CPT Coding Updates

2024
Sivakumar Mani CPMA,CPC,COC
 Disclaimer
This presentation is designed to offer basic information for
coding and billing. The information presented here is based
on the experience, training and interpretation of the author.
Although the information has been carefully researched and
checked for accuracy and completeness, the instructor does
not accept any responsibility or liability with regard to errors,
omissions, misuse or misinterpretation. This material is
intended as an Educational guide and should not be
considered a legal/consulting opinion.
 Learning Objectives

CPT Code changes:

❖New procedure codes

❖Revised procedure codes (Code descriptions)

❖Deleted or discontinued procedure codes

 Code Changes 2024
CY2024 CPT code changes by chapter

Chapter Additions Revisions Deletions

Evaluation and management (99202 - 99499) 1 10 0

Anesthesia (00100 - 01999) 0 0 0

Integumentary system (10030 - 19499) 0 0 0

Musculoskeletal system (20100 - 29999) 4 6 0

Respiratory system (30000 - 32999) 2 0 0

Cardiovascular system (33016 - 37799) 8 0 0

Digestive system (40490 - 49999) 0 0 0

Urinary system (50010 - 53899) 1 0 0

Male genital system (54000 - 55899) 0 0 0

 Code Changes 2024
CY2024 CPT code changes by chapter

Chapter Additions Revisions Deletions

Female genital system (56405 - 58999) 1 0 0

Nervous system (61000 - 64999) 6 4 0

Eye and ocular adnexa (65091 - 68899) 1 0 0

Auditory system (69000 - 69979) 0 0 0

Radiology (70010 - 79999) 5 0 1

Pathology and laboratory (80047 - 89398),
75 25 15
(0001U - 0284U)
Medicine (90281 - 99607), (0001A - 0144A) 43 12 0

Category III (0001F - 9007F) 82 13 32

Administrative multianalyte assays with
1 0 1
algorithmic analyses
TOTAL 230 70 49
 Additions: Evaluation & Management

+99459 Primary Codes Category

Pelvic examination (List separately in 99202, 99203, 99204, Outpatient visits: New PT
addition to code for primary procedure) 99205
Analysis: 99212, 99213, 99214, Outpatient visits: Established
• Practice expense only code 99215 PT

• Performing a pelvic exam in the non-facility

99242, 99243, 99244, Outpatient consult
setting
99245
• Captures the 4 minutes of clinical staff time
associated with chaperoning a pelvic exam 99383, 99384, 99385, • CPE : New PT
99386, 99387 • Age 5 years & above
• No Work RVU
• “NA” for facility, 99393, 99394, 99395, • CPE : Established PT
99396, 99397 • Age 5 years & above
 Revisions: Evaluation & Management
CPT Code 2024 Description
Office or other outpatient visit for the evaluation and management of a new
patient, which requires a medically appropriate history and/or examination
and straightforward medical decision making. When using total time on the
date of the encounter for code selection, 15 minutes must be met or
exceeded.
99202
Office or other outpatient visit for the evaluation and management of a new
patient, which requires a medically appropriate history and/or examination
and low level of medical decision making. When using total time on the
date of the encounter for code selection, 30 minutes must be met or
exceeded.
99203
Office or other outpatient visit for the evaluation and management of a new
patient, which requires a medically appropriate history and/or examination
and moderate level of medical decision making. When using total time on
the date of the encounter for code selection, 45 minutes must be met or
exceeded.
99204
Office or other outpatient visit for the evaluation and management of a new
patient, which requires a medically appropriate history and/or examination
and high level of medical decision making. When using total time on the
date of the encounter for code selection, 60 minutes must be met or
exceeded.
99205
2023 Description
Office or other outpatient visit for the evaluation and management of a
new patient, which requires a medically appropriate history and/or
examination and straightforward medical decision making. When using
time for code selection, 15-29 minutes of total time is spent on the date of
the encounter.
Office or other outpatient visit for the evaluation and management of a
new patient, which requires a medically appropriate history and/or
examination and low level of medical decision making. When using time
for code selection, 30-44 minutes of total time is spent on the date of the
encounter.
Office or other outpatient visit for the evaluation and management of a
new patient, which requires a medically appropriate history and/or
examination and moderate level of medical decision making. When using
time for code selection, 45-59 minutes of total time is spent on the date of
the encounter.
Office or other outpatient visit for the evaluation and management of a
new patient, which requires a medically appropriate history and/or
examination and high level of medical decision making. When using time
for code selection, 60-74 minutes of total time is spent on the date of the
encounter.
 Revisions: Evaluation & Management
CPT Code 2024 Description
Office or other outpatient visit for the evaluation and management of an
established patient, which requires a medically appropriate history
and/or examination and straightforward medical decision making. When
using total time on the date of the encounter for code selection, 10
99212 minutes must be met or exceeded.
Office or other outpatient visit for the evaluation and management of an
established patient, which requires a medically appropriate history
and/or examination and low level of medical decision making. When
using total time on the date of the encounter for code selection, 20
99213 minutes must be met or exceeded.
Office or other outpatient visit for the evaluation and management of an Office or other outpatient visit for the evaluation and management of an
established patient, which requires a medically appropriate history
and/or examination and moderate level of medical decision making.
When using total time on the date of the encounter for code selection, 30 for code selection, 30-39 minutes of total time is spent on the date of the
99214 minutes must be met or exceeded.
Office or other outpatient visit for the evaluation and management of an
established patient, which requires a medically appropriate history
and/or examination and high level of medical decision making. When
using total time on the date of the encounter for code selection, 40
99215 minutes must be met or exceeded.
2023 Description
Office or other outpatient visit for the evaluation and management of an
established patient, which requires a medically appropriate history and/or
examination and straightforward medical decision making. When using time for
code selection, 10-19 minutes of total time is spent on the date of the encounter.
Office or other outpatient visit for the evaluation and management of an
established patient, which requires a medically appropriate history and/or
examination and low level of medical decision making. When using time for code
selection, 20-29 minutes of total time is spent on the date of the encounter.
established patient, which requires a medically appropriate history and/or
examination and moderate level of medical decision making. When using time
encounter.
Office or other outpatient visit for the evaluation and management of an
established patient, which requires a medically appropriate history and/or
examination and high level of medical decision making. When using time for
code selection, 40-54 minutes of total time is spent on the date of the encounter.
 Revisions: Evaluation & Management
CPT Code 2024 Description 2023Description
Initial nursing facility care, per day, for the evaluation
and management of a patient, which requires a Initial nursing facility care, per day, for the evaluation and
medically appropriate history and/or examination and management of a patient, which requires a medically appropriate
high level of medical decision making. When using history and/or examination and high level of medical decision
total time on the date of the encounter for code making. When using total time on the date of the encounter for
99306 selection, 50 minutes must be met or exceeded. code selection, 45 minutes must be met or exceeded.
Subsequent nursing facility care, per day, for the
evaluation and management of a patient, which
requires a medically appropriate history and/or
Subsequent nursing facility care, per day, for the evaluation and
examination and low level of medical decision
management of a patient, which requires a medically appropriate
making. When using total time on the date of the
history and/or examination and low level of medical decision
encounter for code selection, 20 minutes must be met
making. When using total time on the date of the encounter for
or exceeded.
99308 code selection, 15 minutes must be met or exceeded.
What is Thoracic vertebral body tethering?
➢ Vertebral body tethering (VBT) is a surgical treatment for
idiopathic scoliosis in growing children whose scoliosis
continues to progress despite bracing
➢ The treatment was approved by the FDA in August 2019
➢ Surgeons attach metal anchors to the vertebrae on the side of
the spine that curves outward
➢ A flexible cord, called a tether, is connected to these anchors
and placed under tension
➢ Over time, as the child continues to grow and their spine
lengthens, the tether slows the growth on the curved side of the
spine
➢ This allows the other side of the spine to catch up. Over time, as
a child grows, the spine grows straighter.
What is Thoracic vertebral body tethering?
 Additions: Musculoskeletal system
Anterior thoracic vertebral body tethering
Anatomical Location Approach # of Vertebral CPT Code Code description
segments

Thorax Anterior 1-7 22836 Anterior thoracic vertebral body tethering, including
thoracoscopy, when performed; up to 7 vertebral segments

