When it comes to medical billing, precision is vital. Incorrect code usage may result in missed collections or trigger audit alerts. This year, use the most up-to-date neurology CPT codes to enhance accuracy and optimize profitability.

Neurology 2024 CPT Codes

These CPT codes are updated codes for neurologists in 2024:

• 95813 – EEG, greater than 60 minutes
• 96816 – EEG, Awake and Drowsy
• 96819 – EEG, Awake and Asleep
• 96951 – EEG, Video, 24 hours
• 95970 – Implanted neurotransmitter electronic analysis without programming
• 95983 – Implanted neurotransmitter electronic analysis with programming and first 15 minutes of face-to-face time
• 95984 – Implanted neurotransmitter electronic analysis with programming and each additional 15 minutes of face-to-face time
• 95836 – Implanted brain neurotransmitter electrocorticogram
• G40.011 – Idiopathic epilepsy with localized onset seizures with status epilepticus
• G40.019 – Idiopathic epilepsy with localized onset seizures without status epilepticus
• G40.111 – Symptomatic epilepsy with simple partial seizures with status epilepticus
• G40.119 – Symptomatic epilepsy with simple partial seizures without status epilepticus
• G40.211 – Symptomatic epilepsy with complex partial seizures with status epilepticus
• G40.219 – Symptomatic epilepsy with complex partial seizures without status epilepticus
• Z45.42 – Neurotransmitter management and adjustment

2024 Neurology CPT Code Ranges

The CPT code ranges for neurology and neuromuscular procedures:

• 95700-95811 – Long-term EEG Procedures and Sleep Medicine Testing
• 95812-95830 – Routine EEG Procedures
• 95829-95836 – Electrocorticography
• 95851-95857 – Testing Range of Motion
• 95860-95872 – Electromyography Procedures
• 95873-95887 – Guidance Procedures for Chemo Denervation and Ischemic Muscle Testing Procedures
• 95905-95913 – Nerve Conduction test
• 95919-95924 – Autonomic Function testing procedure
• 95925-95937 – Evoked Potentials and Reflex testing procedure
• 95938-95941 – Intraoperative Neurophysiology procedure
• 95954-95726 – Special EEG testing procedure
• 95970-95984 – Neurostimulators Analysis-Programming procedure
• 95990-95999 – Other Neurology and Neuromuscular procedure
• 96000-96004 – Motion analysis procedure
• 96020-96020 – Functional Brain Mapping

Neurology CPT Modifiers

CPT modifiers can help to make a code more specific:

• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

Failure to maintain accurate and current codes in your pediatric practice could result in missed revenue opportunities through medical billing. Moreover, inaccuracies could lead to delays in claims processing, underscoring the necessity of staying informed about the latest code updates.

Pediatric CPT Code Ranges for 2024

Here are the 2024 pediatric CPT codes:

• 99381 – New patient, preventative care for infant; < 1 year of age
• 99382 – New patient, preventative care; 1-4 years old
• 99383 – New patient, preventative care; 5-11 years old
• 99384 – New patient, preventative care; 12-17 years old
• 99385 – New patient, preventative care; 18+ years old
• 99391 – Established, patient preventative care for infant
• 99392 – Established, preventative care for 1-4 years old
• 99393 – Established, preventative care for 5-11 years old
• 99394 – Established, preventative care for 12-17 years old
• 99395 – Established, preventative care for 18+ years old
• 99401 – 15-minute counseling; preventative medicine or risk reduction, individual
• 99402 – 30-minute counseling; preventative medicine or risk reduction, individual
• 99403 – 45-minute counseling; preventative medicine or risk reduction, individual
• 99404 – 60-minute counseling; preventative medicine or risk reduction, individual
• 99411 – 30-minute counseling; preventative medicine or risk reduction, group
• 99411 – 60-minute counseling for preventative medicine or risk reduction, group
• 99211 – Office visit that doesn’t require a qualified health professional
• 99491 – Chronic care management, first 30 minutes
• 99437 – Chronic care management, each additional 30 minutes
• 99487 – Complex chronic care management, first 30 minutes
• 99489 – Complex chronic care management, each additional 30 minutes
• 99424 – Principal care management for a high-risk disease, by the primary care provider or chronic care specialist, first 30 minutes
• 99425 – Principal care management for a high-risk disease, by the primary care provider or chronic care specialist, each additional 30 minutes
• 99426 – Principal care management for a high-risk disease, carried out by clinical staff under the guidance of a qualified health professional, first 30 minutes
• 99427 – Principal care management for a high-risk disease, carried out by clinical staff under the guidance of a qualified health professional, each additional 30 minutes

Seasonal RSV Monoclonal Antibody Immunization Codes

Here are the new seasonal RSV monoclonal antibody immunization pediatric codes for children (less than 24 months):

• 90380 – Respiratory syncytial virus, monoclonal antibody, seasonal dose; for intramuscular use, 0.5 mL dosage
• 90381 – Respiratory syncytial virus, monoclonal antibody, seasonal dose; for intramuscular use; 1 mL dosage
• 96380 – Administration of respiratory syncytial virus, monoclonal antibody, seasonal dose by intramuscular injection; with counseling by physician or other qualified health care professional.
• 96381 – Administration of respiratory syncytial virus, monoclonal antibody, seasonal dose by intramuscular injection

