{"id":10606,"date":"2020-02-27T13:14:11","date_gmt":"2020-02-27T07:44:11","guid":{"rendered":"https:\/\/www.medicalbillersandcoders.com\/blog\/?p=10606"},"modified":"2025-05-15T06:17:54","modified_gmt":"2025-05-15T06:17:54","slug":"deciphering-2021-cpt-code-changes-for-asc","status":"publish","type":"post","link":"https:\/\/www.medicalbillersandcoders.com\/blog\/deciphering-2021-cpt-code-changes-for-asc\/","title":{"rendered":"Deciphering 2021 CPT Code Changes for ASC"},"content":{"rendered":"<p style=\"text-align: left;\">The American Medical Association (AMA) announced the release of the 2021 Current Procedural Terminology (CPT\u00ae) code set containing identifiers and descriptors assigned to each medical, surgical, and diagnostic service available to patients.<\/p>\n<p style=\"text-align: left;\">Trusted since 1966 as the health system\u2019s common language, the CPT code set enables accurate reporting, measurement, analysis, and benchmarking of <a href=\"https:\/\/goo.gl\/5Xx2d3\">medical services and procedures<\/a> across the nation\u2019s entire health care system.<\/p>\n<p style=\"text-align: left;\">There are 394 code changes in the 2021 CPT code set, including 248 new codes, 71 deletions, and 75 revisions. Outlined below are the sections and codes that will have the biggest impact on Ambulatory Surgery Centers.<\/p>\n<h2 style=\"text-align: left;\">Nervous System<\/h2>\n<p style=\"text-align: left;\"><strong>New Codes:<\/strong> Specific codes have been created for both genicular nerve and sacroiliac joint nerve procedures with comprehensive directives by the AMA listed within the parentheticals of these codes.<\/p>\n<ul style=\"text-align: left;\">\n<li><strong>CPT 64454<\/strong> &#8211; Injection(s), anesthetic agent(s) and\/or steroid; genicular nerve branches, including imaging guidance, when performed (Do not report 64624 in conjunction with 64454). (Do not report 64454 in conjunction with 64624). (64454 requires injecting all of the following genicular nerve branches: superolateral, superomedial, and inferomedial. If all 3 of these genicular nerve branches are not injected, report 64454 with modifier 52).<\/li>\n<li><strong>CPT 64624<\/strong> &#8211; Destruction by neurolytic agent, genicular nerve branches including imaging guidance, when performed (Do not report 64624 in conjunction with 64454.) (64624 requires the destruction of each of the following genicular nerve branches: superolateral, superomedial, and inferomedial. If a neurolytic agent for the purposes of destruction is not applied to all of these nerve branches, report 64624 with modifier 52.)<\/li>\n<li><strong>CPT 64451<\/strong> &#8211; Injection(s), anesthetic agent(s) and\/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) (For injection, anesthetic agent, nerves innervating the sacroiliac joint, use 64451.) (Do not report 64451 in conjunction with 64493, 64494, 64495, 77002, 77012, 95873, 95874.) (For injection, anesthetic agent, nerves innervating the sacroiliac joint, with ultrasound, use 76999.)<\/li>\n<li><strong>CPT 64625<\/strong> &#8211; Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography) (Do not report 64625 in conjunction with, 64636, 77002, 77003, 77012, 95873, 95874.) (For radiofrequency ablation, nerves innervating the sacroiliac joint, with ultrasound, use 76999.)<\/li>\n<li><strong>CPT 62328<\/strong> &#8211; Spinal puncture, lumbar, diagnostic<\/li>\n<li><strong>CPT 62329<\/strong> &#8211; Spinal puncture, lumbar, therapeutic<\/li>\n<\/ul>\n<h2 style=\"text-align: left;\">Musculoskeletal\/Integumentary System<\/h2>\n<p style=\"text-align: left;\"><strong>New codes:<\/strong> Grafting codes have been added to provide greater detail describing different tissue-grafting procedures.