AMA Clinical Examples in Radiology - 2024 Bulletin 2
Changes for CPT 2025 Code Set
Changes for CPT ® 2025 Code Set The following is a partial list of new Current Procedural Terminology (CPT ® ) codes and some of their descriptors from the CPT 2025 code set. For a complete list of the changes, refer to the American Medical Association's (AMA's) CPT ® 2025 codebook and/or code set, as well as the publication, CPT ® Changes 2025: An Insider's View. NEW CATEGORY I CODES The following Category I codes will be effective and available for reporting services provided beginning January 1, 2025. MRI-Monitored Transurethral Ultrasound Ablation Three new codes have been established to...
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Article Overview
This article summarizes selected changes in the CPT 2025 code set. It covers newly added and revised procedures in radiology, telemedicine, vascular studies, and related services, along with deleted codes, retained Category III codes, and a brief note on Medicare MIPS and proposed coverage developments. It is useful for coding professionals, billing teams, radiology practices, and other clinicians who need a high-level view of what changed for 2025.
Why This Topic Matters
CPT annual updates can affect reporting, documentation, and workflow across multiple specialties. This overview helps readers quickly identify whether the 2025 changes may affect their service lines, compliance processes, or coding references.
Article Sections
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New Category I Codes
Introduces selected new Category I CPT codes effective for 2025 across multiple clinical services. The section groups updates by procedure category and specialty area.
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MRI-Monitored Transurethral Ultrasound Ablation
Summarizes a new radiology/urology procedure category related to MRI-monitored transurethral ultrasound ablation services. It also notes related reporting context for the updated code set.
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Intracranial MRI-Guided High Intensity–Focused Ultrasound
Covers the conversion of a prior Category III service to a Category I code for intracranial MRI-guided focused ultrasound. The section also explains the broader service context for this update.
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Transcranial Doppler
Reviews updates to transcranial Doppler reporting, including add-on code additions, guideline revisions, and deletion of an older code. It also references related cerebrovascular study guidance.
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Percutaneous Radiofrequency Ablation of Thyroid
Describes new thyroid ablation reporting for percutaneous image-guided services and a related add-on code. The section places the update within the thyroid ablation service category.
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Fascial Plane Blocks
Summarizes newly established anesthesia pain-management codes for fascial plane blocks in thoracic and lower extremity regions. It also notes guideline revisions affecting related block categories.
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MR Examination Safety Procedures
Covers a new set of MR safety service codes and the new subsection where they are placed. The section describes the broad categories of implant and foreign-body safety work surrounding MR examinations.
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New Category III Codes
Introduces newly added Category III procedures effective for 2025. The section groups several emerging technologies and investigational or temporary reporting categories.
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MRgFUS for Blood-Brain Barrier Disruption
Summarizes a new Category III code for MRgFUS related to blood-brain barrier disruption. The section addresses the service’s place within intracranial imaging-guided technology reporting.
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Bone Marrow Biopsy Implant
Covers a new code for placement of a bone marrow sampling port. The section situates the code within image-guided implant-related procedures.
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Percutaneous Ablation Treatment Services
Describes a new code for 3D contour simulation related to image-guided percutaneous microwave ablation workflows. It also notes the surrounding imaging and modeling context.
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Computed Tomography (CT)-Guided Implant Movement Analysis
Summarizes a new technology code for CT-based implant movement analysis. The section explains the general purpose of paired imaging in orthopedic assessment.
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Other Non-Radiology Category I Codes
Introduces additional 2025 changes outside the radiology section. This portion transitions to telemedicine and evaluation-and-management updates.
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Telemedicine Services
Covers new telemedicine-related guidelines and code families for audio-video, audio-only, and brief communication services. It also notes deletion of older telephone evaluation codes.
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Synchronous Audio-Video Evaluation and Management Services
Lists the new audio-video evaluation and management service codes for new and established patients. The section organizes them by visit type and patient status.
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Synchronous Audio-Only Evaluation and Management Services
Lists the new audio-only evaluation and management service codes for new and established patients. The section organizes them by visit type and patient status.
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Brief Synchronous Communication Technology Service (eg, Virtual Check-In)
Covers a brief communication-based telehealth service code for established patients. The section highlights where this service fits within the telemedicine update.
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Revised Codes and Guidelines
Summarizes selected code and guideline revisions included in the 2025 update. The section covers changes affecting radiology and vascular procedure guidance.
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Diagnostic Radiology (Diagnostic Imaging)
Reviews revisions to diagnostic radiology guidance, including MRI-related functional imaging references. The section focuses on updated language and related code-use context.
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Vascular Procedures
Covers updates to vascular procedure guidelines and related cross-reference changes. The section also notes a revised transcranial Doppler descriptor.
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Deleted Codes
Lists codes removed from the CPT 2025 code set. The section identifies prior services that are no longer retained in the updated codebook.
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Sunset Year Extended and Category III Codes Retained
Summarizes Category III codes whose sunset period was extended and which remain in the code set through a later date. The section groups retained temporary codes by service category.
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Radiology-Related 2024 Medicare MIPS Measures
Provides a brief reminder about selected radiology-related Medicare MIPS measures for 2024. It also notes threshold and registry-related context relevant to performance reporting.
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Medicare Coverage for CT Colonography for Colorectal Cancer Screening
Notes a proposed Medicare coverage development affecting CT colonography screening. The section places the proposal within broader colorectal cancer screening policy discussions.
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Sources
Lists source references supporting the article. This section contains citation information and related external documents.
What You Will Learn
- Which parts of the CPT 2025 update introduce new reporting categories
- Which specialty areas are affected by the 2025 CPT changes
- How telemedicine, radiology, vascular, and other service families are impacted at a high level
- Which codes were deleted, revised, converted, or retained for another period
- What general policy and quality-reporting topics are mentioned alongside the code updates
Who Should Read This
- Medical coders
- Coding auditors
- Billing and reimbursement staff
- Radiology practices
- Telehealth practices
- Physicians and other qualified health care professionals
- Practice managers
- Compliance teams
Codes Discussed
Code Ranges Discussed
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