Pediatric CPT Modifiers

You can use the following 2024 pediatric CPT modifiers to make a code more specific:

• Z00.110 – newborn under 8 days old health supervision
• Z00.111 – newborn between 8 and 28 days old health supervision
• Z00.121 – routine health exam for a child with abnormal findings
• Z00.129 – routine health exam for a child with no abnormal findings
• Z00.00 – routine health exam for an adult with no abnormal findings
• Z00.01 – routine health exam for an adult with abnormal findings
• Z28.3 – under-immunized status
• Z71.3 – dietary counseling or surveillance
• Z71.82 – exercise counseling
• Z71.84 – health counseling for travel purposes
• Z71.85 – counseling for immunization safety
• Z71.89 – other counseling, specified
• Z71.9 – other counseling, unspecified

Ensuring accurate filing of claims with specific codes and modifiers is crucial for maximizing collections. Errors in coding could lead to delays in reimbursement. The CPT codes, along with their modifiers, have been updated for 2024 in the ENT specialty.

ENT Code Ranges in 2024

Here are the 2024 updated CPT codes for ENT services:

• 31233 – Diagnostic nasal/sinus endoscopy with maxillary sinusoscopy
• 31235 – Diagnostic nasal/sinus endoscopy with sphenoid sinusoscopy
• 31292 – Surgical nasal/sinus endoscopy with orbital decompression; medial or inferior wall
• 31293 – Surgical nasal/sinus endoscopy with orbital decompression; medial and inferior wall
• 31294 – Surgical nasal/sinus endoscopy with optic nerve decompression
• 31295 – Maxillary sinus ostium, transnasal or via canine fossa surgical nasal/sinus endoscopy with dilation
• 31296 – Frontal sinus ostium surgical nasal/sinus endoscopy with dilation
• 31297 – Sphenoid sinus ostium surgical nasal/sinus endoscopy with dilation
• 31298 – Frontal and sphenoid sinus ostia surgical nasal/sinus endoscopy with dilation
• 74210 – Pharynx and/or cervical esophagus radiology examination
• 74220 – Esophagus radiology examination
• 74230 – Swallowing function with cineradiography/videoradiography radiology examination
• 92557 – Hearing Test, comprehensive
• 92567 – Impedance
• 92587 – Limited otoacoustic emission
• 92626 – First hour of postoperative status of a surgically implanted device or auditory function for surgically implanted device evaluation
• 92627 – Each additional 15 minutes of postoperative status of a surgically implanted device or auditory function for surgically implanted device evaluation
• 94728 – Oscillometry airway resistance
• 95812 – EEG, 41-60 minutes
• 99243 – Consultation and/or Evaluation

ENT Modifiers

Modifiers can help boost your collections when filing claims:

• 310 – Not vaccinated against COVID-19
• 311 – Partly vaccinated against COVID-19
• 39 – Indicates any other under-immunized status

Ensuring accuracy in medical billing is crucial for optimizing claim outcomes. Given that modifiers and codes may undergo revisions, it is imperative for psychiatry specialists to regularly update their practices to enhance precision and maximize revenue collection.

Psychiatry Code Ranges for 2024

The following are 2024’s updated CPT codes for psychiatry:

Psychiatric Diagnostic Procedures

• 90791 – Psychiatric diagnostic evaluation
• 90792 – Psychiatric diagnostic evaluation with medical services
• 90865 – Narcosynthesis
• 90867 – Therapeutic transcranial magnetic stimulation, initial
• 90868 – Therapeutic transcranial magnetic stimulation, subsequent
• 90870 – Electroconvulsive therapy
• 90880 – Hypnotherapy
• 90882 – Environmental manipulation
• 90885 – Psychiatric evaluation of records
• 90887 – Explanation to family
• 90889 – Psychiatric report preparation

Interactive Complexity

• 90875 – Psychotherapy, complex interactive add-on code

Psychotherapy

• 90832 – Psychotherapy, 30 minutes with patient
• 90833 – Psychotherapy, with evaluation and management service, 30 minutes with patient
• 90834 – Psychotherapy, 45 minutes with patient
• 90836 – Psychotherapy, with evaluation and management service, 45 minutes with patient
• 90837 – Psychotherapy, 60 minutes with patient
• 90838 – Psychotherapy, with evaluation and management service, 60 minutes with patient
• 90845 – Psychoanalysis
• 90846 – Family psychotherapy (without the patient present), 50 minutes
• 90847 – Family psychotherapy, conjoint, with the patient present, 50 minutes
• 90849 – Psychotherapy, multiple-family group
• 90853 – Group psychotherapy (other than 90849 multiple-family group)

Crisis Psychotherapy

• 90839 – Crisis psychotherapy; first 60 minutes
• 90840 – Crisis psychotherapy; each additional 30 minutes (list separately in addition to 90839 code for primary service)

Office Visits

• 99201 – New patient, in-office visit, 10 minutes
• 99202 – New patient, in-office visit, 20 minutes
• 99203 – New patient, in-office visit, 30 minutes
• 99204 – New patient, in-office visit, 45 minutes
• 99205 – New patient, in-office visit, 60 minutes
• 99211 – Established patient, 5 minutes
• 99212 – Established patient, 10 minutes
• 99213 – Established patient, 15 minutes
• 99214 – Established patient, 25 minutes
• 99215 – Established patient, 40 minutes

Other Services

• 99443 – Telephone therapy, limit 3 hours
• 90899 – Unlisted psychiatric service or procedure
• 90901 – Biofeedback training, any modality
• 90911 – EMG/manometry/biofeedback training

Psychiatry Modifiers

Modifiers make codes more accurate and specific to increase collections from claims.

