New Year, New CPT! It is the motto the American Medical Association (AMA) lives by. Every year, the association revises its standardized list of CPT codes to keep up with the advancements in medical procedures, practices, and technology. These changes become effective on January 1 each year and include additions of new codes, deletions of outdated ones, and revision of the existing ones to reflect the extent of medical expertise and technological innovation in the procedures and services.
As the new year dawns upon us, let’s recap how 349 changes in the CPT codes 2024 affected medical billing in CY2024 and what the 420 changes in the CPT codes 2025 have in store for us. Can we decode the new CPT codes for 2025 and master medical coding for clean claim submission in CY2025? Read to find out!
List of New CPT Codes Added in 2024
The Current Procedural Terminology (CPT) is a comprehensive list of standardized codes maintained by the American Medical Association. Its purpose is to manage effective communication between healthcare providers, patients, and insurance payers for billing, reporting, documenting, and reimbursement of medical procedures and services.
The first edition of CPT codes was organized and published in 1966 and mostly covered surgical procedures. Also, back then, CPT codes were four digits long. However, in 1970, the code format was updated to five digits, and until 1984, the code list was revised once every four years. Later, due to the rapid improvement in medical science and health technology, the AMA decided to revise CPT codes annually.
Today, with around 11,163 codes, CPT is the “most widely accepted nomenclature” in the nation’s healthcare billing and insurance industry.
CPT Code Updates 2024
In 2024, 349 editorial changes were made to the CPT codes list, including 230 new codes, 49 deleted codes, and 70 revised codes. If you are wondering which new CPT codes were added in 2024, here is the table you can refer to for CPT REWIND!
| New CPT Codes in 2024 for Musculoskeletal System Surgery | |
| CPT Codes | Descriptions |
| 22836 | Reports an anterior thoracic vertebral body tethering. The procedure involves screwing and connecting up to seven vertebral segments to treat spinal curvature caused by scoliosis. |
| 22837 | Also reports an anterior thoracic vertebral body tethering. However, this time, eight or more vertebral segments are screwed and connected to treat spinal curvature caused by scoliosis. |
| 22838 | Reports modification, replacement, or removal of thoracic vertebral body tethering. The provider may use thoracoscopy for the procedure. |
| New CPT Codes in 2024 for Respiratory System Surgery | |
| CPT Codes | Descriptions |
| 31242 | Reports a nasal/sinus endoscopy for the destruction of the posterior nasal nerve. The provider performs radiofrequency ablation to destroy the nasal nerves using heat from radiowaves. |
| 31243 | Also reports a nasal/sinus endoscopy for the destruction of the posterior nasal nerve. However, this time, cryoablation is performed to freeze and destroy the nerves. |
| New CPT Codes in 2024 for Cardiovascular System Surgery | |
| CPT Codes | Descriptions |
| 33276 | Reports the insertion of a phrenic nerve stimulator system, including a pulse generator and one or more stimulating leads. It covers imaging guidance, pulse generator analysis, diagnostic activation, and all necessary vessel catheterization. |
| 33277 | Is an add-on code for the insertion of transvenous sensing lead and is performed at the same time as the insertion of a phrenic nerve stimulator system or pulse generator replacement. |
| 33278 | Reports the removal of a phrenic nerve stimulator system, including the pulse generator and lead(s). The procedure covers imaging guidance, all necessary vessel catheterization, interrogation, and programming. |
| 33279 | Reports the removal of a phrenic nerve stimulator system’s stimulation or sensing leads. Again, the code covers imaging guidance, all necessary vessel catheterization, interrogation, and programming. |
| 33280 | Denotes the removal of a phrenic nerve stimulator system’s pulse generator or pacemaker. The procedure includes imaging guidance, all necessary vessel catheterization, interrogation, and programming. |
| 33281 | Reports the repositioning of lead(s) of a phrenic nerve stimulator system. |
| 33287 | Denotes the removal and replacement of a phrenic nerve stimulator system’s pulse generator. The procedure may also involve all necessary vessel catheterization, interrogation, and programming. |
