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2025 CPT®
Code Updates (HIM Focused)
Jennifer Bishop | RHIT, CCS, CCS-P, CHRI
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Disclaimer Statement
This presentation was current at the time it was published or provided via the
web and is designed to provide accurate and authoritative information
regarding the subject matter covered. The information provided is only
intended to be a general overview with the understanding that neither the
presenter nor the event sponsor is engaged in rendering specific coding advice.
It is not intended to take the place of either the written policies or regulations.
We encourage participants to review the specific regulations and other
interpretive materials, as necessary.
All CPT codes are trademarked by the America Medical Association (AMA) and
all revenue codes are copyrighted by the American Hospital Association (AHA).
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Overview of 2025 Changes
CPT® Section Additions Deletions Revisions
Evaluation &
Management
17 3 0
Anesthesia 0 0 0
Surgery 33 13 6
Radiology 6 0 0
Pathology & Laboratory 13 6 5
PLA 10 3 2
Medicine 5 5 21
Category II 0 0 0
Category III 47 13 1
Totals 131 43 34
• Totals do not include codes added, deleted, or revised in CY 2024 but appearing for the first time in the CY 2025 book
• Revised totals do not include codes with changes to short or medium descriptions only
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Changes to Surgery
Section
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Overall Changes to Surgery Section
CPT® Section Additions Deletions Revisions
General/Integumentary (10021-19499) 8 1 0
Musculoskeletal (20005-29999) 1 1 3
Respiratory (30000-32999) 0 0 0
Cardiovascular (33010-37799) 0 3 1
Hemic & Lymphatic (38100-38999) 4 0 0
Mediastinum & Diaphragm (39000-39599) 0 0 0
Digestive (40490-49999) 5 4 0
Urinary (50010-53899) 3 2 1
Male Genital (54000-55899) 2 1 0
Female Genital (56405-58999) 0 1 1
Maternity Care & Delivery (59000-59899) 0 0 0
Endocrine (60000-60699) 2 0 0
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Overall Changes to Surgery Section
CPT® Section Additions Deletions Revisions
Nervous (61000-64999) 7 0 0
Eye & Ocular Adnexa (65091-68899) 1 0 0
Auditory (69000-69979) 0 0 0
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Added Codes - Integumentary Section
Eight New Codes Added for Skin Cell Suspension Autograft Procedures
 15011 - Harvest of skin for skin cell suspension autograft; first 25 sq cm or less
 15012 - Harvest of skin for skin cell suspension autograft; each additional 25 sq cm or part
thereof (List separately in addition to code for primary procedure)
– Used to report harvesting of epidermal and dermal skin for processing
– May be divided into smaller portions
– Typically produces skin cells at a ratio of 1:80
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Added Codes - Integumentary Section
 15013 - Preparation of skin cell suspension autograft, requiring enzymatic processing, manual
mechanical disaggregation of skin cells, and filtration; first 25 sq cm or less of harvested skin
 15014 - Preparation of skin cell suspension autograft, requiring enzymatic processing, manual
mechanical disaggregation of skin cells, and filtration; each additional 25 sq cm of harvested
skin or part thereof (List separately in addition to code for primary procedure)
– Used to report manual preparation including enzymatic process, mechanical separation of skin cells, and
filtration of final suspension
– Not reported if harvested skin is processed via automation
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Added Codes - Integumentary Section
 15015 - Application of skin cell suspension autograft to wound and donor sites, including application of primary
dressing, trunk, arms, legs; first 480 sq cm or less
 15016 - Application of skin cell suspension autograft to wound and donor sites, including application of primary
dressing, trunk, arms, legs; each additional 480 sq cm or part thereof (List separately in addition to code for
primary procedure)
 15017 - Application of skin cell suspension autograft to wound and donor sites, including application of primary
dressing, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 480 sq
cm or less
 15018 - Application of skin cell suspension autograft to wound and donor sites, including application of primary
dressing, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each
additional 480 sq cm or part thereof (List separately in addition to code for primary procedure)
– Used to report spray-on application to the wound and donor site
– Includes primary dressing and fixation device such as glue, sutures, or staples
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Added Guidelines - Integumentary Section
 Guidelines added to Skin Replacement Surgery subsection to accommodate new skin cell
suspension autograft codes
 Surgical preparation of recipient site prior to application is separately reported using 15002-15005
 Placement of separate autograft prior to application is separately reported using 15040-15261
 Repair of donor site with skin graft or local flaps is separately reported
 Other autografts include harvesting and preparation as well as removal of any current graft with
simple cleaning of the wound
 Debridement would only be reported separately when there is prolonged cleansing, when
appreciable amounts of tissue are removed, or if debridement is done independently of repair
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Deleted Codes – Integumentary System
Deleted Code Suggested Replacement Codes
15819 – Cervicoplasty 17999
 Deleted due to low utilization and recommendation from CPT Advisory Committee
 Primarily done as a cosmetic procedure to remove excess skin from the neck
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Arthroplasty of Intercarpal or Carpometacarpal
Joints
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Added Code - Musculoskeletal Section
One New Code Added and One Code Revised for Arthroplasty of Hand
 25448 – Arthroplasty, intercarpal or carpometacarpal joints; suspension, including
transfer or transplant of tendon, with interposition, when performed
– The AMA noticed that CPT code 25447 was frequently performed with other tendon transfer procedures
– 25448 describes suspensionplasty of basal joint of thumb while 25447 describes interposition (e.g.