Thorax Anterior 8 or 8+ 22837 Anterior thoracic vertebral body tethering, including

thoracoscopy, when performed; 8 or more vertebral
segments

SI – Joint Arthrodesis
CPT Code Description Anatomical Approach Bundled Services
Code Location

27278 Arthrodesis, sacroiliac joint, percutaneous, with image SI –Joint Percutaneous ❖ Imaging guidance
guidance, including placement of intra-articular implant(s) ❖ Intraarticular implants
(eg, bone allograft[s], synthetic device[s]), without ❖ Bone – Allografts
placement of trans fixation device ❖ Synthetic devices
 Revisions: Musculoskeletal system
CPT Code 2024 Description 2023 Description

Correction, hallux valgus with bunionectomy, with Correction, hallux valgus (bunionectomy), with sesamoidectomy, when
sesamoidectomy when performed; with resection of proximal performed; with resection of proximal phalanx base, when performed, any
28292 phalanx base, when performed, any method method

Correction, hallux valgus with bunionectomy, with

sesamoidectomy when performed; with proximal metatarsal Correction, hallux valgus (bunionectomy), with sesamoidectomy, when
28295 osteotomy, any method performed; with proximal metatarsal osteotomy, any method

Correction, hallux valgus with bunionectomy, with

sesamoidectomy when performed; with distal metatarsal Correction, hallux valgus (bunionectomy), with sesamoidectomy, when
28296 osteotomy, any method performed; with distal metatarsal osteotomy, any method

Correction, hallux valgus with bunionectomy, with Correction, hallux valgus (bunionectomy), with sesamoidectomy, when
sesamoidectomy when performed; with first metatarsal and performed; with first metatarsal and medial cuneiform joint arthrodesis, any
28297 medial cuneiform joint arthrodesis, any method method

Correction, hallux valgus with bunionectomy, with

sesamoidectomy when performed; with proximal phalanx Correction, hallux valgus (bunionectomy), with sesamoidectomy, when
28298 osteotomy, any method performed; with proximal phalanx osteotomy, any method

Correction, hallux valgus with bunionectomy, with

sesamoidectomy when performed; with double osteotomy, any Correction, hallux valgus (bunionectomy), with sesamoidectomy, when
28299 method performed; with double osteotomy, any method
 Additions: Respiratory System
Posterior Nasal Nerve Ablation - Endoscopy

CPT Code Description Approach Method Target Nerve Bundled Services

Code

31242 Nasal/sinus endoscopy, surgical; Nasal/sinus Radiofrequency Posterior Nasal ❖ Imaging guidance
with destruction by endoscopy – Ablation Nerve
radiofrequency ablation,
posterior nasal nerve

31243 Nasal/sinus endoscopy, surgical; Nasal/sinus Cryoablation Posterior Nasal ❖ Imaging guidance
with destruction by cryoablation, endoscopy Nerve
posterior nasal nerve
 What is Nerve stimulator system?
➢ Also known as diaphragm pacing
➢ The electrical stimulation of the phrenic nerve using a surgically implanted device
➢ This device contracts the diaphragm rhythmically, improving breathing function in patients with
respiratory insufficiency
➢ To treat hypoventilation
➢ including respiratory paralysis (lesions of the brain stem and cervical spinal cord)
➢ chronic pulmonary disease with ventilatory insufficiency
➢ Intended to be an alternative to management of patients with respiratory insufficiency
➢ mechanical ventilator as well as maintenance of a permanent tracheotomy stoma
➢ NCD: Phrenic Nerve Stimulator 160.19
What is Nerve stimulator system?

Key Terms
➢ Insertion

➢ Removal

➢ Reposition

➢ Replacement (Removal + Insertion)

 Additions: Cardiovascular System
Insertion of Phrenic Nerve stimulator system:

CPT Code Description Approach Procedure Target Nerve Bundled Services

Code

33276 Insertion of phrenic nerve stimulator Transvenous Initial – Phrenic Nerve ❖ Imaging guidance
system (pulse generator and Insertion ❖ Vessel Cath
stimulating lead[s]), including vessel ✓ Pulse gen ❖ Initial analysis
catheterization, all imaging ✓ Leads
guidance, and pulse generator
initial analysis with diagnostic mode
activation, when performed
+33277 Insertion of phrenic nerve stimulator Transvenous Initial – Phrenic Nerve ❖ Imaging guidance
transvenous sensing lead (List Insertion ❖ Vessel Cath
separately in addition to code for ✓ Additional ❖ Initial analysis
primary procedure) Leads
 Additions: Cardiovascular System
Removal of phrenic nerve stimulator
CPT Code Code Description Approach Procedure Target Nerve Bundled Services

33278 Removal of phrenic nerve stimulator, including Transvenous Removal Phrenic Nerve ❖ Imaging guidance
vessel catheterization, all imaging guidance, and ✓ Pulse gen ❖ Vessel Cath
interrogation and programming, when ✓ Leads ❖ Interrogation &
performed; system, including pulse generator Programming
and lead(s)

33279 Removal of phrenic nerve stimulator, including Transvenous Removal Phrenic Nerve ❖ Imaging guidance
vessel catheterization, all imaging guidance, and ✓ Leads Only ❖ Vessel Cath
interrogation and programming, when ❖ Interrogation &
performed; transvenous stimulation or sensing Programming
lead(s) only

33280 Removal of phrenic nerve stimulator, including Transvenous Removal Phrenic Nerve ❖ Imaging guidance
vessel catheterization, all imaging guidance, and ✓ Pulse Generator ❖ Vessel Cath
interrogation and programming, when Only ❖ Interrogation &
performed; pulse generator only Programming
 Additions: Cardiovascular System
Repositioning of Phrenic nerve stimulator
CPT Code Code Description Approach Procedure Target Nerve Bundled Services

33281 Repositioning of phrenic nerve Transveno Reposition Phrenic nerve -

stimulator transvenous lead(s) us ❖ Leads

Removal of Phrenic nerve stimulator

CPT Code Code Description Approach Procedure Target Nerve Bundled Services

33287 Removal and replacement of phrenic nerve stimulator, Transvenous Removal Phrenic Nerve ❖ Imaging guidance
including vessel catheterization, all imaging guidance, ✓ Pulse gen ❖ Vessel Cath
and interrogation and programming, when performed; ✓ Leads ❖ Interrogation &
pulse generator Programming

33288 Removal and replacement of phrenic nerve stimulator, Transvenous Removal Phrenic Nerve ❖ Imaging guidance
including vessel catheterization, all imaging guidance, ✓ Leads Only ❖ Vessel Cath
and interrogation and programming, when performed; ❖ Interrogation &
transvenous stimulation or sensing lead(s) Programming
 Additions: Genitourinary System
CPT Code Description Approach Procedure Indications Bundled Services
Code
52284 Cystourethroscopy, with Endoscopy ❖ Mechanical ✓ Male Only ▪ Fluoroscopy
mechanical urethral dilation urethral dilation ✓ urethral guidance
and urethral therapeutic drug ❖ Urethral stricture ▪ Diagnostic
delivery by drug-coated therapeutic drug ✓ urethral Cystourethroscopy
balloon catheter for urethral delivery stenosis
stricture or stenosis, male, ❖ by drug-
including fluoroscopy, when coated
performed balloon
catheter

