By – Nicoleta Rahovan, Lead Coder, CPC, CANPC

Every year the American Society of Anesthesiologists changes/revises some of the crosswalk codes – some changes make sense, some don’t, and some are mistakes that end up being corrected sooner or later. This year is no different, and we would like to bring some of these recent changes to your attention.

Please note that we will need specific documentation from you in order to code to the most accurate level, allowing the highest base units possible.

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  • CPT 27040 – Biopsy, soft tissue of pelvis and hip area; superficial.
    • 2021 codes
    • 00300 (5 base units)
    • 01250 (4 base units) – if procedure done on the posterior hip is documented.
  • CPT 2074 – Biopsy, soft tissue of pelvis and hip area; deep, subfascial or intramuscular.
    • 2021 codes
    • 00300 (5 base units)
    • 01250 (4 base units) – if procedure done on the posterior hip is documented.
  • CPT 33234 – Removal of transvenous pacemaker electrode(s); single lead system, atrial or ventricular.
    • 2021 codes
    • 00520 (6 base units)
    • 01926 (10 base units) – if extensive intracardiac work and manipulation of the leads and use of laser to remove adhesions is documented.
  • CPT 33235 – Removal of transvenous pacemaker electrode(s); dual lead system.
    • 2021 codes
    • 00520 (6 base units)
    • 01926 (10 base units) – if extensive intracardiac work and manipulation of the leads and use of laser to remove adhesions is documented.
  • CPT 33249 – Insertion or replacement of permanent implantable defibrillator system, with transvenous lead(s), single or dual chamber.
    • 2021 codes
    • 00534 (7 base units)
    • 01926 (10 base units) – if extensive intracardiac work and manipulation of the leads and use of laser to remove adhesions is documented.