tendon)
– Codes should not be reported together and should also NOT be reported with 25310 (tendon transfer of
forearm or wrist) and/or 26480 (tendon transfer or CMC or dorsum of hand)
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Revised Code - Musculoskeletal Section
Code 2025 Long Description 2024 Long Description
21630 Radical resection of sternum Radical resection of sternum;
25447 Arthroplasty, intercarpal or carpometacarpal joints;
interposition (eg, tendon)
Arthroplasty, interposition, intercarpal or
carpometacarpal joints
27279 Arthrodesis, sacroiliac joint, percutaneous or minimally
invasive (indirect visualization), with image guidance,
includes obtaining bone graft when performed, and
placement of transfixation device
Arthrodesis, sacroiliac joint, percutaneous or minimally
invasive (indirect visualization), with image guidance,
includes obtaining bone graft when performed, and
placement of transfixing device
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Deleted Code – Musculoskeletal System
Deleted Code Suggested Replacement Codes
21632 – Radical resection of sternum; with mediastinal lymphadenectomy 21630
 Deleted due to low utilization and recommendation from CPT Advisory Committee
 Additional code for lymphadenectomy should now be coded
 Because 21630 is no longer a parent code, semicolon has been removed from the end of
that code
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Deleted Codes - Cardiovascular Section
Deleted Code Suggested Replacement Codes
33471 – Valvotomy, pulmonary valve, closed heart, via pulmonary artery 33999
33737 - Atrial septectomy or septostomy; open heart, with inflow occlusion 33999
33813 - Obliteration of aortopulmonary septal defect; without cardiopulmonary
bypass
33999
 Deleted due to low utilization
 Unlisted codes would now be used when one of these procedures is performed, which should be
rarely
 Because 33814 is no longer a parent code, semicolon has been removed and replaced with a
comma
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Revised Code - Cardiovascular Section
Code 2025 Long Description 2024 Long Description
33814 Obliteration of aortopulmonary septal defect, with
cardiopulmonary bypass
Obliteration of aortopulmonary septal defect; with
cardiopulmonary bypass
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Added Guidelines – Angioplasty of the Aorta
 Subsection ‘Endovascular Repair of Congenital Heart and Vascular Defects’ had new
guidelines to clarify that 33894, 33895, and 33897 are for use when stenting or angioplasty is
performed for coarctation of the aorta (congenital heart disease)
 When these procedures are performed for acquired heart disease, such as atherosclerosis,
codes 37236 or 37246 should be used
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Coarctation of Aorta
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Added Guidelines – Pacemaker or Implantable
Defibrillator
 When a pacemaker ‘battery’ is changed, the pulse generator is being changed
 Removal is reported using 33233 or 33241; removal is NOT reported for replacement of
generator alone
 When generator is inserted or replaced in conjunction with insertion of replacement of leads,
system codes are used (33206-33208,33249, or 33270)
 When reporting system codes, removal of generator is separately reported, when performed
 Note that 33214 for upgrade of single-chamber to dual-chamber pacemaker includes removal
of device, so removal would NOT be separately coded
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Added Codes – Hemic & Lymphatic Systems
Four New Codes Added to Replace Deleted Category III Codes for CAR-T Therapy
Procedures
 38225 - Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T
lymphocytes for development of genetically modified autologous CAR-T cells, per day
 38226 – Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T
lymphocytes for transportation (eg, cryopreservation, storage)
 38227 - Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T
cells for administration
 38228 - Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration,
autologous
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New Subsection– Cellular and Gene Therapies
 Collection and handling (38225) may only be reported once per day
 Administration (38228) may only be reported once per day
 Development of genetically-modified cells is not reported with 38225-38228
 Do NOT separately report the fluid used to administer the cells, incidental hydration, or
administration of supportive medications
 Unrelated procedures may be separately reported
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Added Codes – Digestive System
Five New Codes Added to Capture Intra-Abdominal Tumor Excision or Destruction
 49186 - Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or
secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less
 49187 – Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or
secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm
 49188 - Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or
secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm
 49189 - Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or
secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm
 49190 - Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or
secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 30 cm
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Deleted Codes – Digestive System
Deleted Code Suggested Replacement Codes
49203 – Excision or destruction, open, intra-abdominal tumors, cysts or
endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or
secondary tumors; largest tumor 5 cm diameter or less
49186
49187
49188
49189
49190
49204 - Excision or destruction, open, intra-abdominal tumors, cysts or
endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or
secondary tumors; largest tumor 5.1-10.0 cm diameter
49205 - Excision or destruction, open, intra-abdominal tumors, cysts or
endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or
secondary tumors; largest tumor greater than 10.0 cm diameter
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Added Guidelines – Excision or Destruction of
Abdomen, Peritoneum and Omentum
 49186-49190 describe excision or destruction of tumor or cyst via open approach; includes
cytoreduction, debulking and other methods of removal
 Codes are reported based on the sum of the maximum length of each tumor or cyst excised
or destroyed
 Only tumor tissue is measured, NOT the tissue in which the tumor may be implanted
 If only a portion of the tumor is removed, only measure the excised or destroyed portion
 Measure prior to excision or destruction and do NOT include the surgical margins
 Use 49186-49190 to report open resection of RECURRENT ovarian, endometrial, tubal, or
primary peritoneal gynecological malignancies without lymphadenectomy; all other
resections should be reported using 58943-58960, as appropriate
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Deleted Codes – Digestive System
Deleted Code Suggested Replacement Codes
47802 – U-tube hepaticoenterostomy 47999
 Deleted due to low utilization
 Unlisted code would now be used when this procedure is performed, which should be rarely
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Added Codes – Urinary Section
Two New Codes Added to Report Ischemic Remodeling of Bladder Neck and
Prostate
 53865 - Cystourethroscopy with insertion of temporary device for ischemic
remodeling (ie, pressure necrosis) of bladder neck and prostate
 53866 - Catheterization with removal of temporary device for ischemic remodeling
(ie, pressure necrosis) of bladder neck and prostate
– Temporary device that is inserted for 5-7 days to create pressure necrosis inside of prostate, leaving
prostate more open
– Do NOT use for insertion of permanent urethral stent (see 52282)
– Do NOT use for insertion of temporary urethral stent without cystourethroscopy (see 53855)
– Removal of device reported using 52310 when done via cystourethroscopy
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Deleted Codes – Urinary System
Deleted Code Suggested Replacement Codes
50135 – Pyelotomy; complicated (eg, secondary operation, congenital kidney
abnormality)
See 50120-50130 for pyelotomy
51030 - Cystotomy or cystostomy; with cryosurgical destruction of intravesical
lesion
53899