| 33288 | Denotes the removal and replacement of a phrenic nerve stimulator system’s lead(s). The procedure may also involve all necessary vessel catheterization, interrogation, and programming. |
| New CPT Codes in 2024 for Phrenic Nerve Stimulation System | |
| CPT Codes | Descriptions |
| 93150 | Reports therapy activation of an implanted phrenic nerve stimulation system. Includes device evaluation and programming. |
| 93151 | Reports a phrenic nerve stimulation system’s interrogation and programming for at least one parameter. |
| 93152 | Reports a phrenic nerve stimulation system’s interrogation and programming during a sleep study (polysomnography). |
| 93153 | Reports a phrenic nerve stimulation system’s interrogation without programming. |
| New CPT Codes in 2024 for Nervous System Surgery | |
| CPT Codes | Descriptions |
| 61889 | Reports the implant of a small neurostimulator (intracranial) pulse generator or receiver in the skull under the scalp to enable connection to one or more electrode arrays in or on the brain. |
| 61891 | Indicates the revision or replacement of a small skull-mounted cranial neurostimulator under the scalp to enable connection to one or more electrode arrays in or on the brain. |
| 61892 | Denotes the removal of a small skull-mounted cranial neurostimulator. The procedure may require cranioplasty to reattach the affected piece of the skull. |
| New CPT Codes in 2024 for Epicardial Ultrasound – Congenital Heart Disease | |
| CPT Codes | Descriptions |
| 76987 | Reports the complete procedure of transducer placement and manipulation, image acquisition, interpretation, and reporting. It involves using an ultrasound probe for diagnostic imaging of the heart for congenital heart disease. |
| 76988 | Reports transducer placement, manipulation, and image acquisition. An ultrasound probe for diagnostic imaging of the heart for congenital heart disease is performed. |
| 76989 | Reports the interpretation and documentation of an ultrasound probe for diagnostic imaging of the heart for congenital heart disease. |
| New CPT Codes in 2024 for Genomic Sequence Analysis | |
| CPT Codes | Descriptions |
| 81457 | Reports a genomic sequence analysis panel and microsatellite instability (MSI) evaluation on a tumor specimen to analyze the patient’s DNA and diagnose and treat organ cancer. It lets the provider know how likely the cells will mutate and cause cancer. |
| 81458 | It also reports a genomic sequence analysis panel and microsatellite instability (MSI) evaluation on a tumor specimen to analyze the patient’s DNA and diagnose and treat organ cancer. However, this time, the DNA sequence variants are not just evaluated but copied, too. |
| 81459 | Reports a genomic sequence analysis panel, microsatellite instability (MSI), and tumor mutation burden (TMB) evaluations on a tumor specimen to analyze and copy the patient’s DNA and RNA number variants. It also includes evaluating the rearrangements to effectively diagnose and treat organ cancers. |
| 81462 | It also reports a genomic sequence analysis panel but through a liquid biopsy. A plasma specimen is tested to evaluate and copy nucleic acid sequence variants in the DNA and RNA, and rearrangements are observed to diagnose and treat solid organ cancers. |
| 81463 | Reports a genomic sequence analysis panel and microsatellite instability (MSI) evaluation through a liquid biopsy. A serum specimen is tested to evaluate and copy nucleic acid sequence variants in the cell-free DNA (cfDNA) to diagnose and treat solid organ cancers. It also helps predict the likelihood of further cell mutations. |
| 81464 | Reports a genomic sequence analysis panel, microsatellite instability (MSI), and tumor mutation burden (TMB) evaluation through a liquid biopsy. A plasma specimen is tested to evaluate and copy nucleic acid sequence variants in the DNA and RNA, and rearrangements are observed to diagnose and treat solid organ cancers. |
| New CPT Codes in 2024 for Immunology | |
| CPT Codes | Descriptions |
| 86041 | Reports a lab test (radioimmunoassay) to measure the levels of acetylcholine receptor (AChR) binding antibodies in the patient’s serum specimen. The presence of non-infectious antibodies indicates myasthenia gravis (MG), which is an autoimmune disorder that disrupts nerve and muscle interfaces and results in muscle weakness. |
| 86042 | Reports a lab test (radioimmunoassay) to measure the levels of acetylcholine receptor (AChR) blocking antibodies in the patient’s serum specimen. The presence of non-infectious antibodies indicates myasthenia gravis (MG), which is an autoimmune disorder that disrupts nerve and muscle interfaces and results in muscle weakness. |
