In late July, the American Medical Association, which maintains the rights to the CPT code set, announced there would be 329 CPT code changes for 2014. Until this week, specifics of those code changes were under embargo.
“While the embargo now has been lifted, the CPT codes for these newly created services will not be made public until mid-October. AANEM, however, encourages its members to familiarize themselves with two upcoming changes to the chemodenervation and intraoperative monitoring codes now
to identify work flow revisions that will be necessary on or before January 1, 2014,” said Catherine French, MAPL, senior analyst of medical economic affairs.
Change #1: Chemodenervation Codes
For offices that include chemodenervation services, there will be significant coding changes for 2014. Eight new codes have been created to more accurately describe and report chemodenervation of extremity, trunk, and neck muscles.
Specifically, if you reported CPT code 64614 in 2013, you will need to update your billing forms as this code will no longer be valid after January 1, 2014. Instead, you will report a code that matches the number of muscles injected. For procedures on the extremities, you will report an additional code when more than one extremity is injected. Up to four units of service for extremity injections can be reported per day.
If you reported CPT code 64613 in 2012, you also will need to update your billing forms as it will no longer be valid after January 1. Two new codes have been created to report chemodenervation of the neck muscles for either the treatment of cervical dystonia and/or spasmodic torticollis or for reporting percutaneous chemodenervation for spasmodic dysphonia due to spasms of the laryngeal muscles.
For both codes 64614 and 64613, if the service is preformed bilaterally, modifier 50 can be added to indicate multiple injections.
Change #2: Intraoperative Neurophysiology
While there are no changes to the CPT codes used to report intraoperative monitoring, the guidelines for the codes used to report intraoperative neurophysiology again have been updated to clarify how monitoring time is calculated. Specifically, for codes 95940 and 95941, you may not include the time for set up, recording, and interpreting baseline studies or time spent removing electrodes at the end of a procedure in the total minutes of monitoring time. Stand by time continues to be reported with CPT code 99360.
You should review how you are currently calculating and reporting your time to make any necessary adjustments prior to January 1.
AANEM staff will provide additional updates on the 2014 code changes as they become known. For questions, please contact firstname.lastname@example.org