• -AF – Indicates a psychiatrist licensed professional

Audiologists must maintain accuracy in medical billing to ensure maximum collections and prevent potential financial losses or audits. Therefore, it is imperative that audiology specialists utilize the most current codes and modifiers.

Updated Audiology Codes for 2024

These audiologist CPT codes have been updated for 2024:

• 92622 – The diagnostic evaluation, configuration, and validation of an auditory osseointegrated sound processor, regardless of its type, within the initial 60-minute period.
• 92623 – Additional 15-minute increments beyond the initial 60-minute diagnostic evaluation, configuration, and validation of an auditory osseointegrated sound processor, regardless of its type; must be listed separately.

Audiology Codes for 2024

The following are the rest of the Audiology CPT codes for 2024:

Surgical Procedures

• 0725T – Surgical procedure for either removing or implanting a vestibular device.
• 0726T – Surgical procedure for either removing or implanting a vestibular device.
• 0727T – Surgical procedure for either removing or implanting a vestibular device.
• 0728T – Initial setup and configuration of a vestibular implant for diagnostic analysis, focused on one side of the body.
• 0729T – Subsequent adjustments and configuration of a vestibular implant for diagnostic analysis, focused on one side of the body.

Vestibular Testing

• 92517 – Diagnostic test for cervical vestibular evoked myogenic potentials (cVEMP) with detailed interpretation and report.
• 92518 – Diagnostic test for ocular vestibular evoked myogenic potentials (oVEMP) with detailed interpretation and report.
• 92519 – Comprehensive diagnostic test for both cervical (cVEMP) and ocular (oVEMP) vestibular evoked myogenic potentials with detailed interpretation and report.
• 92537 – Bilateral caloric vestibular testing involving both warm and cool irrigations in each ear, with recording.
• 92538 – Bilateral caloric vestibular testing involving one irrigation in each ear, with recording.
• 92540 – Comprehensive evaluation of vestibular function including various nystagmus tests, optokinetic stimulation, and tracking assessment, with recording.
• 92541 – Evaluation of spontaneous nystagmus, gaze, and fixation nystagmus, with recording.
• 92542 – Evaluation of positional nystagmus in at least four positions, with recording.
• 92543 – Caloric vestibular testing with each irrigation, recorded separately.
• 92544 – Evaluation of optokinetic nystagmus with bidirectional stimulation, recorded for analysis.
• 92545 – Assessment of oscillating tracking eye movements, recorded for analysis.
• 92546 – Testing of sinusoidal rotational movements in a vertical axis, recorded for analysis.
• 92547 – Utilization of vertical electrodes during vestibular testing, to be billed separately.
• 92548 – Computerized dynamic posturography evaluating sensory organization with various conditions, including interpretation and report.
• 92549 – Computerized dynamic posturography evaluating sensory organization along with motor control and adaptation tests, including interpretation and report.

Audiometric Testing

• 92550 – Tympanometry and reflex threshold measurements to assess middle ear function.
• 92552 – Pure tone audiometry assessment focusing on air-conducted sounds only.
• 92553 – Pure tone audiometry assessment focusing on both air and bone-conducted sounds.
• 92555 – Speech audiometry threshold assessment.
• 92556 – Speech audiometry threshold assessment along with speech recognition evaluation.
• 92557 – Comprehensive assessment of audiometry threshold levels and speech recognition.
• 92561 – Diagnostic test known as Bekesy testing.
• 92562 – Loudness balance test conducted with alternate binaural or monaural stimulation.
• 92563 – Assessment of tone decay in auditory perception.
• 92564 – Measurement of short increment sensitivity index (SISI) in auditory function.
• 92565 – Stenger test conducted using pure tones.
• 92567 – Tympanometry test to assess middle ear function, see code 92550 for details.
• 92568 – Threshold assessment for acoustic reflexes, see code 92550 for details.
• 92569 – Assessment of acoustic reflex decay (Note: Use code 92570 for combined testing).
• 92570 – Comprehensive assessment including tympanometry, acoustic reflex threshold, and decay testing.
• 92571 – Filtered speech test to evaluate auditory perception.
• 92572 – Staggered spondaic word test to assess speech recognition.
• 92573 – Lombard test for assessing speech in noisy environments.
• 92575 – Sensorineural acuity level test to evaluate hearing loss.
• 92576 – Synthetic sentence identification test for speech recognition.
• 92577 – Stenger test conducted with speech stimuli.
• 92579 – Visual reinforcement audiometry (VRA) to assess hearing in children.
• 92582 – Conditioning play audiometry for pediatric hearing assessment.
• 92583 – Select picture audiometry to evaluate hearing in pediatric patients.
• 92584 – Electrocochleography used for auditory nerve assessment.
• 92585 – Comprehensive evaluation of auditory evoked potentials for hearing and neurological assessment.
• 92586 – Limited evaluation of auditory evoked potentials for hearing and neurological assessment.
• 92587 – Limited evaluation of distortion product evoked otoacoustic emissions to confirm the presence or absence of hearing disorder at specific frequencies, or transient evoked otoacoustic emissions, with interpretation and report.
• 92588 – Comprehensive diagnostic evaluation of distortion product evoked otoacoustic emissions, including quantitative analysis of outer hair cell function by cochlear mapping at a minimum of 12 frequencies, with interpretation and report.
• 92596 – Measurement of ear protector attenuation to assess the effectiveness of hearing protection devices.

