Several changes and revisions are expected for radiology coding and guidelines come 2022. In an online posting titled “CPT 2022 Anticipated Code Changes,” the American College of Radiology (ACR) outlined a preliminary guide of changes that radiology providers should know for 2022. However, be aware that the code changes listed in the article are not yet final. Rather, they reflect the actions taken by the CPT Editorial Panel at the time. Presented is an outline of the potential changes that radiology providers, physicians, CPT® coders, and healthcare regulatory and compliance teams should be aware of for the 2022 update season.
As a reminder, there are three types of CPT codes:
Understand that new category III codes were introduced within the Radiology section of the Current Procedural Terminology 2021 code set along with the addition of new codes effective in 2022. Furthermore, two early release Category III codes will be available for use in July 2021.
Among the early release codes, category III codes were established to detail the use of new and emerging technologies in the following:
Effective in 2022, category I and category III codes were established for reporting:
Expect to see six codes added for breast computed tomography. These codes, 0633T-0638T, were created within the CPT 2021 code set. This includes three unilateral codes, three bilateral codes for detailing breast CT without contrast, breast CT with contrast, and breast CT without and with contrast.
Before May 2020, according to the ACR, no CPT codes existed for reporting breast CT. The ACR notes that “Existing chest CT and CT angiography (CTA) imaging and equipment optimization for detection of breast lesions are sufficiently different than conventional chest CT to justify the creation of a separate Category III coding family.”
Added to the CPT 2021 code set are four codes, 0627-0630T, established in the CPT 2021 code set for detailing percutaneous injection of allogeneic cellular and/or tissue-based products. Understand that percutaneous allogeneic injection of the lumbar spine is a new therapeutic procedure. This procedure is conducted through imaging-guided injection of the lumbar spine by using allogeneic cellular and/or tissue-based products to replace or supplement the disc tissue or cells allowing for repair or reconstitution of damaged intravertebral disc(s).
Now available for reporting, 0623T–0626T were established to detail the use of automated quantification and characterization of coronary atherosclerotic plaque applying raw data obtained from CCTA. Note that guidelines in the Diagnostic Radiology section also received revisions and were updated to include these new codes. Understand that “Automated advanced coronary analysis uses computer algorithms to provide additional analysis of coronary CTA (CCTA) beyond the conventional interpretation of CCTA.”
Some codes were released in December 2020. Understand that these codes will have an effective date of July 1, 2021. These codes will also be made available on the AMA’s website.
Two codes were created for Quantitative mp-MRI Two codes (0648T, 0649T) to report quantitative mp-MRI for the analysis of tissue composition, including multiparametric data acquisition, data preparation and transmission, and interpretation and report that is obtained either with or without a concurrent diagnostic MRI.
Being that quantitative mp-MRI is a new technology, it does not presently have a CPT code established. Understand that quantitative mp-MRI utilizes software to evaluate tissue physiology of visceral organs and other anatomic structures non-invasively, and acts to provide assistance in physician decision-making.
Effective as of January 1, 2022, expect to see new category I radiology diagnostic codes included in the CPT 2022 code set.
Trabecular bone score (TBS) will see the arrival of the four new codes for reporting. Understand that TBS provides measurements for the structural condition of the bone micro-architecture. This intern allows for better predictions of potential risks for major osteoporotic fracture independent of bone mineral density (BMD) and associated clinical risk factors.
Expect to see two new codes to arrive for thermal destruction of the intraosseous basivertebral nerve. The new procedure detailed in the code offers chronic low-back pain relief for patients. Watch out for a new parenthetical note alerting users that these new codes will be included in the Percutaneous Vertebroplasty and Vertebral Augmentation subsection of the Musculoskeletal section of the CPT 2022 code set.
Stay tuned for further insight and analysis as more news becomes available on both coding and regulation for 2022. Master obstacles with more monthly insight into compliance and coding challenges through our Radiology Compliance Manager Newsletter.
