Upcoming changes to the CPT code set include updates to radiology and medicine sections, effective for claims submitted on or after January 1.
Radiology Updates
Several radiology codes have been revised, added, or deleted:
-
Revised Radiology Codes: 74022, 74210, 74220, 74230, 74240, 74246, 74250, 74270, 74280
-
New Radiology Codes:
-
74221 – Esophagus radiologic exam, double-contrast study
-
74248 – Upper GI radiologic exam with small intestine follow-through
-
-
Revised Myocardial Imaging Codes: 78459, 78491, 78492
-
New Myocardial PET Imaging Codes:
-
78429 – Metabolic evaluation
-
78430-78433 – Perfusion studies with CT transmission scan
-
-
Deleted Radiology Codes: 74241, 74245, 74247, 74249, 74260
Emergency Medicine Updates
-
Electroencephalogram (EEG) Changes:
-
Revised: Code 95813 updated to specify “61-119 minutes”
-
Deleted: Codes 95827, 95950, 95951, 95953, 95956 (see replacement codes 95700-95726)
-
New Code: 95700 – Continuous EEG recording with video, minimum of 8 channels
-
-
New Online Digital E/M Codes for Nonphysician Providers:
-
98970 – Online evaluation (5-10 minutes)
-
98971 – 11-20 minutes
-
98972 – 21+ minutes
-
Deleted: Code 98969
-
Health & Behavioral Assessment and Intervention
New codes consolidate assessment and intervention services:
-
96156 – Health behavior assessment
-
96158-96159 – Individual health behavior intervention
-
96164-96165 – Group intervention
-
96167-96168 – Family intervention (with patient)
-
96170-96171 – Family intervention (without patient)
-
Deleted: Codes 96150-96155
Therapeutic Procedures
New time-based cognitive function therapy codes replace 91727 (now deleted):
-
97129 – Cognitive function intervention, initial 15 minutes
-
97130 – Each additional 15 minutes
These updates streamline coding for improved accuracy and reimbursement.