AHA Coding Clinic® for HCPCS - 2016 Quarter 2; For Your Information
New Category III CPT codes
On July 1, 2016, CMS implemented nine (9) Category III CPT Codes that the American Medical Association (AMA) released in January 2016. The new Category III codes are listed in the table below. New Category III CPT codes Long descriptor 0437T Implantation of non-biologic or synthetic implant (e.g., polypropylene) for fascial reinforcement of the abdominal wall (List separately in addition to primary procedure) 0438T Transperineal placement of biodegradable material, peri-prostatic (via needle), single or multiple, includes image guidance 0439T Myocardial contrast perfusion echocardiography; at rest or with stress, for assessment of myocardial ischemia or viability (List separately in...
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Article Overview
This article explains a mid-2016 update to Category III CPT coding that was implemented by CMS and released by the AMA earlier in the year. It is useful for coding professionals, billers, and compliance teams who track CPT changes and need to stay current on new temporary procedure code additions. The article centers on the newly added codes and their associated descriptors, helping readers understand the scope of the update and where the changes apply across clinical services.
Why This Topic Matters
Updates to Category III CPT codes can affect charge capture, reporting workflows, and coding education for practices that perform emerging or temporary procedures. Knowing which new codes were implemented and the general clinical areas they cover helps teams monitor code set changes and assess operational impact.
What You Will Learn
- What type of CPT update was implemented in July 2016
- Which broad clinical service areas were represented in the new Category III additions
- How Category III code updates are presented in a coding reference article
- Why timing of code implementation matters for coding and reporting workflows
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Compliance professionals
- Practice managers
- Revenue cycle teams
Codes Discussed
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