Every year we have new cpt codes added in CPT codebook. Since, we are going to enter in 2019 in few months we will be having lot of new procedures codes in updated new 2019 CPT codebook. We have already in previous post in part 1 and part 2 about some of the new CPT codes introduced in 2019.

Today, we learn about the remaining new CPT codes that are going to be added in the coming new year. Below are the section which have received new CPT codes in 2019 new year.

Gastrostomy tube placement
Urology coding
Breast MRI CPT codes in Radiology

Table of Contents

New CPT code 43762 & 43763 for Gastrostomy tube placement

In 2019, we will see two new CPT code 43762 and 43763 to report simple versus complex replacement of a percutaneous gastrostomy tube performed without imaging or endoscopic guidance.

CPT code 43762 is reported for the percutaneous gastrostomy tube placement including removal without imaging or endoscopic guidance not requiring revision of the gastrostomy tract.

CPT code 43763 is reported for the percutaneous gastrostomy tube placement including removal without imaging or endoscopic guidance which requires revision of gastrostomy tract.

We can expect the deletion of gastrostomy tube change 43760, and replaced with the above two new cpt codes.

43760 – Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance

New CPT code 50436 and 50437 for Urology procedures

Two new CPT codes have been in 2019 to report the dilation of the urinary tract in preparation for endourologic procedures. CPT code 50436 and 50437 will be used to report existing tract dilation for an endourologic procedure.

The new CPT codes will include the radiological supervision and interpretation as well. With the addition of these two codes will lead to deletion of CPT code 50395.

50395 – Introduction of guide into renal pelvis and/or ureter with dilation to establish nephrostomy tract, percutaneous

New CPT codes for MRI Breast Exam for 2019

MRI CPT codes for Breast exam will be replaced with new CPT codes for unilateral and bilateral exams. Yes, we will be having new Procedures codes for both unilateral and bilateral exam of Breast MRI. These new CPT codes will be differentiated on the basis on use of with and without contrast exam as shown below.

77046 – MRI breast, unilateral without contrast

77047 – MRI breast, bilateral without contrast

77048 – MRI breast, unilateral with contrast

77049 – MRI breast, bilateral with contrast

As expected , in 2019 the MRI breast exam CPT code 77058 & 77059 will be deleted and replaced with the above 4 CPT codes.

77058 – Magnetic resonance imaging, breast, without and/or with contrast material(s); unilateral

77059 – Magnetic resonance imaging, breast, without and/or with contrast material(s); bilateral