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Determine what new evolving technologies may or may not be coded in 2016.

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CPT Category III codes mostly do not have a customary payment amount per CPT guidelines, however, if a Category III code is available, you must report it instead of a Category I unlisted procedure code.

Find below Category III code changes for 2016.

0381T External heart rate and 3-axis accelerometer data recording up to 14 days

0382T review and interpretation only

0383T External heart rate and 3-axis accelerometer data recording from 15 to 30 days

0384T review and interpretation only

0385T External heart rate and 3-axis accelerometer data recording more than 30 days

0386T review and interpretation only

Leadless Pacemakers

There are five new codes to describe services related to permanent leadless pacemakers:

0387T Transcatheter insertion or replacement of permanent leadless pacemaker, ventricular

0388T Transcatheter removal of permanent leadless pacemaker, ventricular

0389T Programming device evaluation in person with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report, leadless pacemaker system

0390T Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure or test with analysis, review and report, leadless pacemaker system

0391T Interrogation device evaluation (in person) with analysis, review and report, includes connection, recording and disconnection per patient encounter, leadless pacemaker system

CPT® Changes 2016 advises, “Existing CPT codes only addressed procedures for traditional pacemaker systems and did not adequately describe the procedure of implanting a leadless pacemaker. Therefore, these codes have been established to report leadless and pocketless system procedures.”

Esophageal Sphincter Augmentation

Esophageal sphincter augmentation is performed for treatment of gastoesophageal reflux disease (GERD). The device employs magnets, placed around the gastroesophageal junction. The attraction of opposing magnets narrows the opening, but allows food to pass when the patient swallows.

0392T Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie, magnetic band)

0393T Removal of esophageal sphincter augmentation device