58580 Transcervical ablation of Transcervical Radiofrequency Uterine fibroid ▪ Intraoperative

uterine fibroid(s), including Ablation ultrasound
intraoperative ultrasound guidance and
guidance and monitoring, monitoring
radiofrequency
Skull-mounted cranial neurostimulator
pulse generator
 Additions: Nervous System
Skull-mounted cranial neurostimulator pulse generator
CPT Code Description Procedure Bundled Services
Code
61889 Insertion of skull-mounted cranial neurostimulator pulse Insertion ✓ Craniectomy or craniotomy
generator or receiver, including craniectomy or ➢ skull-mounted ✓ Direct or inductive coupling
craniotomy, when performed, with direct or inductive cranial ✓ Connection to depth and/or
coupling, with connection to depth and/or cortical strip neurostimulator cortical strip electrode
electrode array(s) pulse generator array(s)
61891 Revision or replacement of skull-mounted cranial Revision or
neurostimulator pulse generator or receiver with replacement
connection to depth and/or cortical strip electrode ➢ Skull-mounted
array(s) cranial
neurostimulator
pulse generator
61892 Removal of skull-mounted cranial neurostimulator pulse ✓ Cranioplasty
generator or receiver with cranioplasty, when performed
 Additions: Nervous System
CPT Code Description Approach Procedure Target Bundled Services
Code Nerve
64596 Insertion or replacement of percutaneous Percutaneous Insertion or Peripheral ✓ Imaging
electrode array, peripheral nerve, with replacement nerve guidance
integrated neurostimulator, including ➢ electrode array
imaging guidance, when performed; initial
electrode array
+64597 Insertion or replacement of percutaneous Percutaneous Insertion or Peripheral ✓ Imaging
electrode array, peripheral nerve, with replacement nerve guidance
integrated neurostimulator, including ➢ electrode array
imaging guidance, when performed; each
additional electrode array (List separately
in addition to code for primary procedure)
64598 Revision or removal of neurostimulator Revision or removal Peripheral ✓ Imaging
electrode array, peripheral nerve, with ➢ electrode array, nerve guidance
integrated neurostimulator
 Additions: Nervous System
CPT Code Code Description Procedure Bundled Services

67516 Suprachoroidal space injection of Injection ✓ Imaging Guidance

pharmacologic agent (separate procedure) ➢ Pharmacologic agent

➢ The suprachoroidal delivery of

a pharmacologic agent

➢ Uses a microcannula system

that combines a drug delivery
channel with a fiber optic light
source for localization of the
cannula tip.
 Revisions: Nervous System
CPT Code 2024 Description 2023 Description

Insertion or replacement of spinal neurostimulator

pulse generator or receiver, requiring pocket creation
and connection between electrode array and pulse Insertion or replacement of spinal neurostimulator pulse
63685 generator or receiver generator or receiver, direct or inductive coupling
Revision or removal of implanted spinal
neurostimulator pulse generator or receiver, with Revision or removal of implanted spinal neurostimulator
63688 detachable connection to electrode array pulse generator or receiver

Insertion or replacement of peripheral, sacral, or

gastric neurostimulator pulse generator or receiver,
requiring pocket creation and connection between
64590 electrode array and pulse generator or receiver
Revision or removal of peripheral, sacral, or gastric
neurostimulator pulse generator or receiver, with
64595 detachable connection to electrode array
Insertion or replacement of peripheral or gastric
neurostimulator pulse generator or receiver, direct or
inductive coupling
Revision or removal of peripheral or gastric neurostimulator
pulse generator or receiver
 Additions: Radiology
CPT Code Code Description Procedure

75580 Noninvasive estimate of coronary fractional flow reserve (FFR) derived from Software analysis
augmentative software analysis of the data set from a coronary computed ➢ data set from a coronary computed tomography
tomography angiography, with interpretation and report by a physician or angiography
other qualified health care professional ➢ interpretation and report

76984 Ultrasound, intraoperative thoracic aorta (eg, epiaortic), diagnostic Intraoperative UST
➢ EPI Aortic
76987 Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for Intraoperative UST
congenital heart disease, diagnostic; including placement and manipulation ➢ EPI Cardiac
of transducer, image acquisition, interpretation and report ➢ Global

76988 Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for Intraoperative UST
congenital heart disease, diagnostic; placement, manipulation of ➢ EPI Cardiac
transducer, and image acquisition only ➢ Technical component

76989 Intraoperative epicardial cardiac ultrasound (ie, echocardiography) for Intraoperative UST
congenital heart disease, diagnostic; interpretation and report only ➢ EPI Cardiac
➢ Professional component
 Deletions: Radiology
CPT Code Code Description

74710 Pelvimetry, with or without placental localization

No Replacement code identified by AMA

 Additions: Pathology
Genomic sequence analysis panel: Solid organ neoplasm/interrogation for sequence variants

CPT Code Code Description Procedure

DNA analysis,
Solid organ neoplasm, genomic sequence analysis panel, interrogation for ➢ microsatellite instability
81457 sequence variants; DNA analysis, microsatellite instability
DNA analysis,
Solid organ neoplasm, genomic sequence analysis panel, interrogation for ➢ copy number variants +
sequence variants; DNA analysis, copy number variants and microsatellite ➢ microsatellite instability
81458 instability
Solid organ neoplasm, genomic sequence analysis panel, interrogation for DNA analysis or combined DNA & RNA analysis,
sequence variants; DNA analysis or combined DNA and RNA analysis, ➢ copy number variants,
copy number variants, microsatellite instability, tumour mutation burden, ➢ microsatellite instability,
81459 and rearrangements ➢ tumour mutation burden,& rearrangements
Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic cell-free nucleic acid (eg, plasma)
acid (eg, plasma), interrogation for sequence variants; DNA analysis or DNA analysis or combined DNA & RNA analysis,
combined DNA and RNA analysis, copy number variants and ➢ copy number variants, & rearrangements
81462 rearrangements
cell-free nucleic acid (eg, plasma)
Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic DNA analysis or combined DNA & RNA analysis,
acid (eg, plasma), interrogation for sequence variants; DNA analysis, copy ➢ copy number variants
81463 number variants, and microsatellite instability ➢ microsatellite instability
 Additions: Pathology
CPT Code Code Description

Solid organ neoplasm, genomic sequence analysis panel, cell-free nucleic acid (eg, plasma),
interrogation for sequence variants; DNA analysis or combined DNA and RNA analysis, copy number
81464 variants, microsatellite instability, tumour mutation burden, and rearrangements
Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide
[PIIINP], tissue inhibitor of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum,
prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events
81517 within 5 years

82166 Anti-mullerian hormone (AMH)

86041 Acetylcholine receptor (AChR); binding antibody

86042 Acetylcholine receptor (AChR); blocking antibody

 Additions: Pathology
CPT Code Code Description

86043 Acetylcholine receptor (AChR); modulating antibody

86366 Muscle-specific kinase (MuSK) antibody

Infectious agent detection by nucleic acid (DNA or RNA); hepatitis D (delta), quantification,
87523 including reverse transcription, when performed
 Additions: Pathology
CPT Code Code Description

Oncology (urothelial), mRNA expression profiling by real-time quantitative PCR of MDK, HOXA13, CDC2,
IGFBP5, and CXCR2 in combination with droplet digital PCR (ddPCR) analysis of 6 single-nucleotide
polymorphisms (SNPs) genes TERT and FGFR3, urine, algorithm reported as a risk score for urothelial
0420U carcinoma
Oncology (colorectal) screening, quantitative real-time target and signal amplification of 8 RNA markers
(GAPDH, SMAD4, ACY1, AREG, CDH1, KRAS,
TNFRSF10B, EGLN2) and fecal hemoglobin, algorithm reported as a positive or negative for colorectal
0421U cancer risk
Oncology (pan-solid tumor), analysis of DNA biomarker response to anti-cancer therapy using cell-free
circulating DNA, biomarker comparison to a previous baseline pre-treatment cell-free circulating DNA
analysis using next-generation
sequencing, algorithm reported as a quantitative change from baseline, including specific alterations, if
0422U appropriate

Psychiatry (eg, depression, anxiety), genomic analysis panel, including variant analysis of 26 genes, buccal
swab, report including metabolizer status and
0423U risk of drug toxicity by condition

Oncology (prostate), exosome based analysis of 53 small noncoding RNAs (sncRNAs) by quantitative
reverse transcription polymerase chain reaction (RTqPCR), urine, reported as no molecular evidence, low-,
0424U moderate- or elevated-risk of prostate cancer
 Additions: Pathology

CPT Code Code Description

Genome (eg, unexplained constitutional or heritable disorder or syndrome), rapid sequence analysis,
0425U each comparator genome (eg, parents, siblings

Genome (eg, unexplained constitutional or heritable disorder or syndrome), ultra-rapid sequence

0426U analysis

0427U Monocyte distribution width, whole blood (List separately in addition to code for primary procedure)

Oncology (breast), targeted hybrid-capture genomic sequence analysis panel, circulating tumor DNA
(ctDNA) analysis of 56 or more genes, interrogation for
sequence variants, gene copy number amplifications, gene rearrangements, microsatellite instability,
0428U and tumor mutation burden