 Deleted due to low utilization
 No specific replacements for complicated pyelotomy, so unlisted code may be needed for
depending upon procedure performed
 Because 51020 is no longer a parent code, semicolon has been removed and replaced with
a comma
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Revised Code - Urinary Section
Code 2025 Long Description 2024 Long Description
51020 Cystotomy or cystostomy, with fulguration and/or
insertion of radioactive material
Cystotomy or cystostomy; with fulguration and/or
insertion of radioactive material
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Added Codes – Urinary/Male Genital Section
Three New Codes Added to Report MRI-Monitored Transurethral Ultrasound
Ablation of Prostate (TULSA)
 51721 - Insertion of transurethral ablation transducer for delivery of thermal ultrasound for
prostate tissue ablation, including suprapubic tube placement during the same session and
placement of an endorectal cooling device, when performed
 55881 - Ablation of prostate tissue, transurethral, using thermal ultrasound, including
magnetic resonance imaging guidance for, and monitoring of, tissue ablation
 55882 - Ablation of prostate tissue, transurethral, using thermal ultrasound, including
magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion
of transurethral ultrasound transducer for delivery of thermal ultrasound, including
suprapubic tube placement and placement of an endorectal cooling device, when performed
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Added Codes – Urinary/Male Genital Section
 51721 is for insertion of transducer alone
 55881 is for ablation procedure alone
 55882 is for insertion and ablation procedure
 Note that this is for transurethral approach
 Do NOT confuse with HIFU (55880) which is
transrectal and high intensity
 Do NOT separately report 51701, 51702,
72195-72197, 77002
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Deleted Codes – Male Genital System
Deleted Code Suggested Replacement Codes
54438 – Replantation, penis, complete amputation including urethral repair 55899
 Deleted due to low utilization
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Deleted Code – Female Genital System
Deleted Code Suggested Replacement Codes
58957 – Resection (tumor debulking) of recurrent ovarian, tubal, primary
peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with
omentectomy, if performed
49186
49187
49188
49189
49190
 Debulking and resection of recurrent intra-abdominal tumors has been moved to Digestive
Section of CPT book
 All other resections should be reported using 58943-58960, as appropriate
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Added Codes - Endocrine Section
Two New Codes Added to Capture Percutaneous Radiofrequency Ablation of
Thyroid
 60660 - Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus,
percutaneous, including imaging guidance, radiofrequency
 60661 - Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous,
including imaging guidance, radiofrequency (List separately in addition to code for
primary procedure)
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Added Codes – Endocrine Section
 Uses radio waves to create heat to
reduce the size of thyroid nodules
 Includes imaging guidance
 Do NOT report 76940, 76942, 77013,
or 77022 with these codes
 For laser ablation, see 0673T
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Added Codes - Nervous Section
One New Code Created to Replace Category III Code
 61715 - Magnetic resonance image guided high intensity focused ultrasound
(MRgFUS), stereotactic ablation of target, intracranial, including stereotactic
navigation and frame placement, when performed
– Replaces Category III code 0398T, which is being converted to Category I
– Describes non-invasive intracranial tissue ablation; used to treat movement disorders such as
essential tremor
– Includes guidance and headframe placement; do NOT report in conjunction with 61781, 61800, or
MRI code
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Added Codes - Nervous Section
Six Codes Added to Capture Fascial Plane Blocks
 64466 - Thoracic fascial plane block, unilateral; by injection(s), including imaging
guidance, when performed
 64467 - Thoracic fascial plane block, unilateral; by continuous infusion(s), including
imaging guidance, when performed
 64468 - Thoracic fascial plane block, bilateral; by injection(s), including imaging
guidance, when performed
 64469 - Thoracic fascial plane block, bilateral; by continuous infusion(s), including
imaging guidance, when performed
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Added Codes - Nervous Section
Six Codes Added to Capture Fascial Plane Blocks
 64473 - Lower extremity fascial plane block, unilateral; by injection(s), including
imaging guidance, when performed
 64474 - Lower extremity fascial plane block, unilateral; by continuous infusion(s),
including imaging guidance, when performed
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Added Codes – Fascial Plane Blocks
• Regional anesthesia for control of post-
operative pain within a specific fascial plane to
affect nerves in those fascial layers
• Bedside ultrasound allows for provision of
anesthesia in thoracic and lower extremity
planes
• Includes imaging guidance; do NOT report with
76942, 77001, 77002,77012, or 77021
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Added Code – Ophthalmology Section
One New Code Added to Report Implantation of Iris Prosthesis
 66683 - Implantation of iris prosthesis, including suture fixation and repair or removal
of iris, when performed
– Replaces Category III codes 0616T-0618T
– Typically performed for congenital absence of the iris (aniridia) or for traumatic laceration to the iris
– Lens surgeries performed in conjunction would be separately reported
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Added Code – Ophthalmology Section
 Report lens surgery that is performed concurrently using
66820-66991
 Do NOT report with:
 Paracentesis of anterior chamber (65800-65815)
 Severing of synechiae (65865-65875)
 Injection into anterior chamber (66020,66030)
 Iridotomy (66500, 66505)
 Iridectomy (66600-66635)
 Destruction of iris lesion (66770)
 Retrobulbar injection (67500-67515)
 For removal of iris without prosthesis insertion, see 66600-
66635)
 For repair of iris without prosthesis insertion, see
66680,66682
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Changes to New &
Emerging
Technology
Section
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Added Code – Bone Marrow Sampling Port
 0901T - Placement of bone marrow sampling
port, including imaging guidance when performed
 New procedure for patients requiring
frequent bone marrow biopsies, such as
patients with leukemia or multiple myeloma
 Includes imaging guidance; do NOT report
with 77002 or 77012
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Added Codes – Integrated Neurostimulation
System
Code Long Description
0908T Open implantation of integrated neurostimulation system, vagus nerve, including analysis and
programming, when performed
0909T Replacement of integrated neurostimulation system, vagus nerve, including analysis and
programming, when performed
0910T Removal of integrated neurostimulation system, vagus nerve
• New codes for electronic analysis (0911T and 0912T) have also been added
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Added Codes and Subsection – Intracoronary
Drug Delivery
Two New Codes and Subsection Created to Report Transcatheter Intracoronary
Intervention by Drug-Delivery Balloon
 0913T - Percutaneous transcatheter therapeutic drug delivery by intracoronary drug-delivery
balloon (eg, drug-coated, drug-eluting), including mechanical dilation by nondrug-delivery balloon
angioplasty, endoluminal imaging using intravascular ultrasound (IVUS) or optical coherence
tomography (OCT) when performed, imaging supervision, interpretation, and report, single major
coronary artery or branch
 0914T - Percutaneous transcatheter therapeutic drug delivery by intracoronary drug-delivery
balloon (eg, drug-coated, drug-eluting) performed on a separate target lesion from the target
lesion treated with balloon angioplasty, coronary stent placement or coronary atherectomy,
including mechanical dilation by nondrug-delivery balloon angioplasty, endoluminal imaging using
