CPT Code News: What’s New for Medical Coders and Providers

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

Article Overview

This article summarizes major CPT code changes for 2025 and 2026, including updates across evaluation and management, surgery, radiology, pathology, telemedicine, remote monitoring, AI-related services, and other emerging areas. It is aimed at medical coders, revenue cycle staff, and healthcare organizations that need a high-level understanding of what changed and why staying current matters for billing accuracy, compliance, and workflow maintenance.

Why This Topic Matters

CPT updates can affect documentation, claim processing, reimbursement, and compliance across many clinical settings. This article helps readers understand the scope of annual changes and the kinds of operational areas that may need review when code sets are updated.

Article Sections

  1. Current Procedural Terminology overview

    Introduces the CPT code set, its purpose in documenting services, and the role of the American Medical Association in publishing updates.

  2. Key 2025 updates

    Summarizes the scope of the 2025 CPT update cycle and the main areas of change across multiple service categories.

  3. Category highlights

    Provides a broad look at the major update themes affecting coding categories and specialty areas in 2025.

  4. E/M: Telehealth in the Spotlight

    Covers telemedicine-related changes within evaluation and management services and the broader organization of that section.

  5. Surgery/Radiology: Consolidations and Removals

    Discusses surgical and radiology-related updates, including consolidations, deletions, and newly added service areas.

  6. Pathology

    Reviews laboratory and pathology-related changes, including additions tied to newer testing and service categories.

  7. What We Know About 2026 CPT Codes

    Summarizes the upcoming 2026 CPT update cycle and the broad categories of services affected.

  8. Why CPT Updates Matter

    Explains the operational importance of staying current with annual CPT changes for billing and compliance.

  9. Staying Current

    Offers a high-level reminder about reviewing official guidance, training staff, and updating workflows when code sets change.

  10. Simplify Coding and Compliance With Nym

    Describes a workflow-automation tool and its role in supporting coding updates and compliance processes.

What You Will Learn

  • The general scope of annual CPT update cycles
  • Which broad clinical and administrative areas were affected in 2025 and 2026
  • How telehealth, remote monitoring, AI-related services, surgery, radiology, and pathology fit into the update discussion
  • Why organizations need to monitor CPT changes for billing and compliance
  • How automated coding tools are presented as a way to manage update volume

Who Should Read This

  • Medical coders
  • Coding managers
  • Revenue cycle teams
  • Health information management professionals
  • Compliance staff
  • Healthcare providers
  • Healthcare organizations

Codes Discussed

Code Ranges Discussed

  • CPT: 49186–49190
  • CPT: 76014–76019

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