Human papillomavirus (HPV), oropharyngeal swab, 14 high-risk types (ie, 16, 18, 31, 33, 35, 39, 45,
0429U 51, 52, 56, 58, 59, 66, and 68)
 Additions: Pathology
CPT Code Code Description

Gastroenterology, malabsorption evaluation of alpha-1-antitrypsin, calprotectin, pancreatic elastase

0430U and reducing substances, feces, quantitative

Glycine receptor alpha1 IgG, serum or cerebrospinal fluid (CSF), live cell-binding assay (LCBA),
0431U qualitative

Kelch-like protein 11 (KLHL11) antibody, serum or cerebrospinal fluid (CSF), cell-binding assay,
0432U qualitative

Oncology (prostate), 5 DNA regulatory markers by quantitative PCR, whole blood, algorithm,
0433U including prostate-specific antigen, reported as likelihood of cancer

Drug metabolism (adverse drug reactions and drug response), genomic analysis panel, variant
0434U analysis of 25 genes with reported phenotypes
 Additions: Pathology
CPT Code Code Description

Oncology, chemotherapeutic drug cytotoxicity assay of cancer stem cells (CSCs), from cultured CSCs and
primary tumour cells, categorical drug response
0435U reported based on cytotoxicity percentage observed, minimum of 14 drugs or drug combinations

Oncology (lung), plasma analysis of 388 proteins, using aptamerbased proteomics technology, predictive
0436U algorithm reported as clinical benefit from immune checkpoint inhibitor therapy

Psychiatry (anxiety disorders), mRNA, gene expression profiling by RNA sequencing of 15 biomarkers, whole
blood, algorithm reported as predictive
0437U risk score

Drug metabolism (adverse drug reactions and drug response), buccal specimen, gene-drug interactions, variant
analysis of 33 genes, including deletion/duplication analysis of CYP2D6, including reported phenotypes and
0438U impacted gene drug interactions
 Revisions: Pathology
CPT Code 2024 Descriptions
AFF2 (ALF transcription elongation factor 2 [FMR2]) (eg, fragile X
intellectual disability 2 [FRAXE]) gene analysis; evaluation to detect
81171 abnormal (eg, expanded) alleles
AFF2 (ALF transcription elongation factor 2 [FMR2]) (eg, fragile X
intellectual disability 2 [FRAXE]) gene analysis; characterization of alleles
81172 (eg, expanded size and methylation status)
FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome,
X-linked intellectual disability [XLID]) gene analysis; evaluation to detect
81243 abnormal (eg, expanded) alleles
FMR1 (fragile X messenger ribonucleoprotein 1) (eg, fragile X syndrome,
X-linked intellectual disability [XLID]) gene analysis; characterization of
81244 alleles (eg, expanded size and promoter methylation status)
Molecular pathology procedure, Level 4 (eg, analysis of single exon by
DNA sequence analysis, analysis of >10 amplicons using multiplex PCR in
2 or more independent reactions, mutation scanning or duplication/deletion
variants of 2-5 exons) ARX (aristaless related homeobox) (eg, X-linked
lissencephaly with ambiguous genitalia, X-linked intellectual disability),
81403 duplication/deletion analysis
Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by DNA
sequence analysis, mutation scanning or duplication/deletion variants of 6-
10 exons, or characterization of a dynamic mutation disorder/triplet repeat
by Southern blot analysis) ARX (aristaless related homeobox) (eg, X-linked
lissencephaly with ambiguous genitalia, X-linked intellectual disability), full
81404 gene sequence
2023 Descriptions
AFF2 (AF4/FMR2 family, member [FMR2]) (eg, fragile X mental
retardation 2 [FRAXE]) gene analysis; evaluation to detect abnormal (eg,
expanded) alleles
AFF2 (AF4/FMR2 family, member 2 [FMR2]) (eg, fragile X mental
retardation 2 [FRAXE]) gene analysis; characterization of alleles (eg,
expanded size and methylation status)
FMR1 (fragile X mental retardation 1) (eg, fragile X mental retardation)
gene analysis; evaluation to detect abnormal (eg, expanded) alleles
FMR1 (fragile X mental retardation 1) (eg, fragile X mental retardation)
gene analysis; characterization of alleles (eg, expanded size and
promoter methylation status)
Molecular pathology procedure, Level 4 (eg, analysis of single exon by
DNA sequence analysis, analysis of >10 amplicons using multiplex PCR
in 2 or more independent reactions, mutation scanning or
duplication/deletion variants of 2-5 exons) ARX (aristaless-related
homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked
mental retardation), duplication/deletion analysis
Molecular pathology procedure, Level 5 (eg, analysis of 2-5 exons by
DNA sequence analysis, mutation scanning or duplication/deletion
variants of 6-10 exons, or characterization of a dynamic mutation
disorder/triplet repeat by Southern blot analysis) ARX (aristaless related
homeobox) (eg, X-linked lissencephaly with ambiguous genitalia, X-linked
mental retardation), full gene sequence
 Revisions: Pathology
CPT Code 2024 Descriptions 2023 Descriptions

Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by Molecular pathology procedure, Level 6 (eg, analysis of 6-10 exons by DNA
DNA sequence analysis, mutation scanning or duplication/deletion sequence analysis, mutation scanning or duplication/deletion variants of 11-25
variants of 11-25 exons, regionally targeted cytogenomic array analysis) exons, regionally targeted cytogenomic array analysis) FTSJ1 (FtsJ RNA
FTSJ1 (FtsJ RNA 2'-O-methyltransferase 1) (eg, X-linked intellectual methyltransferase homolog 1 [E. coli]) (eg, X-linked mental retardation 9),
81405 disability 9), duplication/deletion analysis duplication/deletion analysis
Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by Molecular pathology procedure, Level 7 (eg, analysis of 11-25 exons by DNA
DNA sequence analysis, mutation scanning or duplication/deletion sequence analysis, mutation scanning or duplication/deletion variants of 26-50
variants of 26-50 exons) FTSJ1 (FtsJ RNA 2'-O-methyltransferase 1) exons) FTSJ1 (FtsJ RNA methyltransferase homolog 1 [E. coli]) (eg, X-linked
81406 (eg, X-linked intellectual disability 9), full gene sequence mental retardation 9), full gene sequence
Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by Molecular pathology procedure, Level 8 (eg, analysis of 26-50 exons by DNA
DNA sequence analysis, mutation scanning or duplication/deletion sequence analysis, mutation scanning or duplication/deletion variants of >50
variants of >50 exons, sequence analysis of multiple genes on one exons, sequence analysis of multiple genes on one platform) KDM5C (lysine
platform) KDM5C (lysine demethylase 5C) (eg, X-linked intellectual [K]-specific demethylase 5C) (eg, X-linked mental retardation), full gene
81407 disability), full gene sequence sequence

Targeted genomic sequence analysis panel, solid organ neoplasm, 5-50

Solid organ neoplasm, genomic sequence analysis panel, 5-50 genes, genes (eg, ALK, BRAF, CDKN2A, EGFR, ERBB2, KIT, KRAS, MET, NRAS,
interrogation for sequence variants and copy number variants or PDGFRA, PDGFRB, PGR, PIK3CA, PTEN, RET), interrogation for sequence
rearrangements, if performed; DNA analysis or combined DNA and RNA variants and copy number variants or rearrangements, if performed; DNA
81445 analysis analysis or combined DNA and RNA analysis
Infectious agent antigen detection by immunoassay technique (eg,
enzyme immunoassay [EIA], enzyme-linked immunosorbent assay
[ELISA], fluorescence immunoassay [FIA], immunochemiluminometric
assay [IMCA]), qualitative or semiquantitative; hepatitis B surface
87467 antigen (HBsAg), quantitative Hepatitis B surface antigen (HBsAg), quantitative
 Revisions: Pathology

CPT Code 2024 Descriptions 2023 Descriptions

Infectious disease (bacterial or viral),

Infectious disease (bacterial or viral), biochemical
biochemical assays, tumor necrosis factor-
assays, tumor necrosis factor-related apoptosis-
related apoptosis inducing ligand (TRAIL),
inducing ligand (TRAIL), interferon gamma-
0351U interferon gamma-induced protein-10 (IP-10),
induced protein-10 (IP-10), and C-reactive
and C-reactive protein, serum, or venous whole
protein, serum, algorithm reported as likelihood of
blood, algorithm reported as likelihood of
bacterial infection
bacterial infection

