Changes to the Musculoskeletal System Section for 2014 (March 2014)

March 2014 pages 4-7 Changes to the Musculoskeletal System Section for 2014 Notable changes were made to the musculoskeletal subsection of the Current Procedural Terminology (CPT®) 2014 code set. Introductory guidelines for the excision of subcutaneous soft tissue tumors, the radical resection of soft tissue tumors subsections of the Surgery/Musculoskeletal System section, and several of the excision of soft tissue and removal of elbow prosthetic component codes were editorially revised. In addition, three new codes were added for the removal of deep foreign bodies and prosthetic components of the shoulder, and new parentheticals were created throughout the musculoskeletal...

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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 reviews selected 2014 updates to the CPT musculoskeletal system section. It covers editorial revisions to introductory guidance, additions and revisions affecting shoulder and elbow procedures, changes related to pelvic fracture/dislocation and sacroiliac joint arthrodesis, and updated exclusionary parentheticals in the lower-extremity compression system subsection. It is intended for coding professionals who need to understand how the musculoskeletal section was reorganized and clarified for 2014.

Why This Topic Matters

Musculoskeletal coding changes can affect code lookup, reporting alignment, and interpretation of related parenthetical guidance. This summary helps readers quickly determine whether the article is relevant to CPT musculoskeletal updates in the 2014 code set.

Article Sections

  1. March 2014 pages 4-7

    A brief overview of the article’s scope and the general types of CPT musculoskeletal section updates discussed for 2014.

  2. Surgery/Musculoskeletal System Introductory Guidelines Changes

    Editorial revisions to introductory guidance within the musculoskeletal surgery section and related parenthetical references are reviewed here.

  3. New Codes

    This section introduces newly established musculoskeletal codes and associated clarifying notes in the shoulder subsection.

  4. Clinical Example (23333) / Description of Procedure (23333)

    A clinical scenario and procedure narrative are provided to illustrate one of the new shoulder foreign-body removal codes.

  5. Clinical Example (23334) / Description of Procedure (23334)

    A clinical scenario and procedure narrative are provided to illustrate one of the new shoulder prosthesis removal codes.

  6. Clinical Example (23335) / Description of Procedure (23335)

    A clinical scenario and procedure narrative are provided to illustrate another new shoulder prosthesis removal code.

  7. Revisions

    This section summarizes revisions to existing musculoskeletal codes and related parenthetical guidance for shoulder and elbow procedures.

  8. Pelvis and Hip Joint

    Updates involving pelvic fracture or dislocation procedures and sacroiliac joint-related coding guidance are discussed here.

  9. Application of Casts and Strapping

    Changes to lower-extremity compression system instructions and related exclusionary notes are covered in this section.

What You Will Learn

  • Which musculoskeletal subsection areas were revised for 2014
  • How the article frames the scope of shoulder, elbow, pelvis, hip, and compression-system updates
  • What kinds of editorial and parenthetical changes were added to the CPT musculoskeletal section
  • How the article organizes code set updates, revisions, and related instructional notes

Who Should Read This

  • Medical coders
  • Coding auditors
  • Revenue cycle professionals
  • Orthopedic practice staff
  • CPT users reviewing annual code updates

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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