October 22, 2024
Source: 2025 CPT Anticipated Code Changes | American College of Radiology (acr.org)
2025 CPT Coding Changes – Radiology
As part of the 2025 CPT code changes, several new codes and revisions will impact radiology effective January 1, 2025. Below is an overview of key updates that radiology practices should be aware of:
New Codes
- MRI Safety Procedures: Six new codes will be introduced in the MR Safety Implant/Foreign Body Procedures subsection. These codes (7XX00-7XX05) will cover services related to implant or foreign body evaluations, safety consultations, electronics preparation, and implant positioning for MRI studies. This section will fall under Radiology/Diagnostic Radiology (Diagnostic Imaging).
- MRI-Monitored Transurethral Ultrasound Ablation (TULSA): New codes (5X006-5X008) will be introduced to cover MRI-monitored TULSA, a procedure that utilizes robotically driven thermal ultrasound for prostate tissue ablation in prostate cancer treatment. These codes will include treatment planning, insertion, and ablation of prostate tissue.
- MRI-Guided High-Intensity Focused Ultrasound (MRgFUS): Code 0398T will be converted from Category III to Category I. This code covers MRgFUS, which is a non-invasive procedure to ablate tissue within the skull. Three new codes will replace 0398T, including codes for treatment planning, insertion, and tissue ablation.
- Transcranial Doppler Studies: Three new add-on codes will be introduced to report various transcranial Doppler procedures:
- Vasoreactivity study
- Emboli detection without intravenous microbubble injection
- Venous-arterial shunt detection with intravenous microbubble injection
- Code 93893 will be revised for venous-arterial shunt detection, and code 93890 will be deleted. The transcranial Doppler code range includes 93886, 93888, 93892, and 93893.
- Percutaneous RF Ablation of Thyroid: A new code will be introduced to report percutaneous radiofrequency ablation of the thyroid under imaging guidance, along with an add-on code for ablating additional thyroid nodules.
- Fascial Plane Blocks: Six new codes will be created for reporting specific fascial plane block injections or infusions in various regions:
- Codes 64486-64489 will be revised to specify transverse abdominis plane (TAP) blocks, and additional guidelines will reflect these changes. These codes cover both unilateral and bilateral TAP blocks and continuous infusions.
Revisions
- Vascular Procedure Guidelines: Revisions will clarify that add-on code 75774 for angiography (selective, each additional vessel studied) can now be reported for both arteries and veins. Cross-references for angiography and catheterization codes, such as 75600-75756 and 36215-36248, will be deleted.
Deletions
- MRgFUS Code: Code 0398T for MRgFUS will be deleted and replaced by the new Category I codes.
- Transcranial Doppler Code: Code 93890, which covered certain transcranial Doppler studies, will be deleted.
- Telemedicine Office Visits: Codes 99441-99443 for telephone evaluations and management services will be removed, as new telemedicine office visit codes will replace them.
Telemedicine Services
A new subsection within Evaluation and Management (E/M) will include 17 new telemedicine codes. These will cover telemedicine services for both audio-visual and audio-only visits. Additionally, a new virtual check-in code will be introduced to evaluate whether an in-person visit is required, similar to HCPCS code G2012. The deleted codes will include 99441, 99442, and 99443.
Category III Extensions
Several Category III codes scheduled to sunset in 2025 will be extended until December 2030. These include:
- 0071T and 0072T: Focused ultrasound ablation of uterine leiomyomata with MR guidance
- 0075T and +0076T: Transcatheter placement of extracranial vertebral artery stents
- 0200T and 0201T: Percutaneous sacral augmentation, unilateral and bilateral injections
- 0554T-0558T: Bone strength and fracture risk analysis using finite element data from CT scans
- 0559T and +0560T: 3D-printed anatomical models
- 0561T and +0562T: 3D-printed anatomical guides