decisionhealth Newsletters, Coder Pink Sheets - 2017 Issue 10 (October)
CPT changes: 2018 manual delivers 2 new modifiers, definition of partial corpectomy
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Article Overview
This article reviews a set of CPT 2018 manual changes affecting multiple service categories, including therapy-related modifiers, spine procedure definitions, wound care reporting guidance, ultrasound exam descriptors, category III spine code changes, and observation E/M wording updates. It is intended for coding professionals who need to stay current with annual CPT revisions and understand which areas of the manual were revised.
Why This Topic Matters
Annual CPT updates can affect code selection, documentation review, and how practices interpret revised terminology across several specialties. Staying aware of these changes helps coders and billers align their workflows with the current manual.
Article Sections
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New modifiers for therapy-related services
Introduces two new CPT modifiers and places them in the context of annual manual updates. The section explains that the changes relate to therapy services and broader 2018 CPT revisions.
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Partial corpectomy depends on vertebral level
Summarizes new coding guidance addressing when a partial vertebral corpectomy may be reported. The discussion focuses on spine region-specific definitions and related manual clarification.
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Active wound care management
Covers new CPT guidance affecting active wound care reporting. The section discusses related wound care service considerations and the interaction with other procedures mentioned in the update.
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Category III arthrodesis add-on code deleted
Describes a Category III spine code change involving deletion of an add-on code and the related reporting update. The section places the change in the context of fusion-related coding guidance.
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Ultrasound exams revised
Reviews revised ultrasound descriptors for extremity and joint-related studies. The section addresses how the manual now distinguishes among exam types.
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Observe changes to observation codes
Summarizes wording updates to observation E/M codes in the CPT manual. The section focuses on terminology changes affecting discharge and initial observation care reporting.
What You Will Learn
- Which broad CPT 2018 areas received updates
- How annual manual revisions can affect therapy-related modifiers and spine guidance
- What categories of wound care, ultrasound, and observation coding were revised
- How a deleted Category III code is discussed in the context of spine fusion updates
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Compliance professionals
- Practice managers
- Specialty documentation staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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