Cochlear Implant Assessment and Programming

• 92601 – Diagnostic analysis of cochlear implant in patients under 7 years old, including initial programming.
• 92602 – Subsequent programming for cochlear implant patients under 7 years old.
• 92603 – Diagnostic analysis of cochlear implant in patients 7 years or older, including initial programming.
• 92604 – Subsequent programming for cochlear implant patients 7 years or older.
• 92620 – Assessment of central auditory processing, including detailed report; initial duration of 60 minutes.
• 92621 – Assessment of central auditory processing, including detailed report; each additional duration of 15 minutes.
• 92625 – Comprehensive evaluation of tinnitus, encompassing assessment of pitch, loudness, matching, and masking.
• 92626 – Evaluation of auditory function for candidacy or postoperative status of the surgically implanted device(s); first hour of assessment.
• 92627 – Evaluation of auditory function for candidacy or postoperative status of surgically implanted device(s); each additional duration of 15 minutes.
• 92640 – Comprehensive diagnostic analysis and programming of auditory brainstem implant, billed per hour of service.
• 92651 – Assessment of auditory evoked potentials for determining hearing status using broadband stimuli, with detailed interpretation and report.
• 92652 – Assessment of auditory evoked potentials for threshold estimation across multiple frequencies, with detailed interpretation and report.
• 92653 – Neurodiagnostic assessment of auditory evoked potentials, with detailed interpretation and report.
• 92700 – Billing code for an unlisted otorhinolaryngological service or procedure.

Audiologist Modifiers

Modifiers are used to make codes more accurate and specific to increase collections from claims.

• -22 – Indicates that the work is substantially greater than typically required
• -52 – Modifier for an abbreviated procedure
• -59 – Establishes one procedure as distinct from another procedure billed on the same day

The success of your practice relies heavily on the accuracy of your medical billing. It’s essential to ensure precise processing of claims, using the correct cardiology CPT codes and modifiers. The accuracy of your coding directly influences your potential reimbursement, underscoring the importance of meticulous coding to optimize collections.

Cardiology CPT Code Ranges in 2024

The following are the CPT codes for cardiology services used in 2024:

• 0051T – Implantation of an artificial heart system with recipient cardiectomy
• 0052T – Replacement or repair of components of artificial heart system (thoracic unit)
• 0053T – Replacement or repair of components of artificial heart system (excluding thoracic unit)
• 33496 – Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass as a separate procedure.
• 33542 – Myocardial resection, such as ventricular aneurysmectomy.
• 33545 – Repair of postinfarction ventricular septal defect, with or without myocardial resection.
• 33548 – Surgical ventricular restoration procedure, which includes prosthetic patch placement when performed.
• 33732 – Correction of cor triatriatum or supravalvular mitral ring through resection of the left atrial membrane.

Thoracic Procedures

• 32658 – Surgical thoracoscopy with pericardial clot or foreign body removal
• 32659 – Surgical thoracoscopy with pericardial window creation or partial sac resection for drainage
• 32661 – Surgical thoracoscopy with pericardial cyst, tumor, or mass excision

Pericardial Procedures

• 33020 – Pericardiotomy for clot or foreign body removal (primary procedure)
• 33025 – Creation of pericardial window or partial resection for drainage
• 33030 – Subtotal or complete pericardiectomy without cardiopulmonary bypass
• 33031 – Subtotal or complete pericardiectomy with cardiopulmonary bypass
• 33050 – Removal of pericardial cyst or tumor

Cardiac Tumor Excision and Ablation

• 33120 – Excision of intracardiac tumor with resection using cardiopulmonary bypass
• 33130 – Removal of external cardiac tumor

Cardiac Arrhythmia Ablation

• 33250 – Surgical ablation of supraventricular arrhythmogenic focus or pathway without cardiopulmonary bypass
• 33251 – Surgical ablation of supraventricular arrhythmogenic focus or pathway with cardiopulmonary bypass
• 33254 – Surgical tissue ablation and reconstruction of atria (limited)
• 33255 – Surgical tissue ablation and reconstruction of atria (extensive) without cardiopulmonary bypass
• 33256 – Surgical tissue ablation and reconstruction of atria (extensive) with cardiopulmonary bypass
• 33257 – Surgical tissue ablation and reconstruction of atria (limited) performed concurrently with other cardiac procedures
• 33258 – Surgical tissue ablation and reconstruction of atria (extensive) performed concurrently with other cardiac procedures without cardiopulmonary bypass
• 33259 – Surgical tissue ablation and reconstruction of atria (extensive) performed concurrently with other cardiac procedures with cardiopulmonary bypass
• 33261 – Surgical ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass
• 33265 – Surgical endoscopic tissue ablation and reconstruction of atria (limited) without cardiopulmonary bypass
• 33266 – Surgical endoscopic tissue ablation and reconstruction of atria (extensive) without cardiopulmonary bypass
• 33267 – Open exclusion of left atrial appendage using any method
• 33268 – Open exclusion of left atrial appendage performed concurrently with other sternotomy or thoracotomy procedures using any method
• 33269 – Thoracoscopic exclusion of left atrial appendage using any method

