2020 CPT update: CMS previews new codes, including drug delivery device add-ons

Why This Topic Matters

The article helps readers anticipate annual CPT changes before the official manual is released, so they can assess workflow, payer policy, documentation, and code-set impacts across several specialties and service lines.

Article Sections

1. Musculoskeletal spacer implants

   Overview of a new musculoskeletal add-on code family related to temporary implant procedures and related removal services. The section also notes the context in which these codes are expected to be reported and discusses proposed payment changes.

2. Nerve block/destruction codes for genicular nerve and sacroiliac joint nerves

   Discussion of upcoming nerve procedure codes involving image guidance, block procedures, and companion destruction codes. The section also addresses related CMS and AMA guidance and payer coverage considerations.

3. Fat graft moves to integumentary codes

   Summary of a deleted soft tissue graft code and the introduction of new integumentary system codes for autologous fat or soft tissue grafting. The section covers the broad structure of the new code family and its relationship to the prior code.

4. Two new dry needling codes will be “always therapy”

   Preview of new dry needling codes for trigger point services and CMS’s proposed therapy designation approach. The section also notes therapy-plan and modifier-related policy considerations.

5. Spinal tap codes go to four

   Coverage of new lumbar puncture codes associated with image guidance and the continued use of existing spinal tap codes without guidance. The section also mentions proposed payment amounts.

6. Two time-based biofeedback codes

   Overview of a deleted biofeedback code and its replacement by a new time-based primary/add-on structure. The section includes CMS’s planned therapy designation for the new codes.

7. Nine health behavior intervention codes

   Discussion of a revised health behavior intervention code set that replaces older assessment codes with a new structure. The section highlights the shift to new primary and add-on code pairings.