AMA Clinical Examples in Radiology - 2025 Bulletin 1
Anticipated Changes for CPT 2026 Code Set
Anticipated Changes for CPT 2026 Code Set For the Current Procedural Terminology (CPT ® ) 2026 code set, there will be several radiology code changes, including new and revised Category I codes to report computed tomography angiography (CTA) of the head and neck, computed tomography cerebral perfusion (CTP), prostate biopsy, irreversible electroporation (IRE), thoracic branch endograft services, lower extremity (LE) vascular procedures, radiation oncology treatment delivery, endovascular therapy, and sacroiliac (SI) arthrodesis. The new and revised codes will be available in the CPT 2026 code set, which will be effective on January 1, 2026. In addition, new Category III...
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Article Overview
This article summarizes proposed and anticipated changes for the CPT 2026 code set and related July 2025 Category III additions. It is useful for professional coders, billing staff, physicians, and revenue cycle teams who need to track upcoming revisions across radiology, vascular, prostate, oncology, and other procedural categories. The article also notes administrative context from the CPT Editorial Panel, AMA, RUC, RAW, and CMS, along with an MPPR-related imaging code table for 2025.
Why This Topic Matters
CPT updates can affect documentation, coding workflows, charge capture, and preparation for annual code set implementation. This article helps readers identify which service categories are changing and where additional guideline revisions, deletions, and new code families may require review.
Article Sections
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Category I Codes
Overview of anticipated Category I updates for the 2026 CPT code set across several procedural areas. The section summarizes broad areas of change and the timing of implementation.
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Head and Neck Computed Tomographic Angiography (CTA)
Discusses planned updates related to head and neck CTA reporting. The section notes that related services were reviewed for consolidation.
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Computed Tomography Cerebral Perfusion (CTP)
Covers anticipated additions tied to cerebral perfusion reporting in the context of neurovascular care. The section also notes a related code deletion.
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Prostate Biopsy
Summarizes anticipated prostate biopsy reporting changes, including guideline updates and code-family restructuring. The section describes related panel review activity.
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Irreversible Electroporation (IRE)
Describes planned updates for irreversible electroporation reporting involving current and new code structures. The section addresses both Category I and Category III activity.
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Thoracic Branch Endograft Services
Reviews expected changes for thoracic branch endograft services and associated guideline revisions. The section also notes code deletions tied to the service category.
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Lower Extremity (LE) Vascular Procedures
Covers anticipated revisions for lower extremity vascular procedure reporting. The section includes broad guideline and code-set changes.
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Radiation Oncology Treatment Delivery
Summarizes planned updates to radiation treatment delivery reporting. The section addresses revisions, clarifications, and deletions within the code family.
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Category III Codes
Introduces the July 2025 Category III additions included in the article. The section outlines several emerging technology areas covered by new reporting options.
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Benign Prostate Ablation with HIFU
Covers a new Category III reporting area for a prostate-related technology. The section identifies the general clinical focus of the code addition.
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Hemodynamic Inferior Vena Cava (IVC) Monitoring
Discusses a new Category III reporting area for hemodynamic monitoring technology. The section notes the body region and device-based focus.
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Laser Ablation of Breast Tumor
Describes a new Category III reporting area for laser-based treatment of breast lesions. The section identifies the broad clinical application.
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Revised Codes
Summarizes code families and guideline areas scheduled for revision in the 2026 CPT code set. The section covers endovascular therapy and sacroiliac arthrodesis.
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Endovascular Therapy
Covers anticipated revisions to endovascular therapy reporting and related guideline structure. The section notes that several services were reviewed together for bundling considerations.
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Sacroiliac (SI) Arthrodesis
Summarizes planned updates to sacroiliac arthrodesis guidelines and code usage language. The section focuses on clarification of reporting structure.
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Deleted Codes
Lists codes expected to be removed from the CPT 2026 code set. The section presents the affected identifiers and associated descriptors in the source article.
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Medicare Multiple Procedure Payment Reduction (MPPR) Update
Provides a payment-policy update related to imaging services and Medicare multiple procedure adjustments for 2025. The section includes a table of diagnostic imaging services subject to the policy.
What You Will Learn
- Which procedural categories are expected to change in CPT 2026
- How the article organizes new, revised, and deleted CPT content
- What July 2025 Category III additions are being discussed
- Which organizations and panel processes are referenced in the update
- Which imaging services are included in the 2025 MPPR discussion
Who Should Read This
- Medical coders
- Coding managers
- Physician practices
- Hospital revenue cycle teams
- Radiology billing staff
- Vascular surgery billing staff
- Oncology billing staff
- Compliance teams
Codes Discussed
Code Ranges Discussed
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