AMA Clinical Examples in Radiology - 2026 Bulletin 1
Anticipated Changes for CPT 2027 Code Set
Anticipated Changes for CPT 2027 Code Set For the Current Procedural Terminology (CPT ® ) 2027 code set, there will be several radiology code changes, including new codes to report magnetic resonance angiography (MRA) of the head and neck, prostate biopsy services, intraosseous fiducial marker placement, pancreatic histotripsy, quantitative MR analysis of hepatic steatosis, and digital three-dimensional (3D) modeling, among others. The following is a summary of anticipated CPT code changes that may affect radiology. It reflects actions taken by the CPT Editorial Panel (the Panel). This summary is not intended to be an all-inclusive list of CPT changes...
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Article Overview
This article provides a high-level preview of anticipated CPT 2027 changes affecting radiology and related procedural services. It is intended for coders, billers, and other health care professionals who track CPT updates and need to monitor upcoming additions, revisions, deletions, and extensions across several imaging- and procedure-related topics. The article also notes the CPT Editorial Panel and AMA context for these pending updates.
Why This Topic Matters
Understanding upcoming CPT changes helps coding teams prepare for annual code-set updates, review documentation workflows, and anticipate how radiology and related services may be affected when the 2027 codebook is finalized.
Article Sections
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Category I Codes
Introduces the major groups of anticipated Category I updates for the 2027 CPT code set and notes their expected effective timing.
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Head and Neck Magnetic Resonance Angiography (MRA)
Summarizes planned changes affecting the head and neck MRA code family and the related scope of reporting changes.
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Prostate Biopsy Services
Reviews anticipated restructuring and editorial changes for prostate biopsy-related services in the CPT 2027 update.
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Intraosseous Fiducial Marker Placement
Describes new coding activity for fiducial marker placement services performed with imaging support.
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Category III Codes
Introduces the anticipated Category III additions scheduled for mid-2026 reporting and the broader technology-focused areas they address.
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Pancreatic Histotripsy
Covers the planned new Category III reporting option for a pancreatic treatment technology.
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Quantitative Magnetic Resonance (MR) Analysis of Hepatic Steatosis
Summarizes the planned new code for liver steatosis assessment and its relationship to existing magnetic resonance reporting concepts.
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Digital 3D Modeling
Describes the creation of new time-based codes related to patient-specific digital three-dimensional modeling workflows.
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Ultrasonic Propulsion Clearance of Urinary Calculi
Covers the anticipated new reporting option for an ultrasound-based stone management service.
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Quantitative Transmission Volumetric Ultrasound Tomography of Breast
Summarizes the planned new Category III code for breast imaging analysis and related quantitative output.
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Revised Codes
Introduces the set of CPT code families and guideline areas expected to receive editorial revisions in 2027.
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Carpometacarpal Aspiration or Injection
Notes revisions to injection and aspiration coding language affecting joint-related reporting.
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Spine Deformity
Describes guideline and parenthetical revisions for a spine deformity subsection and related code groupings.
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Sacroiliac (SI) Joint Arthrodesis
Summarizes planned clarification changes affecting reporting for SI joint fusion services.
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Transcatheter Intracardiac Shunt (TIS) Optimization
Covers planned descriptor and guideline updates for intracardiac shunt-related procedures.
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Lumbar Paravertebral Block/Paraspinous Block
Notes a planned parenthetical deletion affecting reporting guidance for a lumbar/paraspinous block code.
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Deleted Codes
Lists codes scheduled for deletion in the 2027 update and provides the associated code entries referenced in the article.
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Retained Codes
Lists Category III codes scheduled to remain available longer than originally expected and notes the extension period.
What You Will Learn
- Which broad radiology and procedure categories are expected to change in CPT 2027.
- How the article distinguishes among new, revised, deleted, and retained code groups.
- Which types of services are included in the planned updates across imaging and procedure reporting.
- The general timeline for when different CPT changes are expected to take effect.
Who Should Read This
- Medical coders
- Radiology billing staff
- Compliance professionals
- Practice managers
- Health information professionals
- Physicians and advanced practice clinicians involved in procedure documentation
Codes Discussed
Code Ranges Discussed
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