<\/p>\n<ul style=\"text-align: left;\">\n<li><strong>CPT 15769<\/strong> \u2013 Grafting of autologous soft tissue, other, harvested by direction excision (eg, fat, dermis, fascia)<\/li>\n<li><strong>CPT 15771<\/strong> \u2013 Grafting of autologous fast harvested by liposuction technique to trunk, breasts, scalp, arms, and\/or legs; 50cc or less injectate<\/li>\n<li><strong>CPT 15773<\/strong> \u2013 Grafting of autologous fat harvested by liposuction technique to face, eyelids, mouth, neck, ears, orbits, genitalia, hands, and\/or feet; 25 ccs or less injectate<\/li>\n<\/ul>\n<p style=\"text-align: left;\"><strong>Deleted Codes<\/strong><\/p>\n<ul style=\"text-align: left;\">\n<li><strong>CPT 20926<\/strong> &#8211; Tissue grafts, other (eg, paratenon, fat, dermis<\/li>\n<li style=\"text-align: justify;\"><strong>CPT 19304<\/strong> &#8211; Mastectomy, Subcutaneous<\/li>\n<\/ul>\n<h2 style=\"text-align: left;\">Eye &amp; Occular Adnexa<\/h2>\n<p style=\"text-align: left;\"><strong>New Codes:\u00a0<\/strong> A new cataract technique has been added to the eye section.<\/p>\n<ul style=\"text-align: left;\">\n<li><strong>CPT 66987<\/strong>&#8211; Complex cataract with endoscopic cyclophotocoagulation<\/li>\n<li><strong>CPT 66988<\/strong> &#8211; Cataract with endoscopic cyclophotocoagulation<\/li>\n<\/ul>\n<p style=\"text-align: left;\"><strong>Revised Codes:<\/strong><\/p>\n<ul style=\"text-align: left;\">\n<li><strong>CPTs 66982 and 66984<\/strong> &#8211; now includes in the description \u201cwithout endoscopic cyclophotocoagulation\u201d<\/li>\n<\/ul>\n<h2 style=\"text-align: left;\">Digestive System<\/h2>\n<p style=\"text-align: left;\"><strong>New Codes<\/strong><\/p>\n<ul style=\"text-align: left;\">\n<li><strong>CPT 46948<\/strong> &#8211; Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more groups<\/li>\n<\/ul>\n<p style=\"text-align: left;\"><strong>Deleted Codes<\/strong><\/p>\n<ul style=\"text-align: left;\">\n<li><strong>CPT 0249T<\/strong> \u2013 Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more groups<\/li>\n<\/ul>\n<p style=\"text-align: left;\">It can be a tedious task to search through all updates each year and an even more challenging task to try to pull out information that is relevant to ASCs. It may seem overwhelming; however, it is necessary to ensure accurate and compliant coding for your surgery center.<\/p>\n<p style=\"text-align: left;\">To prevent an increase in denials in 2021, educating your billing department on all the code changes is recommended. Routine audits are a good way to safeguard your surgery center throughout the year.<\/p>\n<h3 style=\"text-align: left;\">Reference:<\/h3>\n<p style=\"text-align: left;\"><a href=\"https:\/\/www.ama-assn.org\/press-center\/press-releases\/ama-releases-2020-cpt-code-set\">AMA Releases 2020 CPT\u00ae code set<\/a><\/p>\n<h2>FAQs<\/h2>\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1747289543632\"><strong class=\"schema-faq-question\">1. What major updates are included in the 2021 CPT code set for Ambulatory Surgery Centers (ASCs)?<\/strong> <p class=\"schema-faq-answer\">The 2021 CPT code set features 394 changes, including 248 new codes, 71 deletions, and 75 revisions, particularly affecting nerve procedures, tissue grafting, and cataract surgeries.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1747289571641\"><strong class=\"schema-faq-question\">2. Which new codes are introduced for nerve procedures in 2021?<\/strong> <p class=\"schema-faq-answer\">New codes like CPT 64454 for genicular nerve injections and CPT 64624 for neurolytic destruction of genicular nerves are part of the 2021 updates, along with codes for sacroiliac joint procedures.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1747289610391\"><strong class=\"schema-faq-question\">3. How have tissue grafting codes changed in the musculoskeletal section?<\/strong> <p class=\"schema-faq-answer\">New codes such as CPT 15769, CPT 15771, and CPT 15773 offer detailed descriptions for various autologous fat grafting procedures, enhancing documentation and billing clarity.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1747289636804\"><strong class=\"schema-faq-question\">4. What changes occurred in the eye and ocular adnexa section?<\/strong> <p class=\"schema-faq-answer\">The new CPT codes 66987 and 66988 for complex cataract surgeries with endoscopic cyclophotocoagulation have been added, along with revisions to existing codes that clarify their scope.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1747289668253\"><strong class=\"schema-faq-question\">5. Why is it crucial for ASCs to keep up with CPT code changes?