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CPT Code Changes
Separate from the annual changes in Medicare payments, the CPT Code Book also is updated annually. This year, though, there were few changes for reporting CPT codes for diagnostic radiology procedures. An overview of key changes to diagnostic radiology codes are discussed below. (Note: The majority of the CPT code changes for 2013 are related to interventional radiology. These services will be mentioned but will not be discussed in detail here, as they warrant their own article. This topic will be discussed in more detail in Radiology Today ’s February issue.)
When reporing facet joint codes, you may not bill separately for the image guidance. Whether using fluoroscopy or computed axial tomography, guidance is required. If ultrasound guidance is used for the above procedures, the CPT® codebook states that you must report the facet joint injection using 0213T-0218T Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance… . If no imageing is used, you must report 20552-20553 Injection(s); single or multiple trigger point(s)….