Changes Expected to the Fine Needle Aspiration CPT Code Set for 2019
The industry has begun preparing for the implementation of the AMA’s 2019 CPT code set. Significant updates to the codes for Fine Needle Aspirations (FNA) will change the coding and billing of these services, come January 1.
In 2019, imaging guidance will no longer be reported separately from the aspiration. New codes will be introduced that bundle the guidance and aspiration procedure into single codes, differentiated by the imaging modality employed: ultrasound, fluoroscopy, CT and MR. These codes will be used for the initial lesion only. Add-on codes will be used for each additional lesion beyond the first and are, also, differentiated by the type of guidance. The imaging modality in the add-on code does not have to match that of the primary code. Any combination of primary and add-on codes could be reported to reflect the services rendered.
For FNA not utilizing imaging guidance, a single code will be used to report the procedure on an initial lesion with an add-on code that will be used to report each lesion beyond the first that did not require imaging guidance.
APS will communicate relevant updates as additional details and the 2019 CPT codes themselves are rolled-out.
In working through the wide variety of billing arrangements, APS found payments that we had been missing.