2006 CPT codes - 2 of 7


40000 Codes - Digestive System    

Bariatric Surgery Codes [ internet link ]

These procedures can include the stomach, duodenum, jejunum, and/or the ileum.

Band adjustments are included during the postoperating period after gastric restriction that utilize the adjustable gastric band technique [ known as LapBand], Band adjustment refers to changing the gastric band diameter by injection or aspiration of fluid through the subcutaneous port component. [ internet link ]


43770 Laparoscopy, surgical gastric restrictive procedure; placement of adjustable gastric band
43771 ; revision of adjustable gastric band component only
43772 ; removal of adjustable gastric band component only
43773 ; removal and replacement of adjustable gastric band component only
43774 ; removal of adjustable gastric band and subcutaneous port components

43886

 Gastric restrict procedure, open; revision of subcutaneous port component only

43887  ; removal of subcutaneous port component only
43888 ; removal and replacement of subcutaneous port only.
 Warning  Codes 44132 - 44136 are non-covered services. You can report them but you won't be paid.

Note that laparoscopic is known as the  Approach.

44180 Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) 
44186 Laparoscopy, surgical, jejunostomy, eg, for decompression or feeding.
44187 ; ileostomy or jejuostomy, non-tube
44188 Laparoscopy, surgical, colostomy or skin level cecostomy

Codes 44200 and 44201 are  Deleted.


44213

Laparoscopy, surgical .....mobilization of splenic flexure performed in conjunction with partial colectomy.  Add-On   ( report with 44204 - 44208)

44227

Laparoscopy, surgical, closure of enterostomy, large or small intestine, with resection and anastomosis


Laparoscopy Excision and Repair Codes


45395 Laparoscopy, surgical; proctectomy, complete, combined abdominoperineal, with colostomy
45397 ; proctectomy, combined  abdominoperineal, pull-through procedure... creation of J-pouch (creation of colonic reservoir)
45400 ; proctopexy (for prolapse)
45402 ; proctopexy (for prolapse), with sigmoid resection
45399 Unlisted laparoscopy procedure, rectum

Proctopexy codes 45540 to 45550 are Revised.


 New   
45990 Anorectal exam, surgical , requiring anesthesia, diagnostic.
46505 Chemodenervation of internal anal sphincter.

46710  Repair of anal fistula with fibrin glue.
46712  ; combined transperineal and transabdominal   Approach

50000 Codes - Urinary    

50250 Renal Excision Ablation, Open, One or More Renal Mass Lesion(s), Cryosurgical, Including Intra . . .
50382 Renal Transplantation - Internal Dwellling Removal (Via Snare/capture) and Replacement of Internally Dwelling Ureteral Stent . . .
50384 Renal Transplantation - Internal Dwellling Removal (Via Snare/capture) of Internally Dwelling Ureteral Stent via Percutaneous . . .
50387 Renal Transplantation - External Accessible Removal and Replacement of Externally Accessible Transnephric Ureteral Stent . . .
50389 Renal Transplantation - External Accessible Removal of Nephrostomy Tube, Requiring Fluoroscopic Guidance (Eg, with Concurrent . . .


50592  Endoscopy Other Ablation, One or More Renal Tumor(s), Percutaneous, Unilateral, Radiofrequency


57295 Vagina, Repair Revision (Including Removal) of Prosthetic Vaginal Graft, Vaginal   Approach
58110 Corpus Uteri, Excision Endometrial Sampling (Biopsy) Performed in Conjunction with Colposcopy . . .

60000 Codes    

These codes include:

  1. Endocrine
  2. Nervous System
  3. Eye
  4. Auditory System

Nervous System Codes    

61630 Endovascular Therapy Balloon Angioplasty, Intracranial (Eg, Atherosclerotic Stenosis), Percutaneous
61635   See Notes   Transcatheter Placement of Intravascular Stent(s), Intracranial (Eg, Atherosclerotic . . .
61640   Balloon Dilatation of Intracranial Vasospasm, Percutaneous; Initial Vessel
61641  Add-On Balloon Dilatation of Intracranial Vasospasm, Percutaneous; Each Additional Vessel . . .
61642  Add-On each additional vessel in different vascular family  

Codes 61630 - 61635 include:

  1. All selective vascular catheters
  2. All Dx imaging for arteriograph of the the target vascular family
  3. All radiological supervision and interpretation

Note: Some carriers may not cover 61630 - 61641 (UT-MCD 2006 Non-Covered List)


There are NO  New   Eye Codes in 2006


There are NO   New  Auditory System codes in 2006 (See Medicine for auditory testing)


7000 Codes - Radiology    

Diagnostic Radiology - Transcatheter Procedures

These codes include:

  1. Contrast injections, venography, roadmapping, and/or fluoroscopy
  2. Vessel measurement
  3. Post venography or stent venography (except for those uses permitted by 75898)

75956 Endovascular repair of descending thoracic aorta
75957 ; not involving coverage of left subclavian artery origin, ...
75958 Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg, aneurysm, pseudoaneurys, dissection, prentraing ulcer, intramular hematoma, otraumatic disruption), radiological supervision and interp
75959 Placement of distal extension prosthesis after endovascular repair of descending thoracic aorta as needed, to level of celiac origin, radiological supervision and interpretation

76376 3D rendering with interp and reporting of CT, Magnetic resonance imaging, ultrasound or other tomographic modality; not requiring image postprocessing on an independent workstation.
76377 requiring image postprocessing on an independent workstation.
12-2-05 medicaid.alabama 2006 bulletin

Radiation Treatment Delivery Codes 77401 - 77416. Report for the technical level and Energy Levels

77412 - 77416 Radiation treatment delivery three or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam ; ( Revised Codes  )
77421 Stereoscopic X-ray guidance for localization of target volume for the delivery of radiation therapy.
77422 High Energy neutron radiation treatment delivery; single treatment area using a single port or parallel-opposed ports with no blocks or simple blocking.
77423 ; 1 or more isocenter(s) with coplanar or noncoplanar geometry.

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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