| 86043 | Reports a lab test (radioimmunoassay) to measure the levels of acetylcholine receptor (AChR) modulating antibodies in the patient’s serum specimen. The presence of non-infectious antibodies indicates myasthenia gravis (MG), which is an autoimmune disorder that disrupts nerve and muscle interfaces and results in muscle weakness. |
| New CPT Codes in 2024 for Vaccination | |
| CPT Codes | Descriptions |
| 90380 | Denotes a monoclonal antibody product administered intramuscularly to protect against seasonal respiratory syncytial virus. The dosage amount is 0.5 mL. |
| 90381 | Denotes a monoclonal antibody product administered intramuscularly to protect against seasonal respiratory syncytial virus. The dosage amount is 1.0 mL. |
| 90480 | Denotes a SARS-CoV-2 vaccine product (single dose), administered intramuscularly, to protect any patient (child or adult) against COVID-19. |
| 91318 | Denotes a Pfizer SARS-CoV-2 vaccine product (tris-sucrose formulation), administered intramuscularly, to protect against COVID-19. The dosage is 3 mcg/0.3 mL and is recommended for patients aged 6 months to 4 years. |
| 91319 | Denotes a Pfizer SARS-CoV-2 vaccine product (tris-sucrose formulation), administered intramuscularly, to protect against COVID-19. The dosage is 10 mcg/0.3 mL and is recommended for patients aged 5-11 years. |
| 91320 | Denotes a Pfizer SARS-CoV-2 vaccine product (tris-sucrose formulation), administered intramuscularly, to protect against COVID-19. The dosage is 30 mcg/0.3 mL and is recommended for patients aged 12 years and older. |
| 91321 | Denotes a Moderna SARS-CoV-2 vaccine product (mRNA-LNP, preservative-free), administered intramuscularly, to protect against COVID-19. The dosage is 25 mcg/0.25 mL and is recommended for patients aged 6 months to 11 years. |
| 91322 | Denotes a Moderna SARS-CoV-2 vaccine product (mRNA-LNP, preservative-free), administered intramuscularly, to protect against COVID-19. The dosage is 50 mcg/0.5 mL and is recommended for patients aged 12 years and older. |
Some other new CPT codes for 2024 cover cystourethroscopy with mechanical urethral dilation (52284), transcervical radiofrequency ablation of uterine fibroids (58580), injecting a pharmacologic agent in the suprachoroidal space (67516), and diagnostic intraoperative thoracic aorta ultrasounds (76984).
List of CPT Codes Modified or Discontinued in 2024
This year, we also saw changes being made to the existing CPT codes in several categories like pathology and laboratory, nervous system surgery, and musculoskeletal system surgery. Let’s discuss some of them in detail.
| Code Updates 2024 for Musculoskeletal System Surgery | |
| Note: The following CPT codes for hallux valgus were revised to omit “bunionectomy” from parentheses in the code descriptions and replace it with the text “with bunionectomy” for clarity. | |
| CPT Codes | Descriptions |
| 28292 | Reports a reconstruction procedure to remove bone from a bunion and treat the deformity that causes a bump at the base of the big toe. It may include the removal of the sesamoid bones (pea-shaped bones under the big toe joint) for improved appearance and function. |
| 28295 | Reports a reconstruction procedure on the foot for the removal of bones from a bunion. It involves proximal metatarsal osteotomy (cutting and realigning a long bone in the foot) and may include the removal of sesamoid bones for improved function and appearance. |
| 28296 | Reports a reconstruction procedure on the foot for the removal of bones from a bunion. It involves distal metatarsal osteotomy (cutting and realigning a long bone in the foot) and may include the removal of sesamoid bones for improved function and appearance. |
| 28297 | Reports a reconstruction procedure on the foot for the removal of bones from a bunion. It involves fusing the joint between the foot’s first metatarsal bone and the medial cuneiform bone. It may also include the removal of sesamoid bones for improved function and appearance. |
| 28298 | Reports a reconstruction procedure on the foot for the removal of bones from a bunion. It involves proximal phalanx osteotomy (cutting and realigning a toe bone) and may include the removal of sesamoid bones for improved function and appearance. |
| 28299 | Reports a reconstruction procedure on the foot for the removal of bones from a bunion. It involves double osteotomy (cutting and realigning one or more toe bones) and may include the removal of sesamoid bones for improved function and appearance. |
