Physician's Coding Strategist-New CPT codes took effect July 1

-27 modifier approved for early use

Make sure you and your payers have updated your code books with these new American Medical Association codes, which went into effect July 2000. The new codes are:

90378. Respiratory syncytial virus immune globulin (RSV-IgIM), for intramuscular use, 50 mg each.

90669. Pneumococcal conjugate vaccine, polyvalent, for children under 5 years, for intramuscular use.

90702. Diphtheria and tetanus toxoids (DT) adsorbed for use in individuals younger than 7 years, for intramuscular use.

90718. Tetanus and diphtheria toxoids (Td) adsorbed for use in individuals 7 years or older, for intramuscular or jet injection.

90723. Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and poliovirus vaccine, inactivated (DtaP-HepB-IPV), for intramuscular use.

90732. Pneumococcal polysaccharide vaccine, 23-valent, adult or immunosuppressed patient dosage, for subcutaneous or intramuscular use.

90740. Hepatitis B vaccine, dialysis, or immunosuppressed patient dosage (three-dose schedule), for intramuscular use.

90743. Hepatitis B vaccine, adolescent (two-dose schedule), for intramuscular use.

90744. Hepatitis B vaccine, pediatric/adolescent dosage (three-dose schedule), for intramuscular use.

90747. Hepatitis B vaccine, dialysis or immunosuppressed patient dosage (four-dose schedule), for intramuscular use.

Modifier -27: Multiple Outpatient Hospital Evaluation and Management (E/M) Encounters on the Same Date. This CPT modifier has been approved for early electronic release to help facilitate hospital CPT outpatient reporting. The new CPT modifier will be used to delineate when a patient receives multiple E/M services performed by the same or differing physicians(s) in multiple outpatient hospital settings. This modifier will be used in reporting utilization of hospital resources related to separate and distinct E/M encounters performed on the same patient and provided by the same or different physician(s) in more than one (different, multiple) outpatient hospital setting(s) — such as a hospital emergency department or clinic — on the same date.