<\/strong> <p class=\"schema-faq-answer\">Staying updated on CPT code changes helps prevent denials and ensures compliance. Educating the billing department and conducting audits can minimize errors and improve revenue cycle management.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>The American Medical Association (AMA) announced the release of the 2021 Current Procedural Terminology (CPT\u00ae) code set containing identifiers and descriptors assigned to each medical, surgical, and diagnostic service available to patients. Trusted since 1966 as the health system\u2019s common language, the CPT code set enables accurate reporting, measurement, analysis, and benchmarking of medical services [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":10607,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[662],"tags":[2243,2244,2245,2246,666,2247,80,747,2248,2249,162,2250,192,2251,815,816],"class_list":["post-10606","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ambulatory-surgical-centers","tag-2021-cpt-code-set","tag-2021-cpt-code-set-includes-329-modifications","tag-2021-final-asc-payment-rule","tag-2021-proposed-asc-payment-rule","tag-american-medical-association","tag-ascs","tag-cpt-codes","tag-cpthcpcs","tag-deciphering-2021-cpt-code-changes-for-asc","tag-important-large-scale-coding-changes-for-physician-evaluation-and-management-services-coming-in-2021","tag-medical-billing-and-coding-services","tag-medical-services-and-procedures","tag-medicare-medicaid-services","tag-medicare-payment-resources","tag-outsourced-medical-billing-company","tag-outsourced-medical-billing-services"],"yoast_head":"<!-- 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What major updates are included in the 2021 CPT code set for Ambulatory Surgery Centers (ASCs)?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The 2021 CPT code set features 394 changes, including 248 new codes, 71 deletions, and 75 revisions, particularly affecting nerve procedures, tissue grafting, and cataract surgeries.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/deciphering-2021-cpt-code-changes-for-asc\/#faq-question-1747289571641","position":2,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/deciphering-2021-cpt-code-changes-for-asc\/#faq-question-1747289571641","name":"2. Which new codes are introduced for nerve procedures in 2021?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"New codes like CPT 64454 for genicular nerve injections and CPT 64624 for neurolytic destruction of genicular nerves are part of the 2021 updates, along with codes for sacroiliac joint procedures.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/deciphering-2021-cpt-code-changes-for-asc\/#faq-question-1747289610391","position":3,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/deciphering-2021-cpt-code-changes-for-asc\/#faq-question-1747289610391","name":"3. How have tissue grafting codes changed in the musculoskeletal section?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"New codes such as CPT 15769, CPT 15771, and CPT 15773 offer detailed descriptions for various autologous fat grafting procedures, enhancing documentation and billing clarity.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/deciphering-2021-cpt-code-changes-for-asc\/#faq-question-1747289636804","position":4,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/deciphering-2021-cpt-code-changes-for-asc\/#faq-question-1747289636804","name":"4. What changes occurred in the eye and ocular adnexa section?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"The new CPT codes 66987 and 66988 for complex cataract surgeries with endoscopic cyclophotocoagulation have been added, along with revisions to existing codes that clarify their scope.","inLanguage":"en-US"},"inLanguage":"en-US"},{"@type":"Question","@id":"https:\/\/www.medicalbillersandcoders.com\/blog\/deciphering-2021-cpt-code-changes-for-asc\/#faq-question-1747289668253","position":5,"url":"https:\/\/www.medicalbillersandcoders.com\/blog\/deciphering-2021-cpt-code-changes-for-asc\/#faq-question-1747289668253","name":"5. Why is it crucial for ASCs to keep up with CPT code changes?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Staying updated on CPT code changes helps prevent denials and ensures compliance. 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