Radiology is one of the most important fields in healthcare, so it’s no surprise that it is receiving several new CPT updates for 2018. Thankfully, most of the changes will simplify the coding process, including removing nine outdated codes and replacing them with only four new codes. These original nine codes were flagged as being potentially misvalued by the American College of Radiology, who requested that the codes be amended in order to increase accuracy. Unlike some 2018 updates, these changes for radiology actually make the codes slightly less specific in order to increase coding flexibility.

The deleted codes and their replacements are as follows:

 

Removed

71010 – Radiologic examination, chest, single view, frontal

71015 – Radiologic examination, chest, stereo, frontal

71020 – Radiologic examination, chest two views, frontal and lateral

71021 – Radiologic examination, chest two views, frontal and lateral; with apical lordotic  procedure

71022 – Radiologic examination, chest two views, frontal and lateral; with oblique projections

71023 – Radiologic examination, chest two views, frontal and lateral; with fluoroscopy

71030 – Radiologic examination, chest, complete, minimum of four views

71034 – Radiologic examination, chest, complete, minimum of four views; with fluoroscopy

71035 – Radiologic examination, chest, special views (e.g., lateral decubitus, Bucky studies)

 

Added

71045 – Radiologic examination, chest; single view

71046 – Radiologic examination, chest; two views

71047 – Radiologic examination, chest; three views

71048 – Radiologic examination, chest, four or more views

 

A similar set of revisions applies to radiologic stomach evaluations, as listed below:

 

Removed

74000 – Radiologic examination, abdomen; single anteroposterior view

74010 – Radiologic examination, abdomen; anteroposterior and additional oblique and cone  views

74020 – Radiologic examination, abdomen; complete, including decubitus and/or erect views

 

Added

74018 – Radiologic examination, abdomen; one view

74019 – Radiologic examination, abdomen; two views

74021 – Radiologic examination, abdomen; three or more views

 

If your practice handles radiology in any form, be sure that all staff members are up-to-date on these new codes as the 2018 updates go into effect.