Cardiotomy and Cardiac Wound Repair

• 33300 – Repair of cardiac wound without bypass
• 33305 – Repair of cardiac wound with cardiopulmonary bypass
• 33310 – Exploratory cardiotomy (includes removal of foreign bodies, atrial, or ventricular thrombus) without bypass
• 33315 – Exploratory cardiotomy (includes removal of foreign bodies, atrial, or ventricular thrombus) with cardiopulmonary bypass

Transcatheter Aortic Valve Replacement (TAVR/TAVI)

• 33365 – Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve via transaortic approach
• 33366 – Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve via transapical exposure

Aortic Valve Procedures

• 33390 – Open valvuloplasty of the aortic valve with cardiopulmonary bypass; simple procedure
• 33391 – Open valvuloplasty of the aortic valve with cardiopulmonary bypass; complex procedure
• 33404 – Construction of apical-aortic conduit
• 33405 – Open replacement of aortic valve with prosthetic valve other than homograft or stentless valve using cardiopulmonary bypass
• 33406 – Open replacement of aortic valve with allograft valve (freehand) using cardiopulmonary bypass
• 33410 – Open replacement of aortic valve with stentless tissue valve using cardiopulmonary bypass
• 33411 – Replacement of aortic valve with aortic annulus enlargement, noncoronary sinus
• 33412 – Replacement of aortic valve with transventricular aortic annulus enlargement (Konno procedure)
• 33413 – Replacement of aortic valve by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure)
• 33414 – Repair of left ventricular outflow tract obstruction by patch enlargement
• 33415 – Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis
• 33416 – Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis
• 33417 – Aortoplasty (gusset) for supravalvular stenosis
• 33440 – Aortic valve replacement through the translocation of an autologous pulmonary valve and enlargement of the left ventricular outflow tract.

Mitral Valve Procedures

• 33420 – Mitral valve valvotomy performed on a closed heart.
• 33422 – Mitral valve valvotomy performed on an open heart with cardiopulmonary bypass.
• 33425 – Mitral valve valvuloplasty conducted with cardiopulmonary bypass.
• 33426 – Mitral valve valvuloplasty conducted with cardiopulmonary bypass, including the placement of a prosthetic ring.
• 33427 – Mitral valve valvuloplasty conducted with cardiopulmonary bypass, involving radical reconstruction with or without a ring.
• 33430 – Replacement of the mitral valve with the assistance of cardiopulmonary bypass.

Tricuspid Valve Procedures

• 33460 – Tricuspid valve valvectomy performed with cardiopulmonary bypass.
• 33463 – Tricuspid valve valvuloplasty performed without ring insertion.
• 33464 – Tricuspid valve valvuloplasty performed with ring insertion.
• 33465 – Replacement of the tricuspid valve with the assistance of cardiopulmonary bypass.
• 33468 – Repositioning and plication of the tricuspid valve for Ebstein anomaly.

Pulmonary Valve Procedures

• 33471 – Pulmonary valve valvotomy conducted on a closed heart via the pulmonary artery.
• 33474 – Pulmonary valve valvotomy conducted on an open heart with cardiopulmonary bypass.
• 33475 – Replacement of the pulmonary valve.
• 33476 – Resection of the right ventricle for infundibular stenosis, with or without commissurotomy.
• 33478 – Augmentation of the outflow tract, with or without commissurotomy or infundibular resection.

Ventricular Septal Defect (VSD) Repair

• 33600 – Closure of the atrioventricular valve (mitral or tricuspid) by suture or patch.
• 33602 – Closure of the semilunar valve (aortic or pulmonary) by suture or patch.
• 33608 – Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by construction or replacement of a conduit.
• 33610 – Surgical enlargement of the ventricular septal defect for repair of complex cardiac anomalies (e.g., single ventricle with subaortic obstruction).
• 33611 – Repair of double outlet right ventricle with intraventricular tunnel repair.
• 33612 – Repair of double outlet right ventricle with intraventricular tunnel repair, including repair of right ventricular outflow tract obstruction.
• 33615 – Closure of atrial septal defect and anastomosis of atria or vena cava to pulmonary artery for repair of complex cardiac anomalies (e.g., tricuspid atresia).
• 33617 – Repair of complex cardiac anomalies (e.g., single ventricle) by modified Fontan procedure.
• 33619 – Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (e.g., Norwood procedure).
• 33641 – Repair of the atrial septal defect, secundum, with or without patch using cardiopulmonary bypass.
• 33645 – Direct or patch closure of sinus venosus, with or without anomalous pulmonary venous drainage.
• 33647 – Repair of atrial septal defect and ventricular septal defect, with direct or patch closure.
• 33660 – Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect), with or without atrioventricular valve repair.
• 33665 – Repair of intermediate or transitional atrioventricular canal, with or without atrioventricular valve repair.
• 33670 – Repair of the complete atrioventricular canal, with or without prosthetic valve.
• 33675 – Closure of multiple ventricular septal defects.
• 33676 – Closure of multiple ventricular septal defects, with pulmonary valvotomy or infundibular resection (acyanotic).
• 33677 – Closure of multiple ventricular septal defects, with removal of pulmonary artery band, with or without gusset.
• 33681 – Closure of single ventricular septal defect, with or without patch.
• 33684 – Closure of single ventricular septal defect, with or without a patch, including pulmonary valvotomy or infundibular resection (acyanotic).
• 33688 – Closure of single ventricular septal defect, with or without patch, including removal of pulmonary artery band, with or without gusset.
• 33692 – Complete repair of tetralogy of Fallot without pulmonary atresia.
• 33694 – Comprehensive repair of tetralogy of Fallot without pulmonary atresia, including the use of a transannular patch.
• 33697 – Comprehensive repair of tetralogy of Fallot with pulmonary atresia, involving the creation of a conduit from the right ventricle to the pulmonary artery and closure of the ventricular septal defect.