Oncology (oropharyngeal or anal), evaluation of Oncology (oropharyngeal), evaluation of 17 DNA

17 DNA biomarkers using droplet digital PCR biomarkers using droplet digital PCR (ddPCR),
0356U
(ddPCR), cell-free DNA, algorithm reported as a cell-free DNA, algorithm reported as a prognostic
prognostic risk score for cancer recurrence risk score for cancer recurrence
 Additions: Vaccinations
CPT Code Description Organism Route of Code effective
Code Administration date

➢ Chikungunya virus ✓ Intramuscular 2024 Jan 1

Chikungunya virus vaccine, live attenuated, for

90589 intramuscular use
➢ Meningococcal ✓ Intramuscular 2024 Jan 1
➢ Pentavalent
➢ Conjugated
➢ Tetanus toxoid carrier
Protien
Meningococcal pentavalent vaccine, conjugated ➢ Men B-FHbp
Men A, C, W, Y- tetanus toxoid carrier, and Men B-
90623 FHbp, for intramuscular use
➢ syncytial virus ✓ Intramuscular 2024 Jan 1

Respiratory syncytial virus vaccine, mRNA lipid

90683 nanoparticles, for intramuscular use
Additions: Vaccines
Additions: Vaccines
Additions: Vaccines

https://www.ama-assn.org/system/files/vaccine-long-descriptors.pdf
 Revisions: Medicine Section

CPT Code 2024 Description 2023 Description

Chemotherapy administration into the

peritoneal cavity via implanted port or Chemotherapy administration into the peritoneal cavity
96446 catheter via indwelling port or catheter

Excimer laser treatment for psoriasis; total Laser treatment for inflammatory skin disease
96920 area less than 250 sq cm (psoriasis); total area less than 250 sq cm

Excimer laser treatment for psoriasis; 250 Laser treatment for inflammatory skin disease
96921 sq cm to 500 sq cm (psoriasis); 250 sq cm to 500 sq cm

Excimer laser treatment for psoriasis; over Laser treatment for inflammatory skin disease
96922 500 sq cm (psoriasis); over 500 sq cm
 Additions: Medicine Section
Audiology Services
CPT Code Code Description Procedure Primary Codes

Osseo integrated sound processor

➢ Diagnostic analysis,
➢ Programming
Diagnostic analysis, programming, and verification of an ➢ Verification
auditory Osseo integrated sound processor, any type; first ➢ First 60 Mins
92622 60 minutes
Osseo integrated sound processor 92622
➢ Diagnostic analysis,
Diagnostic analysis, programming, and verification of an ➢ Programming
auditory Osseo integrated sound processor, any type; each ➢ Verification
additional 15 minutes (List separately in addition to code for ➢ Additional 15 Mins
+92623 primary procedure)

Cardiology Services

CPT Code Code Description Approach Procedure Primary Codes

Percutaneous Coronary
Percutaneous transluminal coronary lithotripsy Lithotripsy
(List separately in addition to code for primary
92972 procedure)
 Additions: Medicine Section
Pulmonology Services: Phrenic Nerve stimulator Programming

CPT Code Code Description Procedure

➢ Therapy activation
Therapy activation of implanted phrenic nerve stimulator system, ➢ Interrogation and programming
93150 including all interrogation and programming
➢ Interrogation and programming
Interrogation and programming (minimum one parameter) of implanted (Subsequent)
93151 phrenic nerve stimulator system
➢ Interrogation and programming +
Interrogation and programming of implanted phrenic nerve stimulator polysomnography
93152 system during polysomnography
➢ Interrogation alone
Interrogation without programming of implanted phrenic nerve stimulator
93153 system
 Additions: Medicine Section
Cardiology Services: Venography for congenital heart defect(s)

CPT Code Description Indications Bundled services

Code

➢ Anomalous or persistent ✓ Catheter placement

Venography for congenital heart defect(s), including catheter placement, and superior vena cava ✓ Radiological supervision
radiological supervision and interpretation; anomalous or persistent superior vena ➢ A second contralateral and interpretation
cava when it exists as a second contralateral superior vena cava, with native superior vena cava, with
+ 93584 drainage to heart (List separately in addition to code for primary procedure) native drainage to heart
➢ Azygos/hemiazygos venous ✓ Catheter placement
system ✓ Radiological supervision
Venography for congenital heart defect(s), including catheter placement, and and interpretation
radiological supervision and interpretation; azygos/hemiazygos venous system
+93585 (List separately in addition to code for primary procedure)
➢ coronary sinus ✓ Catheter placement
✓ Radiological supervision
Venography for congenital heart defect(s), including catheter placement, and and interpretation
radiological supervision and interpretation; coronary sinus (List separately in
+93586 addition to code for primary procedure)
➢ Veno-venous collaterals ✓ Catheter placement
Venography for congenital heart defect(s), including catheter placement, and originating at or above the ✓ Radiological supervision
radiological supervision and interpretation; veno-venous collaterals originating at or heart and interpretation
above the heart (eg, from innominate vein) (List separately in addition to code for
+93587 primary procedure)
➢ veno-venous collaterals ✓ Catheter placement
Venography for congenital heart defect(s), including catheter placement, and originating below the heart ✓ Radiological supervision
radiological supervision and interpretation; veno-venous collaterals originating and interpretation
below the heart (eg, from the inferior vena cava) (List separately in addition to
+93588 code for primary procedure)
 Additions: Medicine Section
Chemotherapy Services:
Intraoperative hyperthermic intraperitoneal chemotherapy (HIPEC) procedure

CPT Code Code Description Procedure Bundled Services

Intraoperative hyperthermic intraperitoneal HIPEC - First 60 Includes separate incision(s)

chemotherapy (HIPEC) procedure, including minutes and closure
separate incision(s) and closure, when performed;
first 60 minutes (List separately in addition to code
+96547 for primary procedure)
Intraoperative hyperthermic intraperitoneal HIPEC - First 60 Includes separate incision(s)
chemotherapy (HIPEC) procedure, including minutes and closure
separate incision(s) and closure, when performed;
each additional 30 minutes (List separately in
+96548 addition to code for primary procedure)
 Additions: Medicine Section
Therapy Services

CPT Code Code Description

Application of a modality to 1 or more areas; low-level laser therapy (ie, nonthermal and non-ablative) for post-
97037 operative pain reduction

Caregiver training in strategies and techniques to facilitate the patient's functional performance in 'the home or
community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication,
97550 swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; initial 30 minutes
Caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or
community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication,
swallowing, feeding, problem solving, safety practices) (without the patient present), face to face; each additional 15
97551 minutes (List separately in addition to code for primary service)
Group caregiver training in strategies and techniques to facilitate the patient's functional performance in the home or
community (eg, activities of daily living [ADLs], instrumental ADLs [iADLs], transfers, mobility, communication,
swallowing, feeding, problem solving, safety practices) (without the patient present), face to face with multiple sets of
97552 caregivers
 Additions: Category III Codes
CPT Code Code Description

Insertion or replacement of percutaneous electrode array, spinal, with integrated neurostimulator,

0784T including imaging guidance, when performed

0785T Revision or removal of neurostimulator electrode array, spinal, with integrated neurostimulator

Insertion or replacement of percutaneous electrode array, sacral, with integrated neurostimulator,

0786T including imaging guidance, when performed

0787T Revision or removal of neurostimulator electrode array, sacral, with integrated neurostimulator
 Additions: Category III Codes
CPT Code Code Description

Electronic analysis with simple programming of implanted integrated neurostimulation system (eg,
electrode array and receiver), including contact group(s), amplitude, pulse width, frequency (Hz), on/off
cycling, burst, dose lockout, patient-selectable parameters, responsive neurostimulation, detection
algorithms, closed-loop parameters, and passive parameters, when performed by physician or other
0788T qualified health care professional, spinal cord or sacral nerve, 1-3 parameters
Electronic analysis with complex programming of implanted integrated neurostimulation system (eg,
electrode array and receiver), including contact group(s), amplitude, pulse width, frequency (Hz), on/off
cycling, burst, dose lockout, patient-selectable parameters, responsive neurostimulation, detection
algorithms, closed-loop parameters, and passive parameters, when performed by physician or other
0789T qualified health care professional, spinal cord or sacral nerve, 4 or more parameters

