CPT 2015: Imaging bundled into numerous musculoskeletal, nerve procedures

Why This Topic Matters

These updates affect how procedures are reported, how imaging is documented, and how practices may be reimbursed under payer policies. Readers need to understand the scope of the changes so they can assess operational impact and review their coding workflows for the new year.

Article Sections

1. Bundled imaging in musculoskeletal procedures

   Introduces the 2015 theme of bundled imaging in orthopedic and joint procedures. Discusses the general impact on reporting and reimbursement considerations.

2. Ultrasound guidance and arthrocentesis code updates

   Covers revisions and additions affecting arthrocentesis reporting across joint categories. Also notes documentation and coverage policy considerations related to imaging support.

3. Watch for tighter coverage policies

   Addresses payer policy scrutiny and medical necessity review for ultrasound-related services. Notes that coverage approaches may vary by carrier and diagnosis.

4. Record must include ‘image and report’

   Focuses on documentation expectations for imaging support and reporting. Discusses the need for record-based evidence of the service and related workflow checks.

5. Additional CPT changes in 2015

   Summarizes additional annual updates across spine, sacroiliac joint, rib fracture, and chronic care management reporting. Includes a mix of new, revised, and deleted items.