There are lot of changes in the new CPT codes that are added for 2019. The first and the major change is the deletion of FNA or fine needle aspiration code 10022.
CPT code 10022 is deleted and replaced with CPT 10004 for each additional lesion. The new CPT codes 10005-10012 will be used in 2019 to report the specific imaging guidance (ultrasound, fluoroscopic guidance, CT and MRI).
10022 – Fine needle aspiration; with imaging guidance
The skin biopsies CPT codes 11100 and 11101 are deleted. There are new guidelines for coding biopsies and six new codes. The new codes (11102-11107) for skin biopsies based on method of removal including tangential (shave, scoop, saucerize, curette), punch and incisional.
The new CPT code 27369 is added to report an injection procedure for contrast knee arthrography. CPT code 27370 was deleted likely due to being reported incorrectly as arthrocentesis or aspiration.