Revision (eg, augmentation, division of tether), replacement, or removal of thoracolumbar or lumbar

0790T vertebral body tethering, including thoracoscopy, when performed
 Additions: Category III Codes
CPT Code Code Description

Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); set-up and patient
0811T education on use of equipment

Remote multi-day complex uroflowmetry (eg, calibrated electronic equipment); device supply with
0812T automated report generation, up to 10 days

0813T Esophagogastroduodenoscopy, flexible, transoral, with volume adjustment of intragastric bariatric balloon

Percutaneous injection of calcium-based biodegradable osteoconductive material, proximal femur,

0814T including imaging guidance, unilateral

Ultrasound-based radiofrequency echographic multi-spectrometry (REMS), bone-density study and

0815T fracture-risk assessment, 1 or more sites, hips, pelvis, or spine
 Additions: Category III Codes
CPT Code Code Description

Esophagogastroduodenoscopy, flexible, transoral, with volume adjustment of intragastric bariatric

0813T balloon

Percutaneous injection of calcium-based biodegradable osteoconductive material, proximal femur,

0814T including imaging guidance, unilateral

Ultrasound-based radiofrequency echographic multi-spectrometry (REMS), bone-density study and

0815T fracture-risk assessment, 1 or more sites, hips, pelvis, or spine
 Additions: Category III Codes
CPT Code Code Description

Open insertion or replacement of integrated neurostimulation system for bladder

dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver,
including analysis, programming, and imaging guidance, when performed, posterior tibial
0816T nerve; subcutaneous
Open insertion or replacement of integrated neurostimulation system for bladder
dysfunction including electrode(s) (eg, array or leadless), and pulse generator or receiver,
including analysis, programming, and imaging guidance, when performed, posterior tibial
0817T nerve; subfascial

Revision or removal of integrated neurostimulation system for bladder dysfunction, including

0818T analysis, programming, and imaging, when performed, posterior tibial nerve; subcutaneous

Revision or removal of integrated neurostimulation system for bladder dysfunction, including

0819T analysis, programming, and imaging, when performed, posterior tibial nerve; subfascial
 Additions: Category III Codes
CPT Code Code Description

Continuous in-person monitoring and intervention (eg, psychotherapy, crisis intervention),

as needed, during psychedelic medication therapy; first physician or other qualified
0820T health care professional, each hour

Continuous in-person monitoring and intervention (eg, psychotherapy, crisis intervention),

as needed, during psychedelic medication therapy; second physician or other qualified
health care professional, concurrent with first physician or other qualified health care
+0821T professional, each hour (List separately in addition to code for primary procedure)

Continuous in-person monitoring and intervention (eg, psychotherapy, crisis intervention),

as needed, during psychedelic medication therapy; clinical staff under the direction of a
physician or other qualified health care professional, concurrent with first physician or
other qualified health care professional, each hour (List separately in addition to code for
+0822T primary procedure)
 Additions: Category III Codes
CPT Code Code Description

Transcatheter insertion of permanent single-chamber leadless pacemaker, right atrial, including imaging
guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculography,
femoral venography, cavography) and device evaluation (eg, interrogation or programming), when
0823T performed

Transcatheter removal of permanent single-chamber leadless pacemaker, right atrial, including imaging
guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right ventriculography,
0824T femoral venography, cavography), when performed

Transcatheter removal and replacement of permanent single-chamber leadless pacemaker, right atrial,
including imaging guidance (eg, fluoroscopy, venous ultrasound, right atrial angiography and/or right
ventriculography, femoral venography, cavography) and device evaluation (eg, interrogation or
0825T programming), when performed

Programming device evaluation (in person) with iterative adjustment of the implantable device to test the
function of the device and select optimal permanent programmed values with analysis, review and report
by a physician or other qualified health care professional, leadless pacemaker system in single-cardiac
0826T chamber
 Additions: Category III Codes
CPT Code Code Description

Digitization of glass microscope slides for cytopathology, fluids, washings, or brushings, except cervical
0827T or vaginal; smears with interpretation (List separately in addition to code for primary procedure)
Digitization of glass microscope slides for cytopathology, fluids, washings, or brushings, except cervical
or vaginal; simple filter method with interpretation (List separately in addition to code for primary
0828T procedure)
Digitization of glass microscope slides for cytopathology, concentration technique, smears, and
0829T interpretation (eg, Saccomanno technique) (List separately in addition to code for primary procedure)
Digitization of glass microscope slides for cytopathology, selective-cellular enhancement technique with
interpretation (eg, liquid-based slide preparation method), except cervical or vaginal (List separately in
0830T addition to code for primary procedure)
Digitization of glass microscope slides for cytopathology, cervical or vaginal (any reporting system),
0831T requiring interpretation by physician (List separately in addition to code for primary procedure)
Digitization of glass microscope slides for cytopathology, smears, any other source; screening and
0832T interpretation (List separately in addition to code for primary procedure)
 Additions: Category III Codes
CPT Code Code Description

Digitization of glass microscope slides for cytopathology, smears, any other source; preparation,
0833T screening and interpretation (List separately in addition to code for primary procedure)
Digitization of glass microscope slides for cytopathology, smears, any other source; extended study
0834T involving over 5 slides and/or multiple stains (List separately in addition to code for primary procedure)
Digitization of glass microscope slides for cytopathology, evaluation of fine needle aspirate; immediate
cytohistologic study to determine adequacy for diagnosis, first evaluation episode, each site (List
0835T separately in addition to code for primary procedure)
Digitization of glass microscope slides for cytopathology, evaluation of fine needle aspirate; immediate
cytohistologic study to determine adequacy for diagnosis, each separate additional evaluation episode,
0836T same site (List separately in addition to code for primary procedure)
Digitization of glass microscope slides for cytopathology, evaluation of fine needle aspirate;
0837T interpretation and report (List separately in addition to code for primary procedure)
Digitization of glass microscope slides for consultation and report on referred slides prepared
0838T elsewhere (List separately in addition to code for primary procedure)
 Additions: Category III Codes
Neuro Stimulator

CPT Code Code Description

Digitization of glass microscope slides for consultation and report on referred material requiring
0839T preparation of slides (List separately in addition to code for primary procedure)

Digitization of glass microscope slides for consultation, comprehensive, with review of records and
0840T specimens, with report on referred material (List separately in addition to code for primary procedure)

Digitization of glass microscope slides for pathology consultation during surgery; first tissue block, with
0841T frozen section(s), single specimen (List separately in addition to code for primary procedure)

Digitization of glass microscope slides for pathology consultation during surgery; each additional tissue
0842T block with frozen section(s) (List separately in addition to code for primary procedure)
Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination
(eg, touch preparation, squash preparation), initial site (List separately in addition to code for primary
0843T procedure)
Digitization of glass microscope slides for pathology consultation during surgery; cytologic examination
(eg, touch preparation, squash preparation), each additional site (List separately in addition to code for
0844T primary procedure)
Digitization of glass microscope slides for immunofluorescence, per specimen; initial single antibody stain
0845T procedure (List separately in addition to code for primary procedure)
 Additions: Category III Codes
CPT Code Code Description

Digitization of glass microscope slides for immunofluorescence, per specimen; each additional single antibody stain
0846T procedure (List separately in addition to code for primary procedure)
Digitization of glass microscope slides for examination and selection of retrieved archival (ie, previously diagnosed)
tissue(s) for molecular analysis (eg, KRAS mutational analysis) (List separately in addition to code for primary
0847T procedure)

Digitization of glass microscope slides for in situ hybridization (eg, FISH), per specimen; initial single probe stain
0848T procedure (List separately in addition to code for primary procedure)

Digitization of glass microscope slides for in situ hybridization (eg, FISH), per specimen; each additional single probe
0849T stain procedure (List separately in addition to code for primary procedure)

Digitization of glass microscope slides for in situ hybridization (eg, FISH), per specimen; each multiplex probe stain
0850T procedure (List separately in addition to code for primary procedure)

