decisionhealth Newsletters, Coder Pink Sheets - 2024 Issue 7 (July)
New codes on the way for interpositional arthroplasty, CAR-T therapy and thoracic fascial pain blocks
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Article Overview
This article gives a high-level preview of proposed 2025 CPT updates discussed in the CMS fee schedule, including new code families, code replacements, and related valuation or status considerations. It is intended for coders, billers, and revenue cycle staff who track CPT development and Medicare policy changes across multiple specialties.
Why This Topic Matters
These proposed changes may affect how practices prepare for upcoming CPT updates, monitor Medicare coverage and status decisions, and understand which service areas are likely to see new reporting options or code revisions.
Article Sections
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Bundled code for interpositional arthroplasty
Discusses a proposed combined hand surgery code and related revisions under consideration in the CPT update process.
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Skin cell suspension autograft
Reviews a new group of integumentary system codes and CMS commentary on valuation for these services.
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CAR-T Therapy moves from Category III to Category 1
Covers new reporting for CAR-T-related services and the transition described in the article.
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Intra-abdominal tumor excision or destruction
Summarizes proposed coding for procedures involving abdominal tumor or cyst excision or destruction.
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Two new bladder neck and prostate procedure codes
Addresses new urologic procedure reporting for temporary device insertion and removal.
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MRI-monitored transurethral ultrasound ablation (TULSA) of prostate
Introduces proposed prostate ablation codes associated with MRI guidance.
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Thoracic fascial plane blocks
Describes new pain management block codes in the thoracic region and related imaging guidance.
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Intracranial high-intensity focused ultrasound
Covers a proposed replacement code for an intracranial ablation service and the context for the change.
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Percutaneous radiofrequency ablation of thyroid
Summarizes proposed thyroid ablation coding, including a primary code and an add-on code.
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Magnetic resonance examination safety procedures
Reviews a new radiology code family for MRI-related safety work involving implanted devices.
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Telemedicine E/M services
Discusses proposed telemedicine evaluation and management codes, including comparison with existing office/outpatient and telecommunications-related services.
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Genetic counseling services
Covers a proposed replacement code for genetic counseling and the CMS status considerations noted in the article.
What You Will Learn
- Which clinical service areas are affected by the proposed CPT updates.
- How the article frames proposed code additions, replacements, and deletions.
- What broad CMS policy themes are associated with the new code families.
- Which specialties and service categories are most directly impacted by the previewed changes.
Who Should Read This
- Medical coders
- CPT and ICD coding professionals
- Physician practice administrators
- Revenue cycle staff
- Compliance staff
- Specialty billing teams
Codes Discussed
Code Ranges Discussed
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