| Code Updates 2024 for Evaluation and Management (E/M) | |
| Note: The following CPT codes for outpatient or office evaluation and management visits were revised to remove time ranges for each visit. Now, the descriptors include texts like “20 minutes must be met or exceeded” instead of “20-29 minutes”. | |
| CPT Codes | Descriptions |
| 99202 | Reports a new patient E/M visit in an office or outpatient setting. The visit lasts 15 or more minutes and involves straightforward medical decision-making. |
| 99203 | Reports a new patient E/M visit in an office or outpatient setting. The visit lasts 30 or more minutes and involves low-level medical decision-making. |
| 99204 | Reports a new patient E/M visit in an office or outpatient setting. The visit lasts 45 or more minutes and involves moderate-level medical decision-making. |
| 99205 | Reports a new patient E/M visit in an office or outpatient setting. The visit lasts 60 or more minutes and involves high-level medical decision-making. |
| 99212 | Reports an established patient E/M visit in an office or outpatient setting. The visit lasts 10 or more minutes and involves straightforward medical decision-making. |
| 99213 | Reports an established patient E/M visit in an office or outpatient setting. The visit lasts 20 or more minutes and involves low-level medical decision-making. |
| 99214 | Reports an established patient E/M visit in an office or outpatient setting. The visit lasts 30 or more minutes and involves moderate-level medical decision-making. |
| 99215 | Reports an established patient E/M visit in an office or outpatient setting. The visit lasts 40 or more minutes and involves high-level medical decision-making. |
| 99306 | Reports a new or established patient’s initial nursing facility care visit, including evaluation and management. The visit lasts at least 50 minutes and involves high-level medical decision-making. (Note: Previously, it lasted at least 45 minutes) |
| 99308 | Reports a new or established patient’s subsequent nursing facility care visit, including evaluation and management. The visit lasts at least 20 minutes and involves low-level medical decision-making. (Note: Previously, it lasted at least 15 minutes) |
| Code Updates 2024 for Nervous System Surgery | |
| Note: The following CPT codes for nervous system surgeries were revised based on the additions and modifications in the surgical method and equipment. Review the code descriptions to see the details of these updates. | |
| CPT Codes | Descriptions |
| 63685 | Reports the surgical insertion or replacement of a spinal neurostimulator pulse generator or receiver to enable a connection between the electrode array and the pulse generator/receiver.(Note: Previously, the descriptor did not include the text “pocket creation and connection between the array and the pulse generator or receiver”.) |
| 63688 | Reports the revision or removal of a spinal neurostimulator pulse generator or receiver to enable a detachable connection between the electrode array and the pulse generator/receiver.(Note: The words “with detachable connection to electrode array” were added to the descriptor.) |
| 64590 | Reports the surgical insertion or replacement of a peripheral, sacral, or gastric neurostimulator pulse generator or receiver to enable a connection between the electrode array and the pulse generator/receiver.(Note: The descriptor was revised to include the words “sacral”, “requires pocket creation”, and “connection between the electrode array and pulse generator or receiver”.) |
| 64595 | Reports the revision or removal of a peripheral, sacral, or gastric neurostimulator pulse generator or receiver to enable a detachable connection between the electrode array and the pulse generator/receiver.(Note: The descriptor was revised to include the words “sacral” and “with a detachable connection to the electrode array”.) |
| Code Updates 2024 for Pathology and Laboratory | |
| Note: The following CPT codes for pathology and laboratory procedures and services were revised to replace “mental retardation” with “intellectual disability”. | |
| CPT Codes | Descriptions |
| 81171 | Reports a technical lab test to detect changes in the gene for ALF transcription elongation factor 2 (FMR2) or AFF2, such as fragile X intellectual disability 2 (FRAXE) gene analysis, and identify common abnormal forms involving expanded sequences. |
| 81172 | Reports a technical lab test to detect changes in the gene for ALF transcription elongation factor 2 (FMR2) or AFF2, such as fragile X intellectual disability 2 (FRAXE) gene analysis, and further define nucleotide repeats or methylation status following detection of an abnormality. |