Sinus of Valsalva Procedures

• 33702 – Surgical correction of sinus of Valsalva fistula with the assistance of cardiopulmonary bypass.
• 33710 – Surgical correction of sinus of Valsalva fistula with cardiopulmonary bypass, combined with repair of a ventricular septal defect.
• 33720 – Surgical repair of sinus of Valsalva aneurysm with the aid of cardiopulmonary bypass.

Atrial Septostomy and Atrial Baffle Procedures

• 33735 – Atrial septectomy or septostomy performed on a closed heart, known as the Blalock-Hanlon type operation.
• 33736 – Atrial septectomy or septostomy conducted on an open heart with the support of cardiopulmonary bypass.
• 33737 – Atrial septectomy or septostomy conducted on an open heart with the occlusion of inflow.

Transposition of Great Arteries Repair

• 33770 – Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis without surgically enlarging the ventricular septal defect.
• 33774 – Correction of transposition of the great arteries through the atrial baffle procedure (e.g., Mustard or Senning type) with cardiopulmonary bypass.
• 33776 – Correction of transposition of the great arteries through the atrial baffle procedure (e.g., Mustard or Senning type) with cardiopulmonary bypass, along with closure of the ventricular septal defect.
• 33780 – Correction of transposition of the great arteries through aortic pulmonary artery reconstruction (e.g., Jatene type) with the closure of the ventricular septal defect.
• 33782 – Aortic root translocation with the repair of the ventricular septal defect and pulmonary stenosis (i.e., Nikaidoh procedure) without reimplantation of coronary ostia.
• 33783 – Aortic root translocation with the repair of the ventricular septal defect and pulmonary stenosis (i.e., Nikaidoh procedure) with reimplantation of one or both coronary ostia.
• 33786 – Total repair of truncus arteriosus, following the Rastelli type operation.

Aortopulmonary Septal Defect Repair

• 33813 – Obliteration of aortopulmonary septal defect without the use of cardiopulmonary bypass.
• 33814 – Obliteration of aortopulmonary septal defect with the aid of cardiopulmonary bypass.

Ventricular Assist Device Insertion and Removal

• 33920 – Repair of pulmonary atresia with ventricular septal defect by constructing or replacing a conduit from the right or left ventricle to the pulmonary artery.
• 33975 – Insertion of an extracorporeal ventricular assist device for a single ventricle.
• 33976 – Insertion of an extracorporeal ventricular assist device for biventricular support.
• 33977 – Removal of an extracorporeal ventricular assist device for a single ventricle.
• 33978 – Removal of an extracorporeal ventricular assist device for biventricular support.
• 33979 – Insertion of an implantable intracorporeal ventricular assist device for a single ventricle.
• 33980 – Removal of an implantable intracorporeal ventricular assist device for a single ventricle.

Cardiology Modifiers

Add modifiers where you can to improve the accuracy of billing and reduce the risk of the claim getting denied. The following are recent additions to the list of modifiers:

• 310 – Not vaccinated against COVID-19
• 311 – Partly vaccinated against COVID-19
• 39 – Indicates any other under-immunized status

Ensuring the accuracy of your medical practice billing and accuracy is important. If your urology practice’s codes are not accurate, then claims may be delayed or even denied. So, the more accurate your codes, the more collections you can receive.

Urology CPT Code Ranges in 2024

Below are the urology CPT codes for 2024.

Cystectomy CPT Codes

These CPT codes pertain to cystectomies:

• 51550 – Partial cystectomy; simple
• 51555 – Partial cystectomy; complicated (i.e., in a difficult location or previously had surgery)
• 51565 – Partial cystectomy; with ureteroneocystostomy (repositioning of ureter(s) into the bladder)
• 51570 – Complete cystectomy
• 51575 – Complete cystectomy; accompanied by bilateral pelvic lymphadenectomy, encompassing obturator nodes, hypogastric, and external iliac
• 51580 – Complete cystectomy, including ureterosigmoidostomy or ureterocutaneous transplant
• 51585 – Complete cystectomy, including ureterosigmoidostomy or ureterocutaneous transplantation, along with bilateral pelvic lymphadenectomy involving obturator nodes, hypogastric, and external iliac
• 51590 – Complete cystectomy with intestinal connection, involving either ureteroileal conduit or sigmoid bladder
• 51595 – Complete cystectomy, along with either a ureteroileal conduit or sigmoid bladder, incorporating intestinal connection; alongside the removal of lymph nodes in both pelvic regions, covering external iliac, hypogastric, and obturator nodes
• 51596 – Complete cystectomy, with continent diversion, employing an open technique, utilizing any portion of the small and/or large intestine to form a neobladder

