CPT Surgery Section update 2025: Digestive and urinary systems

The Second Quarter 2025 issue of Coding Clinic for HCPCS highlighted new Category III codes 0884T , 0885T and 0886T for endoscopic dilation using a drug-coated balloon catheter. This brief article reviews new, revised, and deleted codes in the digestive and urinary systems. Digestive system: Abdomen, peritoneum, and omentum In the Digestive System codes, 49203 , 49204 , and 49205 have been deleted. These codes were reported based on the single largest tumor excised or destroyed. Five new codes 49186 , 49187 , 49188 , 49189 , and 49190 have been established to capture the open surgical excision or destruction of intra-abdominal primary or secondary tumor(s)...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This premium update reviews 2025 CPT surgery section changes for the digestive and urinary systems. It is designed for coders, billers, and compliance staff who need to understand which code sets were revised, what new codes were introduced, and what general reporting guidance accompanies the update. The article also notes references to supporting guidance sources and the kinds of parenthetical and cross-reference notes that accompany the changes.

Why This Topic Matters

Code set updates can affect claim accuracy, documentation alignment, and code selection workflows across surgical and urologic services. Reviewing these changes helps practices and facilities stay current with annual coding revisions and associated reporting guidance.

Article Sections

  1. Digestive system: Abdomen, peritoneum, and omentum

    Covers 2025 changes in the digestive system portion of the CPT surgery section, including deleted and newly established codes and broad reporting guidance for this body region.

  2. Urinary system: Introduction and urethra

    Covers 2025 additions in the urinary system portion of the CPT surgery section and the general purpose of the new codes in this area.

What You Will Learn

  • Which CPT surgery section areas were updated for 2025
  • What types of digestive system code changes were made
  • What types of urinary system code additions were introduced
  • What general reporting guidance accompanies the updates
  • Where supporting coding guidance is referenced

Who Should Read This

  • Medical coders
  • Coding managers
  • Billing staff
  • Compliance professionals
  • Revenue cycle teams
  • Urology and general surgery practices

Codes Discussed

Code Ranges Discussed


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