Auto Quantification and Characterization of Coronary Atherosclerotic Plaque

October 2021 pages 3-4 Auto Quantification and Characterization of Coronary Atherosclerotic Plaque For the Current Procedural Terminology (CPT ®) 2021 code set, four new Category III codes (0623T-0626T) were established to report automated quantification and characterization of coronary atherosclerotic plaque. In addition, instructional and exclusionary parenthetical notes were added to related existing codes in the Diagnostic Radiology (Diagnostic Imaging) subsection of the Radiology section of the CPT code set, along with guidelines related to the appropriate reporting of contrast-enhanced cardiac computed tomography (CT) and coronary CT angiography (CTA) services (75572-75574). This article provides an overview of these procedures...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article covers CPT 2021 coding guidance for automated quantification and characterization of coronary atherosclerotic plaque, including the addition of new Category III codes and related parenthetical notes tied to cardiac CT and coronary CTA reporting. It is aimed at coding professionals, radiology practices, and clinicians who report cardiovascular imaging services and need to understand how the updated CPT structure affects documentation and code selection at a high level.

Why This Topic Matters

The topic is relevant because it addresses new CPT category III reporting options and adjacent guidance affecting coronary CT, coronary CTA, and related radiology coding workflows.

Article Sections

  1. Heart

    Overview of coronary CT and coronary CTA services in the context of heart imaging. Discusses the broader imaging components and existing CPT guidance relevant to the article topic.

  2. Category III Codes

    Introduces the new Category III coding framework associated with automated coronary plaque analysis. Covers the structure of the new services and the surrounding CPT note updates.

  3. Clinical Example and Description of Procedure

    Presents illustrative scenarios and procedural narratives for the new services. Shows how the workflow is described in practice across the related code components.

What You Will Learn

  • How the article frames the CPT 2021 update for coronary plaque analysis
  • What kinds of imaging services are discussed alongside the new Category III codes
  • How the article presents the related reporting guidance at a general level
  • What kinds of clinical scenarios are used to illustrate the services

Who Should Read This

  • Medical coders
  • Radiology billing staff
  • Cardiology imaging teams
  • Compliance professionals
  • Physicians and qualified health care professionals involved in reporting cardiac imaging

Codes Discussed

Code Ranges Discussed


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