| 81243 | Reports a technical lab test to detect changes in the gene for fragile X messenger ribonucleoprotein 1 (FMR1), such as the fragile X syndrome, X-linked intellectual disability (XLID) gene analysis, and identify common abnormal forms involving expanded sequences. |
| 81244 | Reports a technical lab test to detect changes in the gene for fragile X messenger ribonucleoprotein 1 (FMR1), such as the fragile X syndrome, X-linked intellectual disability (XLID) gene analysis, and further define expanded alleles or methylation status following detection of an abnormality. |
| 81403 | Reports one of the specific genetic analyses listed in Tier 2, Level 4 of Molecular Pathology Procedures, such as FGD1 sequencing, ARX sequencing, and SLC9A6 sequencing, all of which detect X-linked intellectual disabilities, e.g., Faciogenital Dysplasia and Angelman-like syndrome. |
| 81404 | Reports one of the specific genetic analyses listed in Tier 2, Level 5 of Molecular Pathology Procedures, such as ARX sequencing, PCDH19 analysis, and NLGN3 & NLGN4 sequencing, all of which detect X-linked intellectual disabilities, e.g., autism, Asperger syndrome, and epilepsy. |
| 81405 | Reports one of the specific genetic analyses listed in Tier 2, Level 6 of Molecular Pathology Procedures, such as FGD1 analysis, ARX analysis, and RSK2/RPS6KA3 analysis, all of which detect X-linked intellectual disabilities, e.g., autism, Asperger syndrome, and Coffin-Lowry syndrome. |
| 81406 | Reports one of the specific genetic analyses listed in Tier 2, Level 7 of Molecular Pathology Procedures, such as ATRX analysis, SLC9A6 sequencing, and PCDH19 analysis, all of which detect X-linked intellectual disabilities, e.g., alpha-thalassemia intellectual disability syndrome and West syndrome. |
| 81407 | Reports one of the specific genetic analyses listed in Tier 2, Level 8 of Molecular Pathology Procedures, such as FLNA analysis, MED12 sequencing only, and ATRX analysis, all of which detect X-linked intellectual disabilities, e.g., dyslexia, Ohdo syndrome, and autism. |
Effective January 1, 2024, the following CPT codes were deleted from the year’s revised list and replaced with other codes that perfectly captured the procedures and services performed at healthcare facilities. For example, category III codes 0501T, 0502T, 0503T, and 0504T were discontinued and replaced with CPT code 75580 to reflect the use of artificial intelligence software for CCTA data analysis.
| Discontinued CPT Codes 2024 for Musculoskeletal System Surgery | |
| CPT Codes | Descriptions |
| 28290 | Was used to report a silver-type (simple exostectomy) bunionectomy procedure for surgical correction of a bunion (hallux valgus) or bony bump that forms at the base of the big toe. The procedure may or may not include a sesamoidectomy. |
| 28293 | Was used to report surgical correction of a bunion (hallux valgus) or bony bump that forms at the base of the big toe, pushing it towards the smaller toes. The bones of the foot are realigned to reduce pain and improve function and appearance. |
| 28294 | Was also used to report surgical correction of a bunion (hallux valgus) or bony bump that forms at the base of the big toe, pushing it towards the smaller toes. However, the bones realignment surgery or bunionectomy includes a tendon transfer. |
| Discontinued CPT Codes 2024 for Radiology | |
| CPT Codes | Descriptions |
| 74710 | Was a code under the ‘Gynecological and Obstetrical Diagnostic Radiology’ range and reported an X-ray procedure to measure the pelvis. The imaging helped in assessing the bone structure and diagnosing conditions in the pelvis area. |
| Discontinued CPT Codes 2024 for Transcervical Uterine Fibroid(s) Ablation | |
| CPT Codes | Descriptions |
| 0404T | Was a temporary code for transcervical uterine fibroid ablation with ultrasound guidance and radiofrequency to treat uterine fibroids in the uterus walls. |
| Discontinued CPT Codes 2024 for Percutaneous Arthrodesis | |
| CPT Codes | Descriptions |
| 0775T | Was a category III CPT code to report percutaneous arthrodesis of the sacroiliac (SI) joint using an intra-articular implant(s) without the placement of a transfixation device across the joint. |
| Discontinued CPT Codes 2024 for Non-invasive Estimate of Coronary FFR | |
| CPT Codes | Descriptions |
