Reporting Near-Infrared Spectroscopy Codes (0640T-0642T) (June 2022)

June 2022 pages 16-18 Reporting Near-Infrared Spectroscopy Codes (0640T-0642T) For the Current Procedural Terminology (CPT®) 2022 code set, three new Category III codes (0640T-0642T) were established to report noncontact near-infrared spectroscopy studies. This article provides an overview of the intent and appropriate use of these new codes. Category III Codes  0493TContact near-infrared spectroscopy studies of lower extremity wounds (eg, for oxyhemoglobin measurement) (For noncontact near-infrared spectroscopy studies, see 0640T, 0641T, 0642T)  0640TNoncontact near-infrared spectroscopy studies of flap or wound (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue oxygenation [StO2]); image acquisition, interpretation and report, each flap...

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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 CPT® Assistant article reviews a June 2022 coding update related to near-infrared spectroscopy services. It is aimed at coding professionals, billers, and clinicians who need to understand the scope of the new Category III codes, how they are organized, and the general reporting distinctions discussed in the article. The piece includes an overview, parenthetical guidance, and typical clinical procedure scenarios for the services covered.

Why This Topic Matters

The article helps readers identify a newly structured area of CPT® reporting and understand how the code set was updated in June 2022. It is relevant for accurate specialty coding, documentation review, and awareness of the distinctions described in the CPT® Assistant guidance.

Article Sections

  1. Category III Codes

    Introduces the relevant CPT® Category III code area and the June 2022 update for near-infrared spectroscopy reporting. It summarizes the general organization of the services discussed in the article.

  2. Clinical Example (0640T) / Description of Procedure (0640T)

    Presents a typical scenario and associated procedure narrative for one of the newly discussed services. The section illustrates the clinical context and documentation flow covered in the article.

  3. Clinical Example (0641T) / Description of Procedure (0641T)

    Presents a typical scenario and associated procedure narrative for another related service. The section focuses on the broader workflow and documentation elements discussed in the article.

  4. Clinical Example (0642T) / Description of Procedure (0642T)

    Presents a typical scenario and associated procedure narrative for the remaining related service. The section continues the article’s discussion of reporting structure and documentation.

What You Will Learn

  • The purpose of the June 2022 CPT® update for near-infrared spectroscopy services
  • How the article organizes the new Category III reporting area
  • What kinds of clinical scenarios are used to illustrate the services
  • The general documentation themes associated with the procedures discussed

Who Should Read This

  • Medical coders
  • Coding auditors
  • Billing staff
  • Physicians and other qualified health care professionals
  • Revenue cycle teams

Codes Discussed

Code Ranges Discussed


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