intravascular ultrasound (IVUS) or optical coherence tomography (OCT) when performed, imaging
supervision, interpretation, and report, single major coronary artery or branch (List separately in
addition to code for percutaneous coronary stent or atherectomy intervention)
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Added Guidelines – Intracoronary Drug Delivery
 Both codes include selectively catheterizing the vessel, angiography, all imaging guidance,
and radiological supervision and interpretation (S&I)
 Diagnostic angiography may be separately reported only if no prior study is available and
study results in the decision to intervene or if the patient’s condition has changed such that a
new diagnostic study is required
 0913T includes angioplasty or dilation and is NOT reported with 92920, 92924, 92928, 92933,
92937, 92941, 92943, 92973, or 92978 for the same lesion
 0914T is an add-on code for a separate lesion performed for a separate intervention and is
reported in conjunction with 92920, 92924, 92928, 92933, 92937, 92941, 92943, 92973, or
92978
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Added Codes and Subsection – Cardiac Contractility
Modulation-Defibrillation (CCM-D)
17 New Codes and Subsection Created to Report CCM-D Services
 0915T - Insertion of permanent cardiac contractility modulation-defibrillation system
component(s), including fluoroscopic guidance, and evaluation and programming of sensing and
therapeutic parameters; pulse generator and dual transvenous electrodes/leads (pacing and
defibrillation)
 0916T - Insertion of permanent cardiac contractility modulation-defibrillation system
component(s), including fluoroscopic guidance, and evaluation and programming of sensing and
therapeutic parameters; pulse generator only
 0917T - Insertion of permanent cardiac contractility modulation-defibrillation system
component(s), including fluoroscopic guidance, and evaluation and programming of sensing and
therapeutic parameters; single transvenous lead (pacing or defibrillation) only
 0918T - Insertion of permanent cardiac contractility modulation-defibrillation system
component(s), including fluoroscopic guidance, and evaluation and programming of sensing and
therapeutic parameters; dual transvenous leads (pacing and defibrillation) only
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Added Codes and Subsection – Cardiac Contractility
Modulation-Defibrillation (CCM-D)
 0919T - Removal of a permanent cardiac contractility modulation-defibrillation system
component(s); pulse generator only
 0920T - Removal of a permanent cardiac contractility modulation-defibrillation system
component(s); single transvenous pacing lead only
 0921T - Removal of a permanent cardiac contractility modulation-defibrillation system
component(s); single transvenous defibrillation lead only
 0922T - Removal of a permanent cardiac contractility modulation-defibrillation system
component(s); dual (pacing and defibrillation) transvenous leads only
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Added Codes and Subsection – Cardiac Contractility
Modulation-Defibrillation (CCM-D)
 0923T - Removal and replacement of permanent cardiac contractility modulation-defibrillation
pulse generator only
 0924T - Repositioning of previously implanted cardiac contractility modulation-defibrillation
transvenous electrode(s)/lead(s), including fluoroscopic guidance and programming of sensing and
therapeutic parameters
 0925T - Relocation of skin pocket for implanted cardiac contractility modulation-defibrillation pulse
generator
• New codes for programming evaluation (0926T), interrogation (0927T-0292T), and EP
evaluation of device (0930T, 0931T) have also been added
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Added Guidelines – CCM-D
 Combines cardiac contractility modulation for symptom relief from heart failure with
protection against sudden cardiac arrythmia into a single system
 Consists of a pulse generator, two leads: one pacemaker and one defibrillator lead
 Do NOT report in conjunction with CCM system procedures (0408T-0418T)
 Do NOT report in conjunction with other pacemaker/defibrillator procedures (33206-33275)
 All catheterization, imaging guidance, and S&I necessary to perform the procedure are
included
 Evaluation, programming, and sensing at the time of insertion is included
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Added Codes – Left Atrial Pressure Sensor
 0933T - Transcatheter implantation of wireless
left atrial pressure sensor for long-term left atrial
pressure monitoring, including sensor calibration
and deployment, right heart catheterization,
transseptal puncture, imaging guidance, and
radiological supervision and interpretation
 Includes right heart catheterization to access the
left atrium, transseptal puncture, all imaging
guidance and radiological S&I
 Differs from pulmonary artery pressure sensor,
which is reported using 33289
 0934T has also been added to report remote
monitoring of device for each 30-day period
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Added Code – Transurethral Renal Denervation
 0935T - Cystourethroscopy with renal pelvic
sympathetic denervation, radiofrequency
ablation, retrograde ureteral approach, including
insertion of guide wire, selective placement of
ureteral sheath(s) and multiple conformable
electrodes, contrast injection(s), and fluoroscopy,
bilateral
 Differs from existing codes for renal denervation
(0338T/0339T) because this is performed via
cystourethroscopy versus via renal artery puncture
 Do NOT report with 52000, 52005, or 76000
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Added Codes – Transurethral Prostatic Urethra
Scaffold Procedures
Code Long Description
0941T Cystourethroscopy, flexible; with insertion and expansion of prostatic urethral scaffold using
integrated cystoscopic visualization
0942T Cystourethroscopy, flexible; with removal and replacement of prostatic urethral scaffold
0943T Cystourethroscopy, flexible; with removal of prostatic urethral scaffold
• For permanent urethral stent, see 52282
• For temporary prostatic urethral stent, see 53855
© 2024 Health Catalyst Inc. All Rights Reserved.
Deleted Codes
New & Emerging Technology
Deleted Code Suggested Replacement Codes
0537T – Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-
derived T lymphocytes for development of genetically modified autologous CAR-
T cells, per day
38225
0538T - Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-
derived T lymphocytes for transportation (eg, cryopreservation, storage)
38226
0539T - Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation
of CAR-T cells for administration
38227
0540T - Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell
administration, autologous
38228
© 2024 Health Catalyst Inc. All Rights Reserved.
Deleted Codes
New & Emerging Technology
Deleted Code Suggested Replacement Codes
0553T – Percutaneous transcatheter placement of iliac arteriovenous
anastomosis implant, inclusive of all radiological supervision and interpretation,
intraprocedural roadmapping, and imaging guidance necessary to complete the
intervention
37799
0567T - Permanent fallopian tube occlusion with degradable biopolymer implant,
transcervical approach, including transvaginal ultrasound
58999
0568T - Introduction of mixture of saline and air for sonosalpingography to
confirm occlusion of fallopian tubes, transcervical approach, including
transvaginal ultrasound and pelvic ultrasound
58999
© 2024 Health Catalyst Inc. All Rights Reserved.
Deleted Codes
New & Emerging Technology
Deleted Code Suggested Replacement Codes
0616T – Insertion of iris prosthesis, including suture fixation and repair or
removal of iris, when performed; without removal of crystalline lens or
intraocular lens, without insertion of intraocular lens
66683
0617T - Insertion of iris prosthesis, including suture fixation and repair or
removal of iris, when performed; with removal of crystalline lens and insertion of
intraocular lens
66683
0618T - Insertion of iris prosthesis, including suture fixation and repair or
removal of iris, when performed; with secondary intraocular lens placement or
intraocular lens exchange
66683
Questions?
© 2024 Health Catalyst Inc. All Rights Reserved.
Jennifer Bishop
hcwebinars@healthcatalyst.com

2025 CPT® Code Updates ( HIM Focused )

  • 1.
