Standardized References to Qualified Health Care Professional and Other Related Changes (February 2025)

February 2025 page 12 Standardized References to Qualified Health Care Professional and Other Related Changes For the CPT 2025 code set, multiple Category I codes, specifically codes 98960-98962, 98966-98968, 98970-98972, and their related guidelines and parenthetical notes were revised. One of the critical changes was standardizing the use of “qualified health care professional” (QHP) in reference to nonphysician QHPs, ie, from “qualified, nonphysician health care professional” to “nonphysician qualified health care professional.” This article provides an overview of these and other related changes. To align with the standardization of references to nonphysician QHPs in the CPT 2025 code...

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

Article Overview

This February 2025 CPT Assistant article explains a set of terminology and reference updates in CPT 2025 related to qualified health care professional language and associated guidance. It is useful for coders, billers, compliance staff, and other healthcare professionals who need to understand what parts of the CPT code set were revised and where the related guidance appears in the codebook. The article focuses on broad changes to code family labels, parenthetical references, and accompanying guideline language, along with context about who may report CPT services.

Why This Topic Matters

These updates affect how certain CPT service families are referenced and organized in the 2025 code set, which can influence coding workflows, internal references, and documentation review. Keeping track of these editorial and structural changes helps users stay aligned with the current CPT codebook and related payer expectations.

Article Sections

  1. February 2025 page 12

    Introductory page identifying the article and summarizing the scope of the CPT 2025-related changes discussed in the piece.

  2. Education and Training for Patient Self-Management

    Covers updated terminology and related guidance associated with a CPT patient self-management service family in the 2025 code set.

  3. Non-Face-to-Face Nonphysician Qualified Health Care Professional Services

    Addresses revised subsection naming and related reference changes tied to a telephone service family in CPT 2025.

  4. Telephone Services

    Provides context for the related telephone service references and cross-references discussed in the article.

  5. Nonphysician Qualified Health Care Professional Online Digital Assessment and Management Service

    Summarizes updates to the naming and related guidance for an online digital assessment and management service family in CPT 2025.

  6. Standardized References to Qualified Health Care Professional and Other Related Changes

    Concluding article identification and citation information.

What You Will Learn

  • Which CPT 2025 service families are discussed in the update
  • How the article frames terminology standardization for qualified health care professional references
  • What kinds of related guideline and parenthetical note changes are described
  • Where the article situates the revised guidance within the CPT code set
  • What broader context the article provides about reporting and eligibility considerations

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance teams
  • Practice managers
  • Healthcare providers
  • CPT reference users

Codes Discussed

Code Ranges Discussed


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