Digitization of glass microscope slides for morphometric analysis, in situ hybridization (quantitative or semiquantitative),
0851T manual, per specimen; initial single probe stain procedure (List separately in addition to code for primary procedure)
Digitization of glass microscope slides for morphometric analysis, in situ hybridization (quantitative or semiquantitative),
manual, per specimen; each additional single probe stain procedure (List separately in addition to code for primary
0852T procedure)
 Additions: Category III Codes
CPT Code Code Description

Digitization of glass microscope slides for morphometric analysis, in situ hybridization (quantitative or
semiquantitative), manual, per specimen; each additional single probe stain procedure (List separately in addition
0852T to code for primary procedure)
Digitization of glass microscope slides for morphometric analysis, in situ hybridization (quantitative or
semiquantitative), manual, per specimen; each multiplex probe stain procedure (List separately in addition to code
0853T for primary procedure)
Digitization of glass microscope slides for blood smear, peripheral, interpretation by physician with written report
0854T (List separately in addition to code for primary procedure)
Digitization of glass microscope slides for bone marrow, smear interpretation (List separately in addition to code for
0855T primary procedure)
Digitization of glass microscope slides for electron microscopy, diagnostic (List separately in addition to code for
0856T primary procedure)
Opto-acoustic imaging, breast, unilateral, including axilla when performed, real-time with image documentation,
0857T augmentative analysis and report (List separately in addition to code for primary procedure)
 Additions: Category III Codes
CPT Code Code Description

Externally applied transcranial magnetic stimulation with concomitant measurement of evoked cortical potentials with
0858T automated report
Noncontact near-infrared spectroscopy (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue
oxygenation), other than for screening for peripheral arterial disease, image acquisition, interpretation, and report; each
0859T additional anatomic site (List separately in addition to code for primary procedure)
Noncontact near-infrared spectroscopy (eg, for measurement of deoxy hemoglobin, oxy hemoglobin, and ratio of tissue
oxygenation), for screening for peripheral arterial disease, including provocative maneuvers, image acquisition,
0860T interpretation, and report, one or both lower extremities

Externally applied transcranial magnetic stimulation with concomitant measurement of evoked cortical potentials with
0858T automated report
Noncontact near-infrared spectroscopy (eg, for measurement of deoxyhemoglobin, oxyhemoglobin, and ratio of tissue
oxygenation), other than for screening for peripheral arterial disease, image acquisition, interpretation, and report; each
0859T additional anatomic site (List separately in addition to code for primary procedure)
Noncontact near-infrared spectroscopy (eg, for measurement of deoxy hemoglobin, oxy hemoglobin, and ratio of tissue
oxygenation), for screening for peripheral arterial disease, including provocative maneuvers, image acquisition,
0860T interpretation, and report, one or both lower extremities
 Additions: Category III Codes
CPT Code Code Description

Removal of pulse generator for wireless cardiac stimulator for left ventricular pacing; both
0861T components (battery and transmitter)

Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including
0862T device interrogation and programming; battery component only

Relocation of pulse generator for wireless cardiac stimulator for left ventricular pacing, including
0863T device interrogation and programming; transmitter component only

0864T Low-intensity extracorporeal shock wave therapy involving corpus cavernosum, low energy
 Deletions: Category III Codes
CPT Code Code Description

0404T Transcervical uterine fibroid(s) ablation with ultrasound guidance, radiofrequency

Insertion or replacement of neurostimulator system for treatment of central sleep apnea; complete system (transvenous
0424T placement of right or left stimulation lead, sensing lead, implantable pulse generator)

0425T Insertion or replacement of neurostimulator system for treatment of central sleep apnea; sensing lead only

0426T Insertion or replacement of neurostimulator system for treatment of central sleep apnea; stimulation lead only

0427T Insertion or replacement of neurostimulator system for treatment of central sleep apnea; pulse generator only

0428T Removal of neurostimulator system for treatment of central sleep apnea; pulse generator only

0429T Removal of neurostimulator system for treatment of central sleep apnea; sensing lead only

0430T Removal of neurostimulator system for treatment of central sleep apnea; stimulation lead only
 Revisions: Category III Codes
CPT Code 2024 Description 2023 Description

Insertion of wireless cardiac stimulator for left ventricular Insertion of wireless cardiac stimulator for left ventricular pacing,
pacing, including device interrogation and programming, and including device interrogation and programming, and imaging
imaging supervision and interpretation, when performed; both supervision and interpretation, when performed; pulse generator
0517T components of pulse generator (battery and transmitter) only component(s) (battery and/or transmitter) only
Removal of only pulse generator component(s) (battery and/or
Removal of pulse generator for wireless cardiac stimulator for transmitter) of wireless cardiac stimulator for left ventricular
0518T left ventricular pacing; battery component only pacing
Removal and replacement of pulse generator for wireless
cardiac stimulator for left ventricular pacing, including device Removal and replacement of wireless cardiac stimulator for left
interrogation and programming; both components (battery and ventricular pacing; pulse generator component(s) (battery and/or
0519T transmitter) transmitter)

Removal and replacement of pulse generator for wireless
cardiac stimulator for left ventricular pacing, including device
0520T interrogation and programming; battery component only
Percutaneous implantation or replacement of integrated single
device neurostimulation system for bladder dysfunction
including electrode array and receiver or pulse generator,
including analysis, programming, and imaging guidance when
0587T performed, posterior tibial nerve
Removal and replacement of wireless cardiac stimulator for left
ventricular pacing; pulse generator component(s) (battery and/or
transmitter), including placement of a new electrode
Percutaneous implantation or replacement of integrated single
device neurostimulation system including electrode array and
receiver or pulse generator, including analysis, programming,
and imaging guidance when performed, posterior tibial nerve
 Revisions: Category III Codes
CPT 2024 Description 2023 Description
Code
Revision or removal of percutaneously placed integrated single
device neurostimulation system for bladder dysfunction including Revision or removal of integrated single device neurostimulation
electrode array and receiver or pulse generator, including system including electrode array and receiver or pulse generator,
analysis, programming, and imaging guidance when performed, including analysis, programming, and imaging guidance when
0588T posterior tibial nerve performed, posterior tibial nerve
Electronic analysis with simple programming of implanted
integrated neurostimulation system for bladder dysfunction (eg, Electronic analysis with simple programming of implanted
electrode array and receiver), including contact group(s), integrated neurostimulation system (eg, electrode array and
amplitude, pulse width, frequency (Hz), on/off cycling, burst, receiver), including contact group(s), amplitude, pulse width,
dose lockout, patient-selectable parameters, responsive frequency (Hz), on/off cycling, burst, dose lockout, patient-
neurostimulation, detection algorithms, closed-loop parameters, selectable parameters, responsive neurostimulation, detection
and passive parameters, when performed by physician or other algorithms, closed-loop parameters, and passive parameters, when
qualified health care professional, posterior tibial nerve, 1-3 performed by physician or other qualified health care professional,
0589T parameters posterior tibial nerve, 1-3 parameters
Electronic analysis with complex programming of implanted
integrated neurostimulation system for bladder dysfunction (eg, Electronic analysis with complex programming of implanted
electrode array and receiver), including contact group(s), integrated neurostimulation system (eg, electrode array and
amplitude, pulse width, frequency (Hz), on/off cycling, burst, receiver), including contact group(s), amplitude, pulse width,
dose lockout, patient-selectable parameters, responsive frequency (Hz), on/off cycling, burst, dose lockout, patient-
neurostimulation, detection algorithms, closed-loop parameters, selectable parameters, responsive neurostimulation, detection
and passive parameters, when performed by physician or other algorithms, closed-loop parameters, and passive parameters, when
qualified health care professional, posterior tibial nerve, 4 or performed by physician or other qualified health care professional,
0590T more parameters posterior tibial nerve, 4 or more parameters
 Revisions: Category III Codes
CPT Code 2024 Description 2023 Description

Noncontact near-infrared spectroscopy (eg, for measurement of

deoxyhemoglobin, oxyhemoglobin, and ratio of tissue Noncontact near-infrared spectroscopy studies of flap or
oxygenation), other than for screening for peripheral arterial wound (eg, for measurement of deoxyhemoglobin,
disease, image acquisition, interpretation, and report; first oxyhemoglobin, and ratio of tissue oxygenation [StO2]); image
0640T anatomic site acquisition, interpretation and report, each flap or wound
Anterior lumbar or thoracolumbar vertebral body tethering; up to 7
0656T vertebral segments Vertebral body tethering, anterior; up to 7 vertebral segments
Anterior lumbar or thoracolumbar vertebral body tethering; 8 or Vertebral body tethering, anterior; 8 or more vertebral
0657T more vertebral segments segments