Nephrectomy CPT Codes

These CPT codes relate to nephrectomies:

• 50220 – Nephrectomy, involving partial removal of the ureter, utilizing any open approach, including rib resection
• 50225 – Nephrectomy, involving partial ureterectomy, utilizing any open approach, including rib resection; complicated due to prior surgery on the same kidney
• 50230 – Nephrectomy, involving partial ureterectomy, utilizing any open approach, including rib resection; performed radically, with regional lymphadenectomy and/or vena caval thrombectomy
• 50334 – Nephrectomy, with complete ureterectomy and bladder cuff; through the same incision
• 50236 – Nephrectomy, with total ureterectomy and bladder cuff; through a separate incision
• 50240 – Partial nephrectomy
• 50543 – Partial laparoscopic nephrectomy
• 50545 – Laparoscopy with radical nephrectomy (comprising removal of Gerota’s fascia and surrounding adipose tissue, excision of regional lymph nodes, and renalectomy)
• 50546 – Laparoscopic nephrectomy, involving partial ureterectomy
• 50548 – Laparoscopic nephrectomy with total ureterectomy

Prostatectomy CPT Codes

These CPT codes are for prostatectomies:

• 55801 – Perineal subtotal prostatectomy, encompassing management of postoperative hemorrhage, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy
• 55810 – Radical perineal prostatectomy
• 55812 – Radical perineal prostatectomy, accompanied by lymph node biopsy(s) (limited pelvic lymphadenectomy)
• 55815 – Perineal radical prostatectomy, with bilateral pelvic lymphadenectomy involving external iliac, hypogastric, and obturator nodes
• 55821 – Suprapubic subtotal prostatectomy, conducted in 1 or 2 stages, including management of postoperative hemorrhage, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy
• 55831– Retropubic subtotal prostatectomy, involving control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy
• 55840 – Retropubic radical prostatectomy, with or without preservation of nerves
• 55842 – Retropubic radical prostatectomy, with or without preservation of nerves, accompanied by lymph node biopsy(s) (limited pelvic lymphadenectomy)
• 55845 – Retropubic radical prostatectomy, with or without preservation of nerves, with bilateral pelvic lymphadenectomy encompassing external iliac, hypogastric, and obturator nodes
• 55866 – Surgical laparoscopic radical retropubic prostatectomy, inclusive of nerve sparing, with robotic assistance, if performed
• 55867 – Surgical laparoscopic simple subtotal prostatectomy, involving the control of postoperative bleeding, vasectomy, meatotomy, urethral calibration and/or dilation, and internal urethrotomy, with robotic assistance, if performed

New 2024 CPT Codes

These are new CPT codes:

• 52284 – Cystourethroscopy; with mechanical urethral dilation and drug delivery for urethral stricture, utilizing a specialized drug-coated balloon catheter. Replaces Category III code 0499T
• 64596 – The initial insertion or replacement of a percutaneous electrode array with an integrated neurostimulator for peripheral nerve stimulation, including imaging guidance
• +64597 – An add-on code to report each additional electrode array insertion or replacement
• 64598 – Revising or removing a neurostimulator electrode array with an integrated neurostimulator for peripheral nerve stimulation
• 99459 – Separately listing a female pelvic exam in addition to the primary procedure code during preventive medicine or E/M services

Revised 2024 CPT Codes

These are the revised CPT codes:

• 63685 – Placement or substitution of spinal neurostimulator pulse generator or receiver, utilizing direct or inductive coupling
• 63688 – Modification or extraction of implanted spinal neurostimulator pulse generator or receiver
• 64590 – Inserting or replacing a peripheral, sacral, or gastric neurostimulator pulse generator or receiver, including pocket creation and connection between electrode array and pulse generator or receiver
• 64595 – Revising or removing a peripheral, sacral, or gastric neurostimulator pulse generator or receiver, with a detachable connection to the electrode array
• 0587T – Percutaneous implantation or replacement of integrated single device neurostimulation system, comprising electrode array and receiver or pulse generator, with analysis, programming, and imaging guidance as necessary, targeting the posterior tibial nerve
• 0588T – Revision or removal of integrated single-device neurostimulation system, including electrode array and receiver or pulse generator, with analysis, programming, and imaging guidance as required, focusing on the posterior tibial nerve
• 0589T – Electronic analysis with basic programming of implanted integrated neurostimulation system (e.g., electrode array and receiver), involving contact group(s), amplitude, pulse width, frequency (Hz), on/off cycling, burst, dose lockout, patient-selectable parameters, responsive neurostimulation, detection algorithms, closed-loop parameters, and passive parameters, conducted by a physician or other qualified healthcare professional, targeting the posterior tibial nerve, with 1-3 parameters

Urology Modifiers

In medical billing, using modifiers alongside the original CPT code improves accuracy. The more accurate a claim is, the less likely it is for a claim to face denials. Below are the recent additions to the list of modifiers for urology departments:

• -24 – Unrelated E/M service by the same physician/other qualified health care professional during a postoperative period
• -25 – separately identifiable E/M service by the same physician
• 95 – telehealth service
• 93 – synchronous telehealth service
• JW – drug discarded, not administered to any patient
• JZ – no amount of drug is discarded
• 310 – not vaccinated against COVID-19
• 311 – partly vaccinated against COVID-19
• 39 – indicates any other under-immunized status

Make the most of your hospitalist billing practice by keeping CPT codes and modifiers accurate. When recorded and reported accurately, this can save healthcare providers time and money by reducing patient billing errors. Check the 2024 hospitalist billing codes to maximize patient claim profits.

