AMA CPT® Assistant - 2024 Issue 9 (September)
Reporting Diagnostic Intraoperative Ultrasound for Cardiac Procedures (September 2024)
September 2024 pages 1-22 Reporting Diagnostic Intraoperative Ultrasound for Cardiac Procedures For the Current Procedural Terminology (CPT®) 2024 code set, a new code to report intraoperative ultrasound (IOUS) of the thoracic aorta (76984) and three new codes to report intraoperative epicardial cardiac ultrasound (76987-76989) were established in the Diagnostic Radiology section. These new codes were developed in response to an American Medical Association (AMA)/Specialty Society Relative Value Scale Update Committee (RUC) screen that identified code 76998, Ultrasonic guidance, intraoperative, had a Medicare utilization of over 20,000, and it was never reviewed for physician work by RUC. It...
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Article Overview
This September 2024 CPT® Assistant article covers new CPT coding guidance for diagnostic intraoperative ultrasound in cardiac procedures, with emphasis on thoracic aorta and epicardial cardiac applications. It explains why the new codes were created, the general clinical settings they address, and how the article’s examples and procedure descriptions illustrate their intended use in surgical and congenital heart cases. It is relevant for cardiothoracic surgery, cardiology, anesthesiology, and coding professionals working with operative imaging services.
Why This Topic Matters
The article helps readers understand a recent CPT® 2024 update affecting operative cardiac imaging reporting. It is useful for organizations that code intraoperative ultrasound services and need to distinguish the new cardiac-specific guidance from broader legacy intraoperative ultrasound reporting.
Article Sections
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September 2024 pages 1-22
Introductory article framing and publication context for the coding discussion that follows.
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Reporting Diagnostic Intraoperative Ultrasound for Cardiac Procedures
Overview of the CPT® 2024 update, the rationale for new cardiac-specific intraoperative ultrasound reporting options, and the general clinical setting addressed by the article.
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Other Procedures
Presentation of the new and related intraoperative ultrasound code references, along with broad explanatory notes about thoracic aorta and epicardial cardiac applications.
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Clinical Example (76984) / Description of Procedure (76984)
A cardiac surgery example and accompanying procedure narrative illustrating the intraoperative thoracic aorta ultrasound scenario discussed in the article.
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Clinical Example (76987) / Description of Procedure (76987)
A congenital heart surgery example and procedure narrative describing the complete-service epicardial cardiac ultrasound scenario.
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Clinical Example (76988) / Description of Procedure (76988)
A related congenital heart surgery example and procedure narrative focused on the imaging-acquisition portion of epicardial cardiac ultrasound.
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Clinical Example (76989) / Description of Procedure (76989)
A related congenital heart surgery example and procedure narrative focused on the interpretation/reporting portion of epicardial cardiac ultrasound.
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References
Source citation and supporting literature referenced by the article.
What You Will Learn
- The clinical scope of the CPT® 2024 intraoperative cardiac ultrasound update
- How the article differentiates thoracic aorta and epicardial cardiac ultrasound contexts
- The types of operative settings and specialties involved in the discussed guidance
- How the article uses clinical examples and procedure descriptions to illustrate the new reporting framework
Who Should Read This
- Medical coders
- Cardiothoracic surgery professionals
- Cardiologists
- Anesthesiologists
- Hospital revenue cycle staff
- Clinical documentation specialists
Codes Discussed
Code Ranges Discussed
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