Transcutaneous magnetic stimulation by focused low-frequency Transcutaneous magnetic stimulation by focused low-
electromagnetic pulse, peripheral nerve, with identification and frequency electromagnetic pulse, peripheral nerve, initial
marking of the treatment location, including noninvasive treatment, with identification and marking of the treatment
electroneurographic localization (nerve conduction localization), location, including noninvasive electroneurographic localization
0766T when performed; first nerve (nerve conduction localization), when performed; first nerve
Transcutaneous magnetic stimulation by focused low-
Transcutaneous magnetic stimulation by focused low-frequency frequency electromagnetic pulse, peripheral nerve, initial
electromagnetic pulse, peripheral nerve, with identification and treatment, with identification and marking of the treatment
marking of the treatment location, including noninvasive location, including noninvasive electroneurographic localization
electroneurographic localization (nerve conduction localization), (nerve conduction localization), when performed; each
when performed; each additional nerve (List separately in addition additional nerve (List separately in addition to code for primary
0767T to code for primary procedure) procedure)
 Deletions: Category III Codes
CPT Code Code Description

0465T Suprachoroidal injection of a pharmacologic agent (does not include supply of medication)
Cystourethroscopy, with mechanical dilation and urethral therapeutic drug delivery for urethral stricture or stenosis, including
0499T fluoroscopy, when performed

Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography
data using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of
coronary artery disease; data preparation and transmission, analysis of fluid dynamics and simulated maximal coronary
hyperemia, generation of estimated FFR model, with anatomical data review in comparison with estimated FFR model to
0501T reconcile discordant data, interpretation and report

Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography
data using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of
0502T coronary artery disease; data preparation and transmission

Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography
data using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of
coronary artery disease; analysis of fluid dynamics and simulated maximal coronary hyperemia, and generation of estimated
0503T FFR model
 Deletions: Category III Codes
CPT Code Code Description

Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data
using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of
coronary artery disease; anatomical data review in comparison with estimated FFR model to reconcile discordant data,
0504T interpretation and report

0508T Pulse-echo ultrasound bone density measurement resulting in indicator of axial bone mineral density, tibia

Continuous recording of movement disorder symptoms, including bradykinesia, dyskinesia, and tremor for 6 days up to 10
days; includes set-up, patient training, configuration of monitor, data upload, analysis and initial report configuration, download
0533T review, interpretation and report

Continuous recording of movement disorder symptoms, including bradykinesia, dyskinesia, and tremor for 6 days up to 10
0534T days; set-up, patient training, configuration of monitor

Continuous recording of movement disorder symptoms, including bradykinesia, dyskinesia, and tremor for 6 days up to 10
0535T days; data upload, analysis and initial report configuration

Continuous recording of movement disorder symptoms, including bradykinesia, dyskinesia, and tremor for 6 days up to 10
0536T days; download review, interpretation and report
 Deletions: Category III Codes
CPT Code Code Description

0436T Programming device evaluation of implanted neurostimulator pulse generator system for central sleep apnea; during sleep study

0465T Suprachoroidal injection of a pharmacologic agent (does not include supply of medication)

Cystourethroscopy, with mechanical dilation and urethral therapeutic drug delivery for urethral stricture or stenosis, including
0499T fluoroscopy, when performed
Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data
using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of coronary
artery disease; data preparation and transmission, analysis of fluid dynamics and simulated maximal coronary hyperemia,
generation of estimated FFR model, with anatomical data review in comparison with estimated FFR model to reconcile discordant
0501T data, interpretation and report
Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data
using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of coronary
0502T artery disease; data preparation and transmission
Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data
using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of coronary
0503T artery disease; analysis of fluid dynamics and simulated maximal coronary hyperemia, and generation of estimated FFR model
Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data
using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of coronary
artery disease; anatomical data review in comparison with estimated FFR model to reconcile discordant data, interpretation and
0504T report
 Deletions: Category III Codes
CPT Code Code Description

0508T Pulse-echo ultrasound bone density measurement resulting in indicator of axial bone mineral density, tibia

Continuous recording of movement disorder symptoms, including bradykinesia, dyskinesia, and tremor for 6 days up to 10
days; includes set-up, patient training, configuration of monitor, data upload, analysis and initial report configuration,
0533T download review, interpretation and report
Continuous recording of movement disorder symptoms, including bradykinesia, dyskinesia, and tremor for 6 days up to 10
0534T days; set-up, patient training, configuration of monitor
Continuous recording of movement disorder symptoms, including bradykinesia, dyskinesia, and tremor for 6 days up to 10
0535T days; data upload, analysis and initial report configuration
Continuous recording of movement disorder symptoms, including bradykinesia, dyskinesia, and tremor for 6 days up to 10
0536T days; download review, interpretation and report

Noncontact near-infrared spectroscopy studies of flap or wound (eg, for measurement of deoxyhemoglobin, oxyhemoglobin,
0641T and ratio of tissue oxygenation [StO2]); image acquisition only, each flap or wound

Noncontact near-infrared spectroscopy studies of flap or wound (eg, for measurement of deoxyhemoglobin, oxyhemoglobin,
0642T and ratio of tissue oxygenation [StO2]); interpretation and report only, each flap or wound
 Deletions: Category III Codes
CPT Code Code Description

0715T Percutaneous transluminal coronary lithotripsy (list separately in addition to code for primary procedure)
Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse, peripheral nerve, subsequent
treatment, including noninvasive electroneurographic localization (nerve conduction localization), when performed; first
0768T nerve

Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse, peripheral nerve, subsequent
treatment, including noninvasive electroneurographic localization (nerve conduction localization), when performed; each
0769T additional nerve (List separately in addition to code for primary procedure)

Arthrodesis, sacroiliac joint, percutaneous, with image guidance, includes placement of intra-articular implant(s) (eg, bone
0775T allograft[s], synthetic device[s])

Arthrodesis, sacroiliac joint, percutaneous or minimally invasive (indirect visualization), with image guidance, placement of
0809T transfixing device(s) and intra-articular implant(s), including allograft or synthetic device(s)

Liver disease, analysis of 3 biomarkers (hyaluronic acid [HA], procollagen III amino terminal peptide [PIIINP], tissue inhibitor
of metalloproteinase 1 [TIMP-1]), using immunoassays, utilizing serum, prognostic algorithm reported as a risk score and
0014M risk of liver fibrosis and liver-related clinical events within 5 year
 Summary
➢ The annual update to the CPT code set created 349 editorial changes, including 230 additions, 49
deletions and 70 revisions
➢ AMA now offers Spanish language descriptors for more than 11,000 medical procedures and services to
bridge language barriers and make healthcare more inclusive and transparent for Spanish-speaking
patients
➢ Changes include the consolidation of more than 50 previous codes that streamline the reporting of
immunizations for COVID-19
➢ The CPT editorial panel also approved the provisional codes (91318-91322) to identify monovalent
vaccine products from Moderna and Pfizer for immunization against COVID-19
➢ A new vaccine administration code (90480) was approved for reporting the administration of any COVID-
19 vaccine for any patient, replacing all previously approved product-specific vaccine administration code
➢ Five new CPT codes have been created to report product-specific respiratory syncytial virus
immunizations (90380, 90381, 90683, 90679, and 90678)
➢ The CPT editorial panel added revisions to clarify the reporting of evaluation and management services.
These include: The removal of time ranges from office or other outpatient visit codes (99202-99205,
99212-99215) and alignment of the format with other E/M codes.
 References
✓ https://www.ama-assn.org/press-center/press-releases/ama-releases-cpt-2024-code-
set
✓ https://www.ama-assn.org/system/files/vaccine-long-descriptors.pdf
✓ https://public-inspection.federalregister.gov/2023-24184.pdf
✓ https://www.beckershospitalreview.com/finance/ama-posts-cpt-2024-code-set.html
✓ https://www.uhcprovider.com/content/dam/provider/docs/public/policies/attachments/pre
ventive-care-services-vaccine-codes.pdf
THANK YOU