AMA unveils 22 new T codes for heart, joint procedures

Why This Topic Matters

These updates affect how practices identify and report emerging procedures in multiple specialties, including cardiology, dentistry, rehabilitation, and orthopedics. The article also highlights the broader payment and coverage uncertainty often associated with Category III reporting.

Article Sections

1. New Category III codes effective July 1

   Introduces the new CPT Category III additions and the general procedure areas they cover. Sets the context for the rest of the article by summarizing the scope of the update.

2. Pulmonary artery denervation

   Covers a pair of new codes related to an emerging cardiopulmonary treatment area. The section notes the associated procedure setting and broad clinical context.

3. Virtual reality gait training

   Describes a new add-on code related to motor-cognitive virtual reality use in therapy settings. The section places the code within rehabilitation and gait-training services.

4. Silver diamine fluoride application

   Summarizes a new dental-related code tied to preventive or decay-control treatment. The section identifies the general clinical use area without detailing reporting guidance.

5. Leadless dual-chamber pacemakers

   Reviews a series of new codes associated with leadless pacing systems. The section covers the broad lifecycle of the device service, including implantation and related system management.

6. Transcatheter caval valve implantation

   Describes two new codes for a transcatheter valve procedure involving the vena cava. The section distinguishes the broad procedural approaches referenced in the article.

7. Percutaneous sacroiliac joint fusion

   Explains the addition of another sacroiliac joint fusion code and places it alongside existing related codes. The section addresses the general surgical category and how the article frames the update.

8. Category III coding and reimbursement considerations

   Provides a general discussion of Category III codes as emerging technology codes and the associated coverage environment. The section also notes the article’s closing guidance about reporting these services when specific Category III codes exist.