    © 2024 HealthCatalyst Inc. All Rights Reserved. 2025 CPT® Code Updates (HIM Focused) Jennifer Bishop | RHIT, CCS, CCS-P, CHRI
  • 2.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Disclaimer Statement This presentation was current at the time it was published or provided via the web and is designed to provide accurate and authoritative information regarding the subject matter covered. The information provided is only intended to be a general overview with the understanding that neither the presenter nor the event sponsor is engaged in rendering specific coding advice. It is not intended to take the place of either the written policies or regulations. We encourage participants to review the specific regulations and other interpretive materials, as necessary. All CPT codes are trademarked by the America Medical Association (AMA) and all revenue codes are copyrighted by the American Hospital Association (AHA).
  • 3.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Overview of 2025 Changes CPT® Section Additions Deletions Revisions Evaluation & Management 17 3 0 Anesthesia 0 0 0 Surgery 33 13 6 Radiology 6 0 0 Pathology & Laboratory 13 6 5 PLA 10 3 2 Medicine 5 5 21 Category II 0 0 0 Category III 47 13 1 Totals 131 43 34 • Totals do not include codes added, deleted, or revised in CY 2024 but appearing for the first time in the CY 2025 book • Revised totals do not include codes with changes to short or medium descriptions only
  • 4.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Changes to Surgery Section
  • 5.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Overall Changes to Surgery Section CPT® Section Additions Deletions Revisions General/Integumentary (10021-19499) 8 1 0 Musculoskeletal (20005-29999) 1 1 3 Respiratory (30000-32999) 0 0 0 Cardiovascular (33010-37799) 0 3 1 Hemic & Lymphatic (38100-38999) 4 0 0 Mediastinum & Diaphragm (39000-39599) 0 0 0 Digestive (40490-49999) 5 4 0 Urinary (50010-53899) 3 2 1 Male Genital (54000-55899) 2 1 0 Female Genital (56405-58999) 0 1 1 Maternity Care & Delivery (59000-59899) 0 0 0 Endocrine (60000-60699) 2 0 0
  • 6.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Overall Changes to Surgery Section CPT® Section Additions Deletions Revisions Nervous (61000-64999) 7 0 0 Eye & Ocular Adnexa (65091-68899) 1 0 0 Auditory (69000-69979) 0 0 0
  • 7.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes - Integumentary Section Eight New Codes Added for Skin Cell Suspension Autograft Procedures  15011 - Harvest of skin for skin cell suspension autograft; first 25 sq cm or less  15012 - Harvest of skin for skin cell suspension autograft; each additional 25 sq cm or part thereof (List separately in addition to code for primary procedure) – Used to report harvesting of epidermal and dermal skin for processing – May be divided into smaller portions – Typically produces skin cells at a ratio of 1:80
  • 8.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes - Integumentary Section  15013 - Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; first 25 sq cm or less of harvested skin  15014 - Preparation of skin cell suspension autograft, requiring enzymatic processing, manual mechanical disaggregation of skin cells, and filtration; each additional 25 sq cm of harvested skin or part thereof (List separately in addition to code for primary procedure) – Used to report manual preparation including enzymatic process, mechanical separation of skin cells, and filtration of final suspension – Not reported if harvested skin is processed via automation
  • 9.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes - Integumentary Section  15015 - Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; first 480 sq cm or less  15016 - Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, trunk, arms, legs; each additional 480 sq cm or part thereof (List separately in addition to code for primary procedure)  15017 - Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; first 480 sq cm or less  15018 - Application of skin cell suspension autograft to wound and donor sites, including application of primary dressing, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or multiple digits; each additional 480 sq cm or part thereof (List separately in addition to code for primary procedure) – Used to report spray-on application to the wound and donor site – Includes primary dressing and fixation device such as glue, sutures, or staples
  • 10.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Guidelines - Integumentary Section  Guidelines added to Skin Replacement Surgery subsection to accommodate new skin cell suspension autograft codes  Surgical preparation of recipient site prior to application is separately reported using 15002-15005  Placement of separate autograft prior to application is separately reported using 15040-15261  Repair of donor site with skin graft or local flaps is separately reported  Other autografts include harvesting and preparation as well as removal of any current graft with simple cleaning of the wound  Debridement would only be reported separately when there is prolonged cleansing, when appreciable amounts of tissue are removed, or if debridement is done independently of repair
  • 11.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Deleted Codes – Integumentary System Deleted Code Suggested Replacement Codes 15819 – Cervicoplasty 17999  Deleted due to low utilization and recommendation from CPT Advisory Committee  Primarily done as a cosmetic procedure to remove excess skin from the neck
  • 12.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Arthroplasty of Intercarpal or Carpometacarpal Joints
  • 13.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Code - Musculoskeletal Section One New Code Added and One Code Revised for Arthroplasty of Hand  25448 – Arthroplasty, intercarpal or carpometacarpal joints; suspension, including transfer or transplant of tendon, with interposition, when performed – The AMA noticed that CPT code 25447 was frequently performed with other tendon transfer procedures – 25448 describes suspensionplasty of basal joint of thumb while 25447 describes interposition (e.g. tendon) – Codes should not be reported together and should also NOT be reported with 25310 (tendon transfer of forearm or wrist) and/or 26480 (tendon transfer or CMC or dorsum of hand)
  • 14.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Revised Code - Musculoskeletal Section Code 2025 Long Description 2024 Long Description 21630 Radical resection of sternum Radical resection of sternum; 25447 Arthroplasty, intercarpal or carpometacarpal joints; interposition (eg, tendon) Arthroplasty, interposition, intercarpal or carpometacarpal joints 27279 Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of transfixation device Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, includes obtaining bone graft when performed, and placement of transfixing device
  • 15.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Deleted Code – Musculoskeletal System Deleted Code Suggested Replacement Codes 21632 – Radical resection of sternum; with mediastinal lymphadenectomy 21630  Deleted due to low utilization and recommendation from CPT Advisory Committee  Additional code for lymphadenectomy should now be coded  Because 21630 is no longer a parent code, semicolon has been removed from the end of that code
  • 16.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Deleted Codes - Cardiovascular Section Deleted Code Suggested Replacement Codes 33471 – Valvotomy, pulmonary valve, closed heart, via pulmonary artery 33999 33737 - Atrial septectomy or septostomy; open heart, with inflow occlusion 33999 33813 - Obliteration of aortopulmonary septal defect; without cardiopulmonary bypass 33999  Deleted due to low utilization  Unlisted codes would now be used when one of these procedures is performed, which should be rarely  Because 33814 is no longer a parent code, semicolon has been removed and replaced with a comma
  • 17.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Revised Code - Cardiovascular Section Code 2025 Long Description 2024 Long Description 33814 Obliteration of aortopulmonary septal defect, with cardiopulmonary bypass Obliteration of aortopulmonary septal defect; with cardiopulmonary bypass
  • 18.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Guidelines – Angioplasty of the Aorta  Subsection ‘Endovascular Repair of Congenital Heart and Vascular Defects’ had new guidelines to clarify that 33894, 33895, and 33897 are for use when stenting or angioplasty is performed for coarctation of the aorta (congenital heart disease)  When these procedures are performed for acquired heart disease, such as atherosclerosis, codes 37236 or 37246 should be used
  • 19.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Coarctation of Aorta
  • 20.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Guidelines – Pacemaker or Implantable Defibrillator  When a pacemaker ‘battery’ is changed, the pulse generator is being changed  Removal is reported using 33233 or 33241; removal is NOT reported for replacement of generator alone  When generator is inserted or replaced in conjunction with insertion of replacement of leads, system codes are used (33206-33208,33249, or 33270)  When reporting system codes, removal of generator is separately reported, when performed  Note that 33214 for upgrade of single-chamber to dual-chamber pacemaker includes removal of device, so removal would NOT be separately coded
  • 21.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes – Hemic & Lymphatic Systems Four New Codes Added to Replace Deleted Category III Codes for CAR-T Therapy Procedures  38225 - Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells, per day  38226 – Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg, cryopreservation, storage)  38227 - Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration  38228 - Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous
  • 22.
