Complex Chronic care coordination service

99487 Complex chronic care coordination services; first hour of clinical staff
time directed by a physician or other qualified health care professional with
no face-to-face visit, per calendar month

99488 Complex chronic care coordination services; first hour of clinical staff
time directed by a physician or other qualified health care professional with
one face-to-face visit, per calendar month

99489 Complex chronic care coordination services; each additional 30 minutes of
clinical staff time directed by a physician or other qualified health care
professional, per calendar month (list separately in addition to code for
primary procedure)







Deleted and Replaced Codes

CPT 32422 has been deleted and replaced with the below CPT codes

32554 Thoracentesis, needle or catheter, aspiration of the pleural space;
without imaging guidance.

32555 Thoracentesis, needle or catheter, aspiration of the pleural space; with
imaging guidance.

New CPT Codes and
its full description

1. Evaluation and
Management services

Complex Chronic care
coordination service

99487 Complex chronic care coordination services; first hour of clinical staff
time directed by a physician or other qualified health care professional with
no face-to-face visit, per calendar month

99488 Complex chronic care coordination services; first hour of clinical staff
time directed by a physician or other qualified health care professional with one
face-to-face visit, per calendar month

99489 Complex chronic care coordination services; each additional 30 minutes of
clinical staff time directed by a physician or other qualified health care
professional, per calendar month (list separately in addition to code for
primary procedure)

Transitional Care
Management Services     

99495 Transitional care management services with the following required
elements: communication (direct contact, telephone, electronic) with the
patient and/or caregiver within 2 business days of discharge medical decision
making of at least moderate complexity during the service period face-to-face
visit, within 14 calendar days of discharge

99496 Transitional care management services with the following required
elements: communication (direct contact, telephone, electronic) with the
patient and/or caregiver within 2 business days of discharge medical decision
making of high complexity during the service period face-to-face visit, within
7 calendar days of discharge

2. Respiratory System

31647 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when
performed; with balloon occlusion, when performed, assessment of air leak,
airway sizing, and insertion of bronchial valve(s), initial lobe

31648 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when
performed; with removal of bronchial valve(s), initial lobe

31649 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when
performed; with removal of bronchial valve(s), each additional lobe (list
separately in addition to code for primary procedure)

31651 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when
performed; with balloon occlusion, when performed, assessment of air leak,
airway sizing, and insertion of bronchial valve(s), each additional lobe (list
separately in addition to code for primary procedure[s])

31660 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when
performed; with bronchial thermoplasty, 1 lobe

31661 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when
performed; with bronchial thermoplasty, 2 or more lobes

32554 Thoracentesis, needle or catheter, aspiration of the pleural space;
without imaging guidance

32555 Thoracentesis, needle or catheter, aspiration of the pleural space; with
imaging guidance

32556 Pleural drainage, percutaneous, with insertion of indwelling catheter;
without imaging guidance

32557 Pleural drainage, percutaneous, with insertion of indwelling catheter;
with imaging guidance

32701 Thorax stereo rad targetw/tx