Codes
15130 Dermal autograft, trunk, arms, legs, first 100 sq cm or less, or one percent of body area of infants and children.
 Add-On 15131 Dermal autograft.... ; each add'l 100 sq cm.   
15135 Dermal autograft.... face, scalp. eyelids, mouth, neck, ears, orbits, genitalia, hands, feet and or multiple digits, first 100 sq cm or less, or one percent of body area infants and children.
 Add-On 15136 ;  each additional 100 sq cm or each additional one percent of body area of infants and children, or part thereof.  
15150 Tissue cultured epidermal autograft, trunk, arms, legs; first 25 sq cm.
 Add-On 15151 ; additional 1 sq cm to 75 cm.  
 Add-On 15152 ; each additional 100 sq. cm, or each additional one percent of body 
15155 Tissue cultured epidermal autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 25 sq cm or less.
 Add-On 15156 ; additional 1 sq cm to 75 sq cm.
 Add-On 15157 ; each additional 100 sq cm, or each additional one percent of body area of infants and children, or part thereof
15170   Acellular dermal replacement, trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children.
15171  Add-On ;  each additional 100 sq cm or each additional one percent of body area of infants and children, or part thereof.  
15175   Acellular dermal replacement, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 100 sq cm or less, or one percent of body area of infants and children.
15176  Add-On ;  each additional 100 sq cm or each additional one percent of body area of infants and children, or part thereof.  

 Deleted  Codes 15342 to 5351; 15342 

Acellular Dermal Replacement - [ Internet Link ] 

Autograft/Tissue cultured Allogenic skin substitute. There are a total of 20 codes with 18 new codes. The key to learning the graft codes below is highlighting in your manual the following terms: Allograft, allogenic, xenograft and boxing or highlighting the different body parts (face codes versus trunk codes, for example.)

15300   Allograft skin for temporary wound closure, trunk, arms, legs; first 100 sq cm or less, or one percent of body area of infants and children.
15301  Add-On ;  each additional 100 sq cm.
15320   Allograft skin for temporary wound closure, face...
15321  Add-On ;  each additional 100 sq cm.
15330   Acellular dermal allograft, trunk, arms, legs....
15331  Add-On ;  each additional 100 sq cm.
15335   Acellular dermal allograft, face, scalp...; first 100 sq cm.
15336  Add-On ; each additional 100 sq cm.
15340   Tissue cultured allogenic skin substitute
15341  Add-On ; each additional 25 sq cm.
15360   Tissue cultured allogenic dermal substitute; trunk, arms...; first 100 sq cm.
15361  Add-On Each additional 100 sq cm.
15365   Tissue cultured allogenic dermal substitute; face, scalp...; first 100 sq cm.
15366  Add-On ; each additional 100 sq cm.
15400 Revised Code Xenograft, skin (dermal), for temporary wound closure, trunk, legs... ; first 100 sq cm.
15401 Revised Code ; each additional 100 sq cm.
15420   Xenograft, skin dermal, for temporary wound closure,  face, scalp...; first 100 sq cm. [ Internet Link ]
15421   ; each additional 100 sq cm.
15430   Acellular Xenograft implant, ; first 100 sq cm.
15431   ; each additional 100 sq cm.

Incision Codes

22010 

 Incision and drainage, open of deep abscess (subfascila), posterior spine; cervical, thoracic or cervicothoracic

22015  

 same as above.... ; lumbar, sacral or lumbosacral.

22523

 Percutaneous vertebral augmentation, including cavity creation using mechanical device, one vertebral body, unilateral or bilateral cannulation; thoracic
22524 ; lumbar
22525 ; each additional thoracic or lumbar vertebral body ( Add-On)

There are NO  New  respiratory codes in 2006.

Codes 33500 to 33506 are   Revised Codes  

33507

 Repair of anomalous (e.g., intramular) aortic origin of coronary artery by unroofing or translocation. 
33548 Surgical ventricular restoration procedure, include prosthetic patch, when performed
Ventricular remodeling Remodelling is defined as changes in shape and size of the ventrical that can follow a myocardial infarction (MI). [ more ]
SVR Surgical Ventricular Remodeling (SVR) is an established treatment for ischemic cardiomyopathy due to anterior wall myocardial infarction (MI). [ Link ]
SAVER One of two procedure types: Surgical Anterior Ventricular Endocardial Restoration [ link ]
DOR The other procedure type, for left ventricular reconstruction, named after a surgeon, after Vincent Dor, MD. [ payment policy link ]
33768 Anastomosis, cavopulmonary, second superior vena cava (Add-On Code)
33880 ; Endovascular repair of descending thoracic aorta
To report radiological supervision and interpretation, use 75956 with 33880.

For codes 33880 - 33891 be sure to note whether it is distal or proximal.

Placement of proximal extension prosthesis...

Placement of distal extention prosthesis...

If words are highlighted in this text you should highlight them in your manual. 

33925

 Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass

33926

 ; with cardiopulmonary bypass
 Warning   Codes 33925, 33926 cannot be reported with 33697.

Use code 36598 for the contrast injection. Use 76000 for fluoroscopic guidance. 

36598 Contrast injection(s) for radiologic evaluation of existing central venous access device, including fluoroscopy, image documentation and report.

2006 cpt has detailed guidelines for Transcatheter procedures 37184 - 37188. It is best to highlight the guidelines in your CPT manual. 

Note that Mechanical Thrombectomy has both an Arterial mechanical thrombectomy and a Venous Mechanical thrombectomy. A mechanical thrombectomy catheter is used to remove clots.

37718 Ligation, division, and stripping short saphenous vein. (replaces 37720)
37722 Ligation, division, and stripping long (greater) saphenous veins from saphenofemoral junction to the knee or below.

American Medical  Association. All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in cpt. The AMA assumes no liability for the data contained herein.  Applicable FARS/DFARS restrictions apply to government use.
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