    © 2024 HealthCatalyst Inc. All Rights Reserved. New Subsection– Cellular and Gene Therapies  Collection and handling (38225) may only be reported once per day  Administration (38228) may only be reported once per day  Development of genetically-modified cells is not reported with 38225-38228  Do NOT separately report the fluid used to administer the cells, incidental hydration, or administration of supportive medications  Unrelated procedures may be separately reported
  • 23.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes – Digestive System Five New Codes Added to Capture Intra-Abdominal Tumor Excision or Destruction  49186 - Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5 cm or less  49187 – Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 5.1 to 10 cm  49188 - Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 10.1 to 20 cm  49189 - Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); 20.1 to 30 cm  49190 - Excision or destruction, open, intra-abdominal (ie, peritoneal, mesenteric, retroperitoneal), primary or secondary tumor(s) or cyst(s), sum of the maximum length of tumor(s) or cyst(s); greater than 30 cm
  • 24.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Deleted Codes – Digestive System Deleted Code Suggested Replacement Codes 49203 – Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less 49186 49187 49188 49189 49190 49204 - Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter 49205 - Excision or destruction, open, intra-abdominal tumors, cysts or endometriomas, 1 or more peritoneal, mesenteric, or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diameter
  • 25.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Guidelines – Excision or Destruction of Abdomen, Peritoneum and Omentum  49186-49190 describe excision or destruction of tumor or cyst via open approach; includes cytoreduction, debulking and other methods of removal  Codes are reported based on the sum of the maximum length of each tumor or cyst excised or destroyed  Only tumor tissue is measured, NOT the tissue in which the tumor may be implanted  If only a portion of the tumor is removed, only measure the excised or destroyed portion  Measure prior to excision or destruction and do NOT include the surgical margins  Use 49186-49190 to report open resection of RECURRENT ovarian, endometrial, tubal, or primary peritoneal gynecological malignancies without lymphadenectomy; all other resections should be reported using 58943-58960, as appropriate
  • 26.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Deleted Codes – Digestive System Deleted Code Suggested Replacement Codes 47802 – U-tube hepaticoenterostomy 47999  Deleted due to low utilization  Unlisted code would now be used when this procedure is performed, which should be rarely
  • 27.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes – Urinary Section Two New Codes Added to Report Ischemic Remodeling of Bladder Neck and Prostate  53865 - Cystourethroscopy with insertion of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate  53866 - Catheterization with removal of temporary device for ischemic remodeling (ie, pressure necrosis) of bladder neck and prostate – Temporary device that is inserted for 5-7 days to create pressure necrosis inside of prostate, leaving prostate more open – Do NOT use for insertion of permanent urethral stent (see 52282) – Do NOT use for insertion of temporary urethral stent without cystourethroscopy (see 53855) – Removal of device reported using 52310 when done via cystourethroscopy
  • 28.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Deleted Codes – Urinary System Deleted Code Suggested Replacement Codes 50135 – Pyelotomy; complicated (eg, secondary operation, congenital kidney abnormality) See 50120-50130 for pyelotomy 51030 - Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion 53899  Deleted due to low utilization  No specific replacements for complicated pyelotomy, so unlisted code may be needed for depending upon procedure performed  Because 51020 is no longer a parent code, semicolon has been removed and replaced with a comma
  • 29.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Revised Code - Urinary Section Code 2025 Long Description 2024 Long Description 51020 Cystotomy or cystostomy, with fulguration and/or insertion of radioactive material Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material
  • 30.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes – Urinary/Male Genital Section Three New Codes Added to Report MRI-Monitored Transurethral Ultrasound Ablation of Prostate (TULSA)  51721 - Insertion of transurethral ablation transducer for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorectal cooling device, when performed  55881 - Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation  55882 - Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound transducer for delivery of thermal ultrasound, including suprapubic tube placement and placement of an endorectal cooling device, when performed
  • 31.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes – Urinary/Male Genital Section  51721 is for insertion of transducer alone  55881 is for ablation procedure alone  55882 is for insertion and ablation procedure  Note that this is for transurethral approach  Do NOT confuse with HIFU (55880) which is transrectal and high intensity  Do NOT separately report 51701, 51702, 72195-72197, 77002
  • 32.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Deleted Codes – Male Genital System Deleted Code Suggested Replacement Codes 54438 – Replantation, penis, complete amputation including urethral repair 55899  Deleted due to low utilization
  • 33.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Deleted Code – Female Genital System Deleted Code Suggested Replacement Codes 58957 – Resection (tumor debulking) of recurrent ovarian, tubal, primary peritoneal, uterine malignancy (intra-abdominal, retroperitoneal tumors), with omentectomy, if performed 49186 49187 49188 49189 49190  Debulking and resection of recurrent intra-abdominal tumors has been moved to Digestive Section of CPT book  All other resections should be reported using 58943-58960, as appropriate
  • 34.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes - Endocrine Section Two New Codes Added to Capture Percutaneous Radiofrequency Ablation of Thyroid  60660 - Ablation of 1 or more thyroid nodule(s), one lobe or the isthmus, percutaneous, including imaging guidance, radiofrequency  60661 - Ablation of 1 or more thyroid nodule(s), additional lobe, percutaneous, including imaging guidance, radiofrequency (List separately in addition to code for primary procedure)
  • 35.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes – Endocrine Section  Uses radio waves to create heat to reduce the size of thyroid nodules  Includes imaging guidance  Do NOT report 76940, 76942, 77013, or 77022 with these codes  For laser ablation, see 0673T
  • 36.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes - Nervous Section One New Code Created to Replace Category III Code  61715 - Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation of target, intracranial, including stereotactic navigation and frame placement, when performed – Replaces Category III code 0398T, which is being converted to Category I – Describes non-invasive intracranial tissue ablation; used to treat movement disorders such as essential tremor – Includes guidance and headframe placement; do NOT report in conjunction with 61781, 61800, or MRI code