| 0501T | Was a category III code and reported a non-invasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography (CCTA) data to assess the severity of coronary artery disease. Includes data preparation, transmission, interpretation, and reporting. |
| 0502T | Was a category III code and reported a non-invasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography (CCTA) data to assess the severity of coronary artery disease. Includes data preparation and transmission. |
| 0503T | Was a category III code and reported a non-invasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography (CCTA) data to assess the severity of coronary artery disease. Includes generation of estimated FFR model and analysis of fluid dynamics and simulated maximal coronary hyperemia. |
| 0504T | Was a category III code and reported a non-invasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography (CCTA) data to assess the severity of coronary artery disease. Includes comparing anatomical data with the estimated FFR model to reconcile discordant data, interpretation, and reporting. |
Anticipated New CPT Codes & Updates for 2025
We are just weeks away from 2025. To start the New Year with a bang, the American Medical Association (AMA) has released the updates to its CPT code set for 2025. According to an official press release, the AMA has made 420 changes to its recent code set, including 270 additions, 112 deletions, and 38 revisions.
An independent body formed under the supervision of the AMA, known as the CPT Editorial Panel, sat down to reflect upon the changes this year to the modern-day healthcare system. Through an open editorial process, the panel revised the CPT code set to align with advances in medical science and technology.
Hence, 2025’s CPT codes list will see expansions in proprietary laboratory analyses, with novel genetic testing making up nearly 37% of the new CPT codes. New CPT codes for 2025 will also include changes to category III codes, where emerging medical services will make up 30% of the new code set.
Some key updates in the ‘CPT Codes 2025’ include new general surgery, telemedicine, remote therapeutic monitoring (RTM), artificial intelligence, and diagnostic codes.
Updated CPT Codes for General Surgery in 2025
In the coming year, major changes will be seen in the list of CPT codes for general surgery to reflect unconventional procedures for skin grafting in wound care and recovery. Therefore, you should look out for updates in the code range 15011 to 15018 to see how you can report new skin grafting procedures through these CPT codes.
Another list of updated CPT codes that general surgeons should stay abreast of and train their staff is 49186-49190. This CPT code range denotes advanced surgical techniques for tumor elimination within the abdomen. All the codes within this range address the excision, destruction, or removal of intra-abdominal tumors and cysts based on their size, starting from 5 cm or smaller to 30 cm or bigger.
CPT Code Updates for Digital Medicine in 2025
This year, the CPT Editorial Panel paid close attention to the progress of telehealth and remote patient monitoring as healthcare organizations improve their delivery of patient care via digital/online mediums. 17 new telemedicine CPT codes have been added to the list, which will become effective from January 1, 2025. These updated CPT codes cover audio-video visits for new patients (98000-98003) and established patients (98004-98007).
Moreover, the new CPT codes for 2025 have replaced telephone-only codes 99441-99443 with audio-only telemedicine visits for new patients (98008-98011) and audio-only telemedicine visits for established patients (98012-98015) to reflect the upgrades in non-face-to-face communication.
In the case of remote therapeutic monitoring (RTM) services, CPT code 98975 was updated to reflect the addition of digital therapeutic intervention. Similarly, codes 98976 to 98978 were revised to add devices for data transmission and access, offering support to RTM patients.
Additional CPT Codes for Augmented & Artificial Intelligence (AI) in 2025
You will come across 7 new CPT codes in 2025 for AI-assisted medical procedures and services, especially in category III and targeting electrocardiogram measurements (codes 0902T and 0932T), image-guided prostate biopsy (code 0898T), and medical chest imaging (codes 0877T to 0880T).
AI-powered, augmented, or automated procedures are used to reduce the workload of qualified healthcare professionals while offering a similar degree of healthcare services to patients. These changes come in light of the growing awareness of leveraging AI and augmented/virtual reality (AR/VR) in medicine.
