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The 2025 updates for the Current Procedural Terminology (CPT) and the Hospital Outpatient Prospective Payment System (HOPPS) have been released, providing vital changes that healthcare professionals should familiarize themselves with. These updates will take effect on January 1, 2025, and reviewing them now will ensure you are prepared to implement them smoothly.
Here’s a concise overview of the changes in CPT coding for 2025:
- New Codes: 269
- Deleted Codes: 107
- Revised Code Titles: 85
Detailed Breakdown of CPT Code Updates by Section
Evaluation & Management
- New: 17
- Deleted: 3
Surgery
- New: 33
- Deleted: 12
- Revised: 5
Radiology
- New: 6
Pathology & Laboratory
- New: 114
- Deleted: 14
- Revised: 9
Medicine
- New: 18
- Deleted: 65
- Revised: 69
Category II
- New: 81
- Deleted: 13
- Revised: 12
Highlights of Significant CPT Code Updates
Evaluation and Management
- Introduction of a new E/M category for Telemedicine Services.
- Addition of 16 new codes for synchronous telemedicine visits.
Radiology
- A new subcategory for Magnetic Resonance Safety Implant/Foreign Body Procedures, featuring 6 new codes.
Pathology and Laboratory
- Significant expansion, particularly with proprietary lab analysis codes.
Medicine
- Consolidation of COVID-19 vaccination administration into a single code.
Surgery
- New codes added to report
- Skin cell suspension autografts
- Intercarpal/carpometacarpal arthroplasty
- Percutaneous transcatheter therapeutic drug delivery by intracoronary drug-delivery balloon
- Chimeric antigen receptor T-cell (CAR-T) therapy
- Fascial plane blocks
Updates to the Hospital Outpatient Prospective Payment System (HOPPS)
With the final rule released by CMS, the updates for CY 2025 are now public, indicating a 2.6% increase in payment rates. This adjustment reflects a slight decrease from the previous year's increase. The details can be found through the CMS final rule, available here.
Select Noteworthy Adjustments in HOPPS for 2025 Include:
- Addition of 22 new procedures or technologies to New Technology APCs.
- Changes in prior authorization timeframes.
- New status indicators for payment relating to post-surgical pain relief options.
- Payment under the OPPS for HIV pre-exposure prophylaxis (PrEP) drugs
Prepare Now
Make sure you and your team are ready on January 1, 2025, to apply all of the CY2025 code and payment updates!
Enroll now in HIAlearn’s CY 2025 CPT and HOPPS Updates Coding Course. Approved by AHIMA and AAPC for 1.5 CEUs.
Combine with ICD-10 and IPPS updates to get comprehensive update information:
- FY 2025 ICD-10-CM Code Updates (1.5 CEUs)
- FY 2025 ICD-10-PCS Code Updates (1.0 CEUs)
- FY 2025 Inpatient Prospective Payment System (IPPS) Updates (1.5 CEUs)
Bundle all four courses, and receive one free.
HIAlearn, powered by Health Information Associates (HIA)—a leader in medical coding and auditing for over 30 years—offers a comprehensive online education platform for medical coders. With a catalog of over 250 medical coding courses accepted by the American Health Information Management Association (AHIMA) for Continuing Education Units (CEUs) and a selection accredited by the American Academy of Professional Coders (AAPC), HIAlearn caters to both beginners and experienced medical coders seeking to enhance their skills. The platform provides an array of training plans tailored to meet individual learning needs, from mastering challenging coding procedures to understanding broad conceptual frameworks within the coding world. Courses are available across various coding types including CPT, E/M, ICD-10-CM, ICD-10-PCS, and are designed to cater to different coder levels and coding specialties such as inpatient, outpatient, profee, and CDI. Additionally, HIAlearn offers a Coding Updates bundle to ensure coders are up-to-date with the annual changes in ICD-10-CM, ICD-10-PCS, CPT, and IPPS. Beyond individual learning, HIAlearn supports organizations with group discounts, promoting enhanced coding accuracy, efficiency, and compliance across teams. With over 1,600 users already part of the HIAlearn community, the platform stands as a testament to its commitment to providing quality education and support for medical coders nationwide.
The information contained in this blog post is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.
