The 2016 WWC CPT Code List is available on the website

The updated list includes 2016 allowable CPT codes for WWC clinical services agencies. New codes are indicated in bold and deleted codes are indicated with a strikethrough. 

Rates are based on information found on the Centers for Medicare and Medicaid website, under physician fee schedule and clinical laboratory fee schedule. As per CMS, the new CPT codes became effective January 1, 2016. WWC allows both new and recently deleted codes to be reimbursed through June 29, 2016. The Bundled Payment System (BPS) is updated annually and will be released for the new fiscal year.

Changes to the 2016 WWC CPT Code List include:

• 87625- Human Papillomavirus, types 16 and 18 only. WWC funds may now be used for HPV genotyping.

Other clarifications include:

• Breast tomosynthesis (CPT codes G0279, 77061, 77062 and 77063) are specifically NOT allowed.
• Human Papillomavirus, low-risk types (CPT code 87623) is specifically NOT allowed.
• G0461 and G0462 codes for immunohistochemistry were deleted codes in 2015. Please be sure your agency is using the most recent immunohistochemistry antibody slide codes, 88341 and 88342.
• ICD-10 will not have an impact on CPT codes or rates. Changes in CPT codes are set by the American Medical Association and CPT code rates are set by CMS.

Please contact the nurse consultant, Angie Fellers LeMire with any questions.