deletions are found in the subsection for Vascular Injection
Procedures. Several parenthetical notes were revised. Four
new codes (36465, 36466, 36482, 36483) were added, six revised (36140, 36468, 36470, 36471, 36516, 36908), and two
deleted (36120, 36515).
Another area of the cardiovascular section that had
changes is the bone marrow biopsy codes. Code 38220
was revised to read Diagnostic bone marrow; aspiration(s)
while 38221 is now Diagnostic bone marrow; biopsy(ies).
If the patient is having a diagnostic bone marrow biopsy
and aspiration, there is a new code that encompasses both
procedures, 38222. The last code addition for this section
is 38573 to report Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node
sampling, peritoneal washings, peritoneal biopsy(ies),
omentectomy, and diaphragmatic washings, including
diaphragmatic and other serosal biopsy(ies), when performed.
The digestive system in the surgery section includes three
new codes (43286, 43287, 43288) related to esophagectomy
scope procedures. There were several parenthetical notes
added to the digestive system section and revisions of existing
The male genital system had a code deletion and a new
code added. Code 55450, Ligation of the vas deferens was
deleted and a note added to code this procedure to 55250,
Vasectomy. A new code (55874) was added for transperi-neal placement of biodegradable material, periprostatic,
single or multiple injection(s), including image guidance,
In the female genital system, there are three revised codes:
57240, 57260, and 57265. The revision adds “including cys-tourethroscopy, when performed” to the code descriptions.
A new code 58575 was added for laparoscopy, surgical, total
hysterectomy for resection of malignancy (tumor debulking),
with omentectomy including salpingo-oophorectomy, unilateral or bilateral, when performed.
There were guideline changes and parenthetical note chang-
es to several of the subsections in the nervous system section.
The AMA has added definitions to “provide clarity” in one
subsection. There is one revised code (64550) and one deleted
code (64565) in the nervous system section. There are two new
codes for capturing nerve repair: code 64912, Nerve repair;
with nerve allograft, each nerve, first strand (cable) and 64913,
Nerve repair; with nerve allograft, each additional strand as
an add-on code to be used in addition to the 64912 for the first
The last system in the surgery section is the auditory system.
There were not any new codes added here but two codes were
deleted (69820 and 69840).
While there are many more sections in the CPT book, the
remaining are usually charge master-driven and not coded by a coding professional. There were several changes
throughout as noted in the table above. These can all be
reviewed individually in Appendix B of the 2018 CPT code
American Medical Association. CPT 2018. Chicago, IL: 2017.
American Medical Association. CPT 2018 Changes: An Insider’s
View. Chicago, IL: 2017.
Angie Comfort ( firstname.lastname@example.org) is a senior director of HIM
practice excellence at AHIMA.
Overview of CPT Code Changes
CPT Section New Codes Revised Codes Deleted Codes
Radiology 7 3 18
Pathology/Laboratory 40 17 12
Medicine 13 10 4
Category III 41 2 22
PLA (Proprietary Laboratory
17 0 0
Quiz ID: Q1838902 | EXPIRATION DATE: FEBRUARY 1, 2019
HIM Domain Area: Clinical Data Management
Article—“C Y 2018 CP T Updates”
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