2020 CPT update: New musculoskeletal and nervous system codes

September 10th, 2019

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews selected 2020 CPT changes in the musculoskeletal and nervous system chapters. It is intended for coders and billing professionals who need a high-level understanding of newly added, revised, and removed reporting guidance, along with the general areas of procedure coding affected before the January 1 effective date.

Why This Topic Matters

It helps coding professionals identify whether the 2020 CPT changes affect their workflow for musculoskeletal procedures, dry needling, drug delivery device procedures, and anesthetic nerve injection reporting.

Article Sections

  1. Musculoskeletal-nervous system interaction

    Background on how the nervous and musculoskeletal systems relate to one another and why those body systems are discussed together in this update.

  2. Musculoskeletal code updates

    Summary of 2020 CPT changes in the musculoskeletal section, including new reporting areas and updated guidance tied to procedural coding.

  3. Dry needling

    Discussion of the dry needling topic within the musculoskeletal update and the related reporting context in CPT.

  4. Drug delivery device preparation, insertion, and removal

    Overview of the new add-on code category for preparation, insertion, and removal of drug delivery devices across different anatomic locations.

  5. Nervous system code updates

    Summary of 2020 CPT revisions in the nervous system chapter, including updated guidance for anesthetic injection reporting and related code changes.

What You Will Learn

  • Which broad CPT chapters were updated for 2020
  • What types of procedure reporting were added or revised
  • How the article organizes musculoskeletal and nervous system changes
  • Which professional groups and coding audiences should review the update
  • What general implementation timing is noted for the changes

Who Should Read This

  • Medical coders
  • CPT users
  • Billing professionals
  • Coding educators
  • Practice managers

Codes Discussed

  • CPT: 20560
  • CPT: 20561
  • CPT: 20700
  • CPT: 20701
  • CPT: 20702
  • CPT: 20703
  • CPT: 20704
  • CPT: 20705
  • CPT: 11981
  • CPT: 11982
  • CPT: 11983
  • CPT: 64400
  • CPT: 64405
  • CPT: 64408
  • CPT: 64402
  • CPT: 64410
  • CPT: 64413
  • CPT: 64999
  • CPT: 64451
  • CPT: 64454

Code Ranges Discussed

  • CPT: 20552-20553
  • CPT: 11010-11012
  • CPT: 23030-23044
  • CPT: 64400-64450

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