2017 CPT update: New codes for dialysis circuit coding

Why This Topic Matters

Dialysis circuit coding changed significantly in 2017, replacing prior codes with a new structure that affects how related services are reported. Understanding the scope of these updates helps coders and auditors recognize the major areas impacted and review the article for detailed guidance.

Article Sections

1. Key terms

   Defines the major anatomical and procedural concepts used throughout the article. This section frames the dialysis circuit and its segments for the rest of the discussion.

2. Fistulagrams

   Covers the diagnostic portion of dialysis circuit reporting and the associated code structure. The section also addresses related catheter placement and imaging topics at a broad level.

3. Angioplasty

   Reviews therapeutic reporting for dialysis circuit interventions involving balloon treatment. It explains the general structure of the code family and the relationship between segment-based services.

4. Stent

   Summarizes the new stent-related coding framework for dialysis circuit procedures. The section focuses on how the article organizes peripheral and central segment reporting.

5. Thrombectomy/Thrombolysis

   Discusses the code group used for thrombus-removal and thrombolysis services in the dialysis circuit. It also covers how this area fits into the broader procedural coding structure.

6. Embolization

   Introduces the add-on code category for embolization or occlusion services related to the dialysis circuit. The section describes the general reporting context for this intervention.

7. Conscious sedation (99151-99157)

   Notes the separate reporting context for moderate conscious sedation in dialysis circuit interventions. This section references the sedation code range and the broader documentation change discussed in the article.