Health Information Management

2010 CPT: Tumor excisions, facet joint injections among most significant changes

APC Payment Insider, March 1, 2010

This is an excerpt from a member only article. To read the article in its entirety, please login.

The AMA added 225 codes for 2010, revised 155, and deleted 77, but approximately 40% of the changes occurred in the Category II codes, used to measure physician performance.


Some of the changes reflect CMS’ review of the resource-based relative value system (RBRVS) for the physician fee schedule, says Susan E. Garrison, CHCA, CHC, PCS, FCS, CPC, CCS-P, CPC-H, CPAR, ­executive vice president of healthcare consulting services at Magnus Confidential in Atlanta. Every five years, CMS examines the relative value units and how certain procedures are valued.


CMS looks for procedures that are inherently performed together or performed together at least 90% of the time, Garrison says. For example, in the urology section for 2010, the AMA made some changes because the complex cystometrogram is often performed with other procedures, such as urethral pressure profile studies.

This is an excerpt from a member only article. To read the article in its entirety, please login.

Most Popular