Hospitalist Code Ranges for 2024

Here are the updated CPT codes for hospitalists in 2024:

• 99221: Hospital inpatient care services (new or established patient)
• 99222: Hospital inpatient care services (new or established patient)
• 99223: Hospital inpatient care services (new or established patient)
• 99231: Subsequent hospital care services
• 99232: Subsequent hospital care services
• 99233: Subsequent hospital care services
• 99238: Hospital discharge services
• 99239: Hospital discharge services
• 99252: Outpatient consultation services (new or established patient)
• 99253: Outpatient consultation services (new or established patient)
• 99254: Outpatient consultation services (new or established patient)
• 99255: Outpatient consultation services (new or established patient)
• 99291: Critical care services
• 99292: Critical care services
• 99242: Inpatient consultation services (new or established patient)
• 99243: Inpatient consultation services (new or established patient)
• 99244: Inpatient consultation services (new or established patient)
• 99245: Inpatient consultation services (new or established patient)

Hospitalist Modifiers

Increase CPT code accuracy with correct modifiers. These are the 2024 hospitalist modifiers:

• 25: Indicates a visit is separate from a procedure performed on the same day
• 310: Not vaccinated against COVID-19
• 311: Partly vaccinated against COVID-19
• 39: Indicates any other under-immunized status

To add more detail to billing reports, dermatology offices can benefit from using up-to-date CPT codes and modifiers. These reports can increase billing accuracy and prevent any missed billing opportunities for medical services. Your dermatology practice should stay informed of the 2024 CPT codes and modifiers.

Common Dermatology CPT Codes 2024

These are the most common dermatology procedures codes for 2024.

Evaluation and Management

Consultations

The following are the 2024 consultation codes:

• 99242: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and straightforward medical decision-making
• 99243: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and a low level of medical decision-making
• 99244: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision-making
• 99245: Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and a high level of medical decision-making

Visits and Evaluations

• 99201: Problem-focused office visit from new patient
• 99202: Expanded problem-focused office visit from new patient
• 99203: Detailed office visit from new patient
• 99204: Comprehensive office visit from new patient with review of 2-9 symptoms
• 99205: Comprehensive office visit from a new patient with a review of 10 or more symptoms
• 99211: Straightforward office visit from established patient
• 99212: Problem-focused office visit from established patient
• 99213: Expanded problem-focused office visit from established patient
• 99214: Detailed office visit from established patient
• 99215: Comprehensive office visit from established patient

Biopsies

• 11100: Biopsy of skin, subcutaneous tissue and mucous membrane (including simple closure), unless otherwise listed; single lesion
• 11101: Biopsy of skin, subcutaneous tissue and mucous membrane (including simple closure), unless otherwise listed; each additional lesion
• 11102: Tangential biopsy of skin; single lesion
• 11103: Tangential biopsy of skin; each separate/additional lesion
• 11104: Punch biopsy of skin; single lesion
• 11105: Punch biopsy of skin; each separate/additional lesion
• 11106: Incisional biopsy of skin; single lesion
• 11107: Incisional biopsy of skin; each separate/additional lesion

Destruction of Lesions

• 17000: Destruction of premalignant lesions; first lesion
• 17003: Destruction of premalignant lesions; 2-14 lesions
• 17110: Destruction of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions

Mohs Surgery

• 17311: Mohs micrographic technique on head, neck, hands, feet; first stage
• 17312: Mohs micrographic technique on head, neck, hands, feet; each additional stage
• 17313: Mohs micrographic technique on trunk, arms, and legs; first stage
• 17314: Mohs micrographic technique on trunk, arms, and legs; each additional stage

Excisions

• 11403: Excision, benign lesion including margins; trunk, arms, or legs
• 11603: Excision, malignant lesion including margins; trunk, arms or legs

Phototherapy

• 96900: Actinotherapy (ultraviolet light)
• 96910: Photochemotherapy; tar and ultraviolet B or petrolatum and ultraviolet B
• 96567: Photodynamic therapy by external application of light to destroy premalignant and malignant lesions
• J7308: Aminolevulinic acid HCL for topical administration

Laser Treatment

• 96920: Laser treatment for inflammatory skin disease
• 96921: Laser treatment for inflammatory skin disease

2024 Modifiers

Modifiers exist to distinguish any repeat codes. These are the 2024 modifiers for dermatology:

• 25: Separate evaluation on the same day as another procedure or service
• 59: Repetition of procedure on a different extremity
• 91: Repeat tests taken on the same day with different specimens at different times
• 95: synchronous telemedicine service rendered via real-time Interactive audio and video telecommunications system
• 310: Not vaccinated against COVID-19
• 311: Partly vaccinated against COVID-19
• 39: Indicates any other under-immunized status