2025 AMA CPT Coding Updates: Get Prepared for Faster Reimbursement

Event Materials (Key Required)

In order to be ready for the new year all medical practices have to review and implement the AMA CPT changes for dates of service beginning January 1, 2025. There are 420 overall updates in the CPT 2025 code set, including 270 new codes, 112 deletions, and 38 revisions. CPT codes are the primary way providers report their services to insurance companies in hopes that reimbursement for those services are received. Medical reimbursement can be delayed or not received when the code(s) used are not appropriate and don’t comply with the recent changes. It is important that offices have knowledge of the changes to update superbills, EMR, and Practice Management systems.

Learning Objectives:
  • Understand the changes to CPT coding for the upcoming year
  • Determine what needs to be done for providers to be ready for the changes
  • Understand why the CPT codes have been updated
  • Know the important new additions and revised code
  • Know what supporting documentation required
  • Implementation of the new CPT codes for faster reimbursement
  • Create education for office staff that will need to know what the changes are
  • Discuss what should be done post-implementation to confirm denials haven’t increased due to changes
  • Review the plan in making necessary changes to software programs, encounters, and EHRs
Areas Covered in the Session:
  • AMA CPT New Codes
  • AMA CPT Deleted Codes
  • AMA CPT Revised Codes
  • Telemedicine
  • Audio-Only Call – 98000-98015
  • Synchronous Audio-Video E/M Codes – 98000-98007
  • Synchronous-Audio and Video-New Patient Code
  • Synchronous-Audio and Video-Established Patient
  • Brief Synchronous Communication (Virtual Check In)
  • Do’s and Don’ts
  • Telephone Calls
  • Integumentary- Skin Cell Suspension Autograft
    • 15011, 15012 – to report the harvest of epidermal and dermal skin
    • 15013,15014 – to report preparation of SCSA which entails enzymatic procession, and manual mechanical disaggregation
    • 15015-15018 – spray-on application of SCSA with inclusion of primary dressing
    • 15002-15005 – Surgical preparation
  • Musculoskeletal- Inter-positional Arthroplasty with Tendon Transfer
  • Cardiovascular- Cellular and Gene Therapies
    • 38225-38228 – Chimeric antigen receptor T-cell (CAR-T) therapy
  • Digestive- Intra-abdominal Tumor or Cysts
  • Intra-abdominal Tumor or Cyst
  • Prostate Tissue Ablation
  • Temporary Device for Ischemic Remodeling
    • 53865-Cystourethroscopy with insertion of temporary device for ischemic remodeling
    • 53866-Catheterization with removal of temporary device for ischemic remodeling
  • Ablation of Thyroid Nodules
  • MRI-Intracranial Stereotactic Ablation
  • Thoracic Fascial Plane Block
  • Lower Extremity Fascial Plane Block
  • Iris Prosthesis
  • Magnetic Resonance Safety Implant/Foreign Body Procedures
  • Cytogenic Analysis
  • Infectious Disease
  • Transplantation Medicine
  • Beta-amyloid
  • Other Labs
  • COVID and SARS Immunizations
  • Other Vaccines
  • Cerebral Vascular Arterial Studies
  • Other Medicine Codes
  • Category III – 0867T-0947T Added
Suggested Attendees:
  • Billers
  • Coders
  • IT Software Staff
  • Managers
  • Administrators
  • CEOs
  • Physicians
  • Scribes
  • Advance Nurses
  • Physician Assistants
  • Medical Assistants
  • Surgery Schedulers
  • Claims Processors
  • Claims Managers
  • Prior Authorization Staff
Presenter Biography:

Lynn M. Anderanin, CPC, CPB, CPMA, CPC-I, CPPM, COSC, is the Sr. Coding Educator for Healthcare Information Services, a revenue cycle management and consulting service in the Chicagoland area. Prior to relocating to Chicago, Lynn was the Billing Office Manager and surgical coder for Hand Surgery Associates, now Michigan Surgery Specialists in the Detroit Area. She has over 39 years of experience in all areas of the physician practice including Practice Administrator, Billing Manager, and Director of Operations. Her experience is primarily in the specialties of Orthopaedics, Rheumatology, and Hematology/Oncology. She has been a speaker for many conferences, including the AAPC National Conferences and Workshops, Community Colleges, Audio Conferences, Certification classes, and Webinars. Lynn became a CPC in 1993, a Certified Instructor in 2002, and a Certified Orthopedic Surgery Coder in 2009, an examination in which she participated in creating. She passed the Certified Practice Manager exam in 2015, the Certified Medical Auditor exam in 2016, and the Certified Professional Biller exam in 2021. Lynn is the founder of the first local chapter of the AAPC in Chicago, which is now 25 years old, and a former member of the AAPC National Advisory Board as well as several other committees for the AAPC.


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Attendee’s Reviews from the Previous Session:

     1 Month ago By:- Cheryl Colbert

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I really enjoyed the presenter. She was extremely knowledgeable and added in some humor.

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