2018 Cpt Coding Changes
2018 CPT CODING CHANGES | 17 2018 CPT coding changes by Samuel Smith, MD, FACS; Megan McNally, MD, FACS; and Jan Nagle, MS, RPh JAN 2018 BULLETIN American College of Surgeons 2018 CPT CODING CHANGES ignificant changes in Current Procedural Termi- data, it was determined that the code did not clearly nology (CPT)* coding will be implemented in define the intended use, leading to misreporting. There- S2018. Notably, considerable changes have been fore, the code descriptor was revised to remove the made to codes for reporting endovascular repair of terminology “sinus or fistula” from the parenthetical abdominal aorta and/or iliac arteries. This article pro- instructions and to clearly define the intended use of vides reporting information about the codes that are the code term “proud flesh” as follows ( = revised relevant to general surgery and its related specialties. code for 2018): 17250, Chemical cauterization of granulation tissue (i.e., Flaps proud flesh) Code 15732, Muscle, myocutaneous, or fasciocutane- ous flap; head and neck (i.e., temporalis, masseter muscle, New exclusionary parentheticals were added to this sternocleidomastoid, levator scapulae), was deleted and code that direct reporting for this service, including replaced with new code 15733 to more clearly describe an instruction regarding exclusion of reporting 17250 a muscle, myocutaneous, or fasciocutaneous flap that for chemical cauterization for wound hemostasis and involves one of six different named vascular pedicles. excluding use in conjunction with active wound care In addition, new code 15730 was established to describe management services (97597, 97598, 97602). 18 | a midface flap that does not involve a named vascular pedicle.
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