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NHA CMA 2025

2025 CPT Coding Updates

TermDefinition
CPT Current Procedural Terminology services and procedures for health care professionals
ICD-10-CM International Classification of Diseases - 10th Revision - Clinical Modifications dx codes
ICD-10-PCS International Classification of Diseases - 10th Revision - Procedure Coding System procedures for in-pt facilities
HCPCS Healthcare Common Procedure Coding System meds, supplies, DME, and services not included in CPT
Evaluation and Management Category 1 99202 to 99499
Anesthesia Category 1 00100 to 01999
Surgery Category 1 10004 to 69990
Radiology Category 1 70010 to 79999
Pathology & Laboratory Category 1 80047 to 89398 ; 0001U to 0520U
Medicine Category 1 90281 to 99607
CPT Code - Category 1 all specific codes have a relative value --> informs reimbursement amount of code each section includes unlisted codes (no relative value)
CPT Code - Category 2 - performance measurement - reduces data collection and auditing - optional use (NOT SUB FOR CATEGORY 1)
CPT Code - Category 3 - temp codes for new/emerging services, etc. - not assigned relative value, payers allow reimbursement - supersede Category 1 unlisted codes
Created by: linju156
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