Election Day finally arrived – however, some physicians may not be celebrating the new 2025 Medicare Physician Fee Schedule (PFS) Final Rule that also arrived.
This week my report will be a little different. I am going to tell the story of a family friend’s medical journey. My wife’s friend,
Please log in to your account to comment on this article.
Prepare your organization for the 2025 OPPS updates with expert insights from Tiffani Bouchard, CCS, CRCR, a Revenue Integrity Professional with over 30 years of experience. This webcast will address critical challenges in charge capture and coding, providing clarity on APC policies, C-APC packaging, exclusions, and payer-specific requirements. Attendees will learn actionable strategies to ensure compliance, optimize reimbursement, and mitigate risks of claim denials. Gain the knowledge needed to implement updates effectively, educate your team, and maintain seamless revenue cycle operations in the face of evolving OPPS complexities.
Join Beth Wolf, MD, CPC, CCDS, for an in-depth webcast on the FY2025 spinal fusion MS-DRG updates. Discover key changes in DRG classification, understand impacts on documentation and CMI, and learn strategies to ensure compliance.
Join Angela Comfort, DBA, MBA, RHIA, CDIP, CCS, CCS-P, as she presents effective strategies to strengthen collaboration between CDI, coding, and quality departments in acute care hospitals. Angela will also share guidance on implementing cross-departmental meetings, using shared KPIs, and engaging leadership to foster a culture of collaboration. Attendees will gain actionable tools to optimize documentation accuracy, elevate quality metrics, and drive a unified approach to healthcare goals, ultimately enhancing both patient outcomes and organizational performance.
Optimize your outpatient clinical documentation and gain comprehensive knowledge from foundational practices to advanced technologies, ensuring improved patient care and organizational and financial success. This webcast bundle provides a holistic approach to outpatient CDI, empowering you to implement best practices from the ground up and leverage advanced strategies for superior results. You will gain actionable insights to improve documentation quality, patient care, compliance, and financial outcomes.
The 2025 Medicare Physician Fee Schedule brings significant changes to payment rates, coverage, and coding for physician services, impacting practices nationwide. Join Stanley Nachimson, MS., as he provides a comprehensive guide to understanding these updates, offering actionable insights on new Medicare-covered services, revised coding rules, and payment policies effective January 1. Learn how to adapt your practices to maintain compliance, maximize reimbursement, and plan for revenue in 2025. Whether you’re a physician, coder, or financial staff member, this session equips you with the tools to navigate Medicare’s evolving requirements confidently and efficiently.
Dr. Ronald Hirsch provides critical details on the new Medicare Appeal Process for Status Changes for patients whose status changes during their hospital stay. He also delves into other scenarios of hospital patients receiving custodial care or medically unnecessary services where patient notifications may be needed along with the processes necessary to ensure compliance with state and federal guidance.
Healthcare organizations face complex regulatory requirements under the No Surprises Act and Price Transparency rules. These policies mandate extensive fee disclosures across settings, and confusion is widespread—many hospitals remain unaware they must post every contracted rate. Non-compliance could lead to costly penalties, financial loss, and legal risks. Join David M. Glaser Esq. as he shows you how to navigate these regulations effectively.
Protect your facility from unwanted audits! Join Becky Jacobsen, BSN, RN, MBS, CCS-P, CPC, CPEDC, CBCS, CEMC, and take a deep dive into both the CMS and AMA guidelines for reporting post operative pain blocks. You’ll learn how to determine if the nerve block is separately codable with real life examples for better understanding. Becky will also cover how to evaluate whether documentation supports medical necessity, offer recommendations for stronger documentation practices, and provide guidance on educating providers about documentation requirements. She’ll include a discussion of appropriate modifier and diagnosis coding assignment so that you can be confident that your billing of post operative pain blocks is fully supported and compliant.
Copyright © 2025 RACmonitor. Powered by MedLearn Media.
CYBER WEEK IS HERE! Don’t miss your chance to get 20% off now until Dec. 2 with code CYBER24