  • 37.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes - Nervous Section Six Codes Added to Capture Fascial Plane Blocks  64466 - Thoracic fascial plane block, unilateral; by injection(s), including imaging guidance, when performed  64467 - Thoracic fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed  64468 - Thoracic fascial plane block, bilateral; by injection(s), including imaging guidance, when performed  64469 - Thoracic fascial plane block, bilateral; by continuous infusion(s), including imaging guidance, when performed
  • 38.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes - Nervous Section Six Codes Added to Capture Fascial Plane Blocks  64473 - Lower extremity fascial plane block, unilateral; by injection(s), including imaging guidance, when performed  64474 - Lower extremity fascial plane block, unilateral; by continuous infusion(s), including imaging guidance, when performed
  • 39.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes – Fascial Plane Blocks • Regional anesthesia for control of post- operative pain within a specific fascial plane to affect nerves in those fascial layers • Bedside ultrasound allows for provision of anesthesia in thoracic and lower extremity planes • Includes imaging guidance; do NOT report with 76942, 77001, 77002,77012, or 77021
  • 40.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Code – Ophthalmology Section One New Code Added to Report Implantation of Iris Prosthesis  66683 - Implantation of iris prosthesis, including suture fixation and repair or removal of iris, when performed – Replaces Category III codes 0616T-0618T – Typically performed for congenital absence of the iris (aniridia) or for traumatic laceration to the iris – Lens surgeries performed in conjunction would be separately reported
  • 41.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Code – Ophthalmology Section  Report lens surgery that is performed concurrently using 66820-66991  Do NOT report with:  Paracentesis of anterior chamber (65800-65815)  Severing of synechiae (65865-65875)  Injection into anterior chamber (66020,66030)  Iridotomy (66500, 66505)  Iridectomy (66600-66635)  Destruction of iris lesion (66770)  Retrobulbar injection (67500-67515)  For removal of iris without prosthesis insertion, see 66600- 66635)  For repair of iris without prosthesis insertion, see 66680,66682
  • 42.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Changes to New & Emerging Technology Section
  • 43.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Code – Bone Marrow Sampling Port  0901T - Placement of bone marrow sampling port, including imaging guidance when performed  New procedure for patients requiring frequent bone marrow biopsies, such as patients with leukemia or multiple myeloma  Includes imaging guidance; do NOT report with 77002 or 77012
  • 44.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes – Integrated Neurostimulation System Code Long Description 0908T Open implantation of integrated neurostimulation system, vagus nerve, including analysis and programming, when performed 0909T Replacement of integrated neurostimulation system, vagus nerve, including analysis and programming, when performed 0910T Removal of integrated neurostimulation system, vagus nerve • New codes for electronic analysis (0911T and 0912T) have also been added
  • 45.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes and Subsection – Intracoronary Drug Delivery Two New Codes and Subsection Created to Report Transcatheter Intracoronary Intervention by Drug-Delivery Balloon  0913T - Percutaneous transcatheter therapeutic drug delivery by intracoronary drug-delivery balloon (eg, drug-coated, drug-eluting), including mechanical dilation by nondrug-delivery balloon angioplasty, endoluminal imaging using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) when performed, imaging supervision, interpretation, and report, single major coronary artery or branch  0914T - Percutaneous transcatheter therapeutic drug delivery by intracoronary drug-delivery balloon (eg, drug-coated, drug-eluting) performed on a separate target lesion from the target lesion treated with balloon angioplasty, coronary stent placement or coronary atherectomy, including mechanical dilation by nondrug-delivery balloon angioplasty, endoluminal imaging using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) when performed, imaging supervision, interpretation, and report, single major coronary artery or branch (List separately in addition to code for percutaneous coronary stent or atherectomy intervention)
  • 46.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Guidelines – Intracoronary Drug Delivery  Both codes include selectively catheterizing the vessel, angiography, all imaging guidance, and radiological supervision and interpretation (S&I)  Diagnostic angiography may be separately reported only if no prior study is available and study results in the decision to intervene or if the patient’s condition has changed such that a new diagnostic study is required  0913T includes angioplasty or dilation and is NOT reported with 92920, 92924, 92928, 92933, 92937, 92941, 92943, 92973, or 92978 for the same lesion  0914T is an add-on code for a separate lesion performed for a separate intervention and is reported in conjunction with 92920, 92924, 92928, 92933, 92937, 92941, 92943, 92973, or 92978
  • 47.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes and Subsection – Cardiac Contractility Modulation-Defibrillation (CCM-D) 17 New Codes and Subsection Created to Report CCM-D Services  0915T - Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; pulse generator and dual transvenous electrodes/leads (pacing and defibrillation)  0916T - Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; pulse generator only  0917T - Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; single transvenous lead (pacing or defibrillation) only  0918T - Insertion of permanent cardiac contractility modulation-defibrillation system component(s), including fluoroscopic guidance, and evaluation and programming of sensing and therapeutic parameters; dual transvenous leads (pacing and defibrillation) only
  • 48.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes and Subsection – Cardiac Contractility Modulation-Defibrillation (CCM-D)  0919T - Removal of a permanent cardiac contractility modulation-defibrillation system component(s); pulse generator only  0920T - Removal of a permanent cardiac contractility modulation-defibrillation system component(s); single transvenous pacing lead only  0921T - Removal of a permanent cardiac contractility modulation-defibrillation system component(s); single transvenous defibrillation lead only  0922T - Removal of a permanent cardiac contractility modulation-defibrillation system component(s); dual (pacing and defibrillation) transvenous leads only
  • 49.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes and Subsection – Cardiac Contractility Modulation-Defibrillation (CCM-D)  0923T - Removal and replacement of permanent cardiac contractility modulation-defibrillation pulse generator only  0924T - Repositioning of previously implanted cardiac contractility modulation-defibrillation transvenous electrode(s)/lead(s), including fluoroscopic guidance and programming of sensing and therapeutic parameters  0925T - Relocation of skin pocket for implanted cardiac contractility modulation-defibrillation pulse generator • New codes for programming evaluation (0926T), interrogation (0927T-0292T), and EP evaluation of device (0930T, 0931T) have also been added
  • 50.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Guidelines – CCM-D  Combines cardiac contractility modulation for symptom relief from heart failure with protection against sudden cardiac arrythmia into a single system  Consists of a pulse generator, two leads: one pacemaker and one defibrillator lead  Do NOT report in conjunction with CCM system procedures (0408T-0418T)  Do NOT report in conjunction with other pacemaker/defibrillator procedures (33206-33275)  All catheterization, imaging guidance, and S&I necessary to perform the procedure are included  Evaluation, programming, and sensing at the time of insertion is included
