Disclaimer: This article was originally published more than a year ago and may contain information that is now outdated due to new policies, regulations, or industry changes. Please verify details with current sources before making any decisions based on this content. For the most current information, be sure to check the MSN Healthcare Solution’s online News & Articles hub.
2022 Interventional Radiology CPT Code Changes
Endovascular Repair of Aortic Coarctation
Previously, no codes existed to report these endovascular procedures
33894
Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; across major side branches33895
Endovascular stent repair of coarctation of the ascending, transverse, or descending thoracic or abdominal aorta, involving stent placement; not crossing major side branches33897
Percutaneous transluminal angioplasty of native or recurrent coarctation of the aorta
Destruction of Intraosseous Basiverterbral Nerve Procedures (64628, 64629)
- Codes 64628, 64629 are inclusive of imaging guidance
64628
Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral64629
Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; each additional vertebral body, lumbar or sacral (List separately in addition to code for primary procedure)
Category III Codes
Used for new and emerging technology
Data collection purposes
Generally, no RVU’s
Transcatherter Tricuspid Valve Implantation (TTVI)/Replacement (0646T)
0646T
Transcatheter tricuspid valve implantation (TTVI)/replacement with prosthetic valve, percutaneous approach, including right heart catheterization, temporary pacemaker insertion, and selective right ventricular or right atrial angiography, when performed
Percutaneous US Gastrostomy Tube Placement with Magnetic Gastropexy (0647T)
The provider inserts a gastrostomy tube (feeding tube) through the skin, using magnets to bring the stomach to the abdominal wall under ultrasound guidance
0647T
Insertion of gastrostomy tube, percutaneous, with magnetic gastropexy, under ultrasound guidance, image documentation and report
Thyroid Nodule Laser Ablation (0673T)
This is a new minimally invasive outpatient procedure, compared to the traditional open surgical excision of thyroid nodule(s).
It is reported one time per session, no matter how many nodules are ablated.
It includes all types of imaging guidance
Can be used for single or multiple nodules
0673T
Ablation, benign thyroid nodule(s), percutaneous, laser, including imaging guidance
Histotripsy (0686T)
A new Category III code (0686T) has been established to report histotripsy of malignant hepatocellular tissue.
This is a new ablative technique.
This code is specific for the treatment of liver lesions.
This new procedure is different from other ablative methods in that it does not use thermal energy (e.g., radio frequency, cryogenic, etc.).
Instead, it destroys tissue non-thermally using focused acoustic energy.
Code 0686T includes all imaging guidance necessary to perform the procedure.
0686T
Histotripsy (ie, non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue, including image guidance
Documentation should include:
• Histotripsy
• Malignant hepatocellular tissue or liver lesions
Re-Evaluation of Potentially Misvalued Services
