decisionhealth Newsletters, Part B News - 2025 Issue 7 (July)
Part I: Preview 96 new CPT codes that Medicare will cover in 2026
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Article Overview
This article previews a range of 2026 CPT updates that CMS plans to cover under the Medicare physician fee schedule. It is written for coding professionals who need an early view of new, revised, and replacement services across several CPT chapters, along with the broader context for upcoming Medicare coverage changes and code-set updates.
Why This Topic Matters
It helps coding teams prepare for annual code-set changes by identifying major chapter-level additions, replacement code families, and areas where Medicare coverage is expected to follow the new CPT structure.
Article Sections
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Coding
Introduces the scope of the preview and summarizes the article’s focus on new and replacement CPT services for 2026 Medicare coverage.
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E/M chapter adds 2 RPM services
Covers upcoming changes in remote physiologic monitoring within the evaluation and management area and notes related updates in the Medicine chapter.
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Musculoskeletal chapter adds 2 lengthening codes
Describes new musculoskeletal chapter additions related to limb-lengthening services and associated procedural updates.
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Cardiovascular system chapter gains 48 new codes
Summarizes major cardiovascular chapter changes, including new endovascular repair and revascularization code families and related deletions or revisions.
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Digestive system chapter adds 2 codes
Highlights new digestive system procedures involving ablation and transoral gastric restrictive services.
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Male genital system adds 14 codes
Reviews prostate-related additions and code reshuffling in the male genital system chapter, including biopsy, ablation, and surgical procedure updates.
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Medicine chapter picks up 9 new codes
Covers new medicine chapter services, including scalp cooling, colon motility, PCI-related changes, and remote therapeutic monitoring updates.
What You Will Learn
- Which CPT chapters are receiving notable 2026 additions
- How the article frames new versus replacement services
- What categories of Medicare-covered services are being previewed
- Where remote monitoring, vascular, digestive, prostate, and therapy-related changes appear in the upcoming manual
- How the article organizes the transition from legacy services to newer code families
Who Should Read This
- Professional coders
- Coding auditors
- Revenue cycle teams
- HIM staff
- Physician practice managers
- Compliance teams
Codes Discussed
Code Ranges Discussed
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