  • 51.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes – Left Atrial Pressure Sensor  0933T - Transcatheter implantation of wireless left atrial pressure sensor for long-term left atrial pressure monitoring, including sensor calibration and deployment, right heart catheterization, transseptal puncture, imaging guidance, and radiological supervision and interpretation  Includes right heart catheterization to access the left atrium, transseptal puncture, all imaging guidance and radiological S&I  Differs from pulmonary artery pressure sensor, which is reported using 33289  0934T has also been added to report remote monitoring of device for each 30-day period
  • 52.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Code – Transurethral Renal Denervation  0935T - Cystourethroscopy with renal pelvic sympathetic denervation, radiofrequency ablation, retrograde ureteral approach, including insertion of guide wire, selective placement of ureteral sheath(s) and multiple conformable electrodes, contrast injection(s), and fluoroscopy, bilateral  Differs from existing codes for renal denervation (0338T/0339T) because this is performed via cystourethroscopy versus via renal artery puncture  Do NOT report with 52000, 52005, or 76000
  • 53.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Added Codes – Transurethral Prostatic Urethra Scaffold Procedures Code Long Description 0941T Cystourethroscopy, flexible; with insertion and expansion of prostatic urethral scaffold using integrated cystoscopic visualization 0942T Cystourethroscopy, flexible; with removal and replacement of prostatic urethral scaffold 0943T Cystourethroscopy, flexible; with removal of prostatic urethral scaffold • For permanent urethral stent, see 52282 • For temporary prostatic urethral stent, see 53855
  • 54.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Deleted Codes New & Emerging Technology Deleted Code Suggested Replacement Codes 0537T – Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood- derived T lymphocytes for development of genetically modified autologous CAR- T cells, per day 38225 0538T - Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood- derived T lymphocytes for transportation (eg, cryopreservation, storage) 38226 0539T - Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration 38227 0540T - Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration, autologous 38228
  • 55.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Deleted Codes New & Emerging Technology Deleted Code Suggested Replacement Codes 0553T – Percutaneous transcatheter placement of iliac arteriovenous anastomosis implant, inclusive of all radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance necessary to complete the intervention 37799 0567T - Permanent fallopian tube occlusion with degradable biopolymer implant, transcervical approach, including transvaginal ultrasound 58999 0568T - Introduction of mixture of saline and air for sonosalpingography to confirm occlusion of fallopian tubes, transcervical approach, including transvaginal ultrasound and pelvic ultrasound 58999
  • 56.
    © 2024 HealthCatalyst Inc. All Rights Reserved. Deleted Codes New & Emerging Technology Deleted Code Suggested Replacement Codes 0616T – Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; without removal of crystalline lens or intraocular lens, without insertion of intraocular lens 66683 0617T - Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; with removal of crystalline lens and insertion of intraocular lens 66683 0618T - Insertion of iris prosthesis, including suture fixation and repair or removal of iris, when performed; with secondary intraocular lens placement or intraocular lens exchange 66683
  • 57.
    Questions? © 2024 HealthCatalyst Inc. All Rights Reserved. Jennifer Bishop hcwebinars@healthcatalyst.com

Editor's Notes

  • #7 Work involved in SCSA was not accurately described in existing autograft codes (15040-15261) or skin substitute graft codes (15271-15278) 25 sq cm of skin cells will cover a defect up to 2,000 sq cm
  • #13 Key differences: Procedure focus: Suspensionplasty primarily removes the arthritic joint surface (trapezium bone) and uses a tendon sling to maintain joint stability, while tendon transposition involves transferring a healthy tendon to a new location to provide support and function.  Suitability: Suspensionplasty is often preferred for cases with severe joint degeneration and minimal tendon involvement, while tendon transposition might be better for situations with significant ligament damage or tendon dysfunction.  Recovery time: Suspensionplasty may have a slightly faster recovery time compared to tendon transposition, as it usually involves less extensive soft tissue manipulation.  Common tendon used in transposition for basal joint arthritis: The flexor carpi radialis (FCR) tendon is often used to stabilize the joint in a tendon transposition procedure.
  • #19 Causes high blood pressure in upper body before the defect and low blood pressure beyond the defect in the lower body
  • #21 Replaces 0537T-0540T exactly; these codes have been promoted to Category I codes 1. Collect T cells A patient's T cells are extracted from their blood using an apheresis machine.  2. Genetically modify T cells In a lab, the T cells are genetically modified to produce chimeric antigen receptors (CARs) on their surface. CARs are synthetic proteins that bind to specific antigens on cancer cells.  3. Infuse CAR T cells The CAR T cells are grown in the lab and then infused back into the patient. The CAR T cells multiply and bind to the cancer cells, killing them.  CAR T-cell therapy is a type of immunotherapy and cell-based gene therapy. It's used to treat certain types of blood cancers, including leukemia and lymphoma. CAR T-cell therapy is designed to be a one-time treatment, and in some cases it has cured people when other treatments have failed
  • #22 Does not matter how many collections or cells collected are performed for 38225 and does not matter how many units are administered for 38228
  • #44 A vagus nerve stimulator (VNS) is a battery-powered device that sends electrical pulses to the vagus nerve in the neck to treat a variety of conditions:  Epilepsy: VNS can help control seizures in people who have tried other medications without success. A magnet can be used to activate the stimulator to stop a seizure.  Depression: VNS can treat chronic or recurrent depression when other treatments have not worked.  Wellness: Some non-invasive VNS devices can be used for personal wellness.  The VNS device consists of a pulse generator and a lead that's surgically implanted around the vagus nerve:  Pulse generator A small, flat, battery-powered device that's implanted under the skin in the chest. The battery typically lasts five to 10 years.  Lead A thin wire that's connected to the pulse generator and wrapped around the vagus nerve in the neck.  The VNS device sends electrical impulses to the vagus nerve, which then sends signals to the brainstem and the rest of the brain. This can help calm areas of the brain that are abnormally hyperactive. 
  • #53 Scaffold designed to remain in place indefinitely to hold the prostate open
  • #54 Discuss rationale for deleted CPT III codes in general
  • #55 Discuss rationale for deleted CPT III codes in general
  • #56 Discuss rationale for deleted CPT III codes in general