CPT Update: Beware: Reporting 90760 in 2008 Will Bring Your ED a Denial

Why This Topic Matters

The article helps emergency department coding professionals recognize which CPT 2008 updates may affect charge capture and claim review for common procedural and counseling services. It is especially relevant for teams updating workflows, compliance checks, and documentation practices around ED-initiated procedures and screenings.

Article Sections

1. CPT Puts Facility Requirements on Hydration Codes

   Discusses 2008 CPT changes affecting hydration, injection, and infusion reporting in the emergency department setting. It also notes the broader facility-versus-physician context for these services.

2. Tube Replacement Codes Get More Specific

   Covers new and revised CPT reporting options for certain tube replacement procedures and mentions the related gastrostomy tube change service. The section also includes an example scenario involving tube replacement in the ED.

3. Code for Counseling Sessions of 15+ Minutes

   Addresses structured alcohol and substance abuse screening and brief intervention services added for 2008. It outlines the general counseling topic, time-based coverage, and the ED context in which these services may arise.