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New codes 95938, 95939 primary for +95920?

Char Posted Fri 03rd of February, 2012 18:00:57 PM

It seems logical that 95938 would be reported as a primary procedure for add-on code 95920 since 95938 is a combination of 95925 and 95926 which are both primary procedures for 95920. Unfortunately CPT doesn't include 95938 or 95939 in the note following +95920.
"Use 95920 in conjunction with the study performed, 92585, 95822, 95860, 95861, 95867, 95868, 95870, 95900, 95904, 95925-95937".
Is this an oversight? Does the AMA intend to correct CPT?

SuperCoder Answered Mon 06th of February, 2012 15:23:30 PM

As per book published by AMA, 95938 is not a Primary CPT for CPT 95920.

Char Posted Mon 06th of February, 2012 21:04:48 PM

I'm not convinced. It is true that 95938 and 95939 do not numerically fall within the 95925-95937 range, but they do fall within the range as sequenced in CPT. 95938 is between 95926 and 95927, 95939 is between 95929 and 95930.

Char Posted Fri 02nd of March, 2012 20:27:24 PM

CPT Errata 2/27/12 confirms 95938 and 95939 are appropriate primary procedures for 95920.

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