AHA Coding Clinic® for HCPCS - 2005 Quarter 4
New/revised technology CPT codes replace C codes for CY 2006
For CY 2006 several C codes are being replaced by new and revised CPT codes. The changes are outlined below. Enteryx procedure The Enteryx procedure is a new treatment option performed on patients with gastroesophageal reflux disease (GERD). Using endoscopic assistance, a liquid polymer is injected into the muscle located in the lower esophageal sphincter (LES). After the injection, the polymer solidifies making the implant permanent. This implant supports and improves the elasticity of the LES, thus reducing and sometimes preventing, acid reflux into the esophagus. Effective for implementation on January 1, 2006, CPT code 0133T , Upper gastrointestinal endoscopy...
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Article Overview
This article explains several code changes for calendar year 2006 involving newer technology procedures and the transition from HCPCS C codes to CPT codes. It is intended for coding and reimbursement professionals who need to track implementation timing, affected service categories, and the organizations’ code updates tied to gastroesophageal reflux treatment, extracorporeal shock wave therapy, and prostate laser procedures.
Why This Topic Matters
Accurate awareness of these code updates helps coders and billers align claims with the correct code set for the applicable service date and technology category. It also highlights where revised CPT descriptors and replacement mappings affect reporting for newer procedures.
Article Sections
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Enteryx procedure
Discusses a newer gastrointestinal treatment and the code update associated with its reporting for the 2006 calendar year.
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High-energy extracorporeal shock wave treatment
Covers the technology update for shock wave therapy and the related coding changes for two clinical application areas.
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GreenLight Laser System
Reviews a prostate laser treatment system and the revision of CPT descriptor language relevant to its reporting beginning in 2006.
What You Will Learn
- Which broad procedure categories were affected by 2006 code updates
- How the article frames the transition from HCPCS C codes to CPT codes
- What general areas of care are discussed in connection with the revised coding guidance
- How descriptor revisions can affect reporting for newer technology procedures
Who Should Read This
- Medical coders
- Coding auditors
- Billing specialists
- Revenue cycle staff
- Compliance teams
- Practice managers
Codes Discussed
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