New CPT Codes in 2025 for Urology
On November 7, 2024, Olympus Corporation released a press statement expressing their joy over the Centers for Medicare and Medicaid Services (CMS) approving their “iTind™ urological procedure as part of the CMS CY2025 fee schedules”. The minimally invasive procedure for treating lower urinary tract symptoms (LUTS) will now be reported with 2 new CPT codes, 53865 (for insertion of iTind to achieve ischemic remodeling of the bladder neck and prostate) and 53866 (for removal of the iTind device for ischemic remodeling).
The new supply price of the iTind device is $2,972.50, and the CMS’ Final Work Relative Value Units (RVU) for CPT codes 53865 and 53866 are 3.10 and 1.48, respectively.
Some other new CPT codes that you should be aware of in 2025 are listed in the table below:
| New CPT Codes in 2025 for Radiology | |
| CPT Codes | Descriptions |
| 76014 | Reports an initial 15-minute magnetic resonance (MR) safety assessment with a written report |
| 76015 | Used for each additional 30 minutes of an MR safety assessment with a written report |
| 76016 | Reports an MR safety determination with a review of implant MR conditions, identifying the necessary equipment and expertise, and the risk-benefit analysis of an MR exam. Includes a written report |
| 76017 | This code reports MR safety planning and monitoring, customizing MR acquisition to restrictive requirements for MR conditional implants, and risk mitigation for non-conditional implants or foreign bodies. Includes a written report and physician review. |
| 76018 | Used for prepping implant electronics for MR safety, like programming pulse generators or transmitters to protect the device and the patient from MR procedural risks. The preparation includes physician supervision and a written report. |
| 76019 | Used when a physician supervises MR safety implant positioning and/or immobilization. The process involves securing the implant from forces or changes caused by the MR environment, preventing radiofrequency burns, and preparing a written report. |
| New CPT Codes in 2025 for Pathology and Laboratory | |
| CPT Codes | Descriptions |
| 81515 | Reports a real-time polymerase chain reaction (PCR) test on a vaginal-fluid specimen to detect bacterial vaginosis and vaginitis |
| 81558 | Used for a test in kidney transplantation medicine to monitor allograft rejection |
| 82233 | Reports beta-amyloid testing using 42/40 Ratio and Apolipoprotein E (APOE) Isoform Panel, CSF |
| 82234 | Aso reports beta-amyloid testing |
| 83884 | Reports a neurofilament light chain (NFL) test under the Chemistry subsection |
| 84393 | Used for tau protein, phosphorylated diagnostic test |
| 84395 | Reports a tau, total diagnostic test |
| 86581 | Reports a Streptococcus pneumoniae antibody (IgG), 14 serotypes immunology test |
| 87513 | A new microbiology code for infectious agent detection by nucleic acid (DNA or RNA) for Helicobacter. |
| 87564 | CPT code for mycobacterium tuberculosis testing |
| 87594 | Reports a pneumocystis jirovecii test for infectious diseases |
| New CPT Codes in 2025 for Influenza Virus Vaccines | |
| CPT Codes | Descriptions |
| 90637 | Reports a 30 mcg/ 0.5 mL dosage of quadrivalent (qIRV), mRNA vaccine product administered intramuscularly |
| 90638 | Reports a 60 mcg/ 0.5 mL dosage of quadrivalent (qIRV), mRNA vaccine product administered intramuscularly |
| 90695 | Reports an H5N8 influenza virus vaccine product derived from cell cultures and administered intramuscularly. |
Final Word
In the healthcare industry, annual revisions to the CPT codes list can dampen the festivities of the New Year, especially if the updated CPT codes require more precision and specification during the service/procedure, and its billing. Moreover, training the admin staff on revised code sets, guidelines, and reimbursement rates is another challenge for physician practices and hospitals, often leading to higher denials in the first quarter of the new year.
Although we have given you some major insights into the new CPT codes for 2025, identifying all the additions, deletions, and revisions can be difficult and time-consuming. Therefore, we recommend outsourcing medical coding to a professional billing company like MediBill MD. Their AAPC-certified coders receive continuous training on coding updates, attend symposiums, and study guidebooks like the ‘CPT 2025 Professional Edition’ to master coding accuracy.
