2025 CPT Code Changes - Key Updates for Medical Coders

Paul Cadorette, CPC, COC, CPC-P, COSC, CASCC, Director, Training and Education, Coding, nimble solutions

Join Paul Cadorette on Dec. 17^th at 1pm Central for The Anatomy of Coding: 2025 CPT Code Changes webinar. Register here to reserve your spot today!

The Current Procedural Terminology (CPT) 2025 code set includes 420 updates (270 new codes, 112 deletions, 38 revisions), reflecting advancements in medicine and technology. Key changes include updates in digital medicine (revised RTM services), AI applications (new codes for augmentative AI in imaging and diagnostics), and general surgery (skin grafts and tumor removal). These updates ensure the CPT remains a vital, standardized tool for data-sharing in healthcare.

Updates for 2025 introduce important changes in documentation and reporting requirements, as well as other challenges for ASCs. Read the 6 key takeaways from our coding experts before the live webinar on December 17 at 1:00PM central!

1. Skin Cell Suspension Autograft (SCSA)

This new autologous grafting technique involves three steps: tissue harvesting, processing, and application. What sets SCSA apart is its unique "spray-on" application. Proper coding guidelines for each stage of this innovative procedure will be essential for accurate reporting.

2. CMC Arthroplasty

Changes in CMC arthroplasty coding simplify reporting. A new CPT code combines interpositional arthroplasty (previously reported as 25447) with tendon transfer procedures (formerly coded as 26480 or 25310). For standalone tendon interposition, 25447 remains valid, but the new code replaces previous combinations.

3. Intra-Abdominal Tumors or Cysts

New CPT codes address excision or destruction of intra-abdominal tumors and cysts. These codes come with extensive section-specific guidelines, making it critical to review the rules thoroughly for accurate documentation and billing.

4. Thermal Ultrasound Tissue Ablation of the Prostate

Three new codes cover thermal ultrasound ablation of the prostate:

• The first includes suprapubic tube placement and endorectal cooling device placement.

• The second introduces MRI imaging guidance.

• The third builds on the second, adding suprapubic tube and cooling device placement.

Understanding the nuances of these codes will be vital for correct reporting.

5. Fascial Plane Blocks

New CPT codes now cover thoracic and lower extremity blocks, categorized by location and technique (unilateral/bilateral or injection/continuous infusion). Unlike prior expectations, these codes do not specify block types like iPack or PENG. Coders must familiarize themselves with the procedural specifics to select the correct code.

6. Medicare LCD Updates

Starting November 17, 2025, Medicare LCD guidelines bring changes to MIG services, particularly for cataract procedures. For cataract extraction with IOL placement and aqueous drainage device insertion, Medicare allows only a single MIG procedure. Performing additional procedures, such as OMNI canaloplasty, risks claim denial.

Stay Prepared

These updates emphasize the importance of staying informed and reviewing all related guidelines for proper coding and compliance. Register for The Anatomy of Coding: 2025 CPT Code Changes on December 17 at 1:00PM Central for an extensive review of the updates. Don't miss this opportunity to elevate your coding expertise and earn CEUs!

For a comprehensive preview of the upcoming webinar, listen to our latest Becker's Healthcare podcast, featuring coding experts Elaine Dunn, chief administrative officer and Jessica Edmiston, senior vice president, coding. At the end of the podcast, tune in for a special offer to attend The Anatomy of Coding: 2025 CPT Code Changes for new registrants!

Register for the Tuesday, December 17 at 1:00pm Central for the 2025 CPT Code Changes webinar. Register here to reserve your spot and earn CEU credits by participating in this session.

Public link

Please use the above public link if you want to share this noodl on another website.