2024 CPT® Medical Coding Updates

Coding changes have been finalized and there are many coding changes and payment policies that went into effect in 2024.

CMS extended telehealth flexibility into 2024 

• Originating site restriction is waived
• Rural emergency room can be originating site
• Codes 99441-99443 will be reimbursed through December 31, 2024
• Telehealth services for mental health disorders is a covered service

Evaluation and Management (E/M)

• Office visit codes 99202-99205 and 99212-99214 are revised to indicate minimum total time on date of encounter to meet or exceed in minutes 
• For the purpose of split/shared visits, the physician or qualified healthcare professional (QHP) who performs substantive portion of medical decision making is the billing provider
• Guidelines are revised for hospital codes 99234-99236 denoting to report only when length of stay is more than 8 hours by same physician or team

Surgery 

• Codes 22836-22838 are new codes describing anterior thoracic vertebral body tethering (VBT) used to correct scoliosis without fusion a tether to compress the vertebral growth plates 
• 27278 is a new code to report percutaneous arthrodesis of sacroiliac joint (replaces 0775T)
• Bunionectomy codes 28292, 28296-28299 descriptions have been revised to report bunion correction performed with or without resection of bunion 
• 28740 parenthetical notes added noting to use this code when fusion is performed without concomitant removal of distal medial prominence to correct hallux valgus
• 31242-31243 are new codes for endoscopic nasal destruction
• 33276-33281, 33287, 33288 are new codes to report procedures of phrenic nerve stimulator system (replace 0424T-0436T)
• 52284 is a new code used to report cystourethroscopy with mechanical urethral dilation  and therapeutic drug delivery via drug-coated balloon catheter (replaces 0499T) 
• 58580 is a new code to report transcervical radiofrequency ablation of uterine fibroids (replaces 0404T)
• 61889-61892 are new codes describing brain neurostimulator procedures
• Code 63685 has been revised to indicate removal of coupling and added pocket creation requirement 
• Code 63688 has been revised with added notation of detaching electrode array
• 64590 is revised instructing on insertion or revision of neurostimulator
• 64595 is revised instructing on revision or removal of neurostimulator
• 64596-64598 are new codes used to report for procedures on integrated neurostimulator electrode services of the peripheral nerves (replaces codes 0784T-0789T)
• 67516 is a new code used to report administration of a drug into the suprachoroidal space (replaces 0465T)

Radiology

• 75580 is a new code coronary computed tomography angiography code
• Codes 76984, 76987-76989 are new codes for cardiac ultrasounds
• 74710 has been deleted

Pathology

• Pathology code descriptions with phrasing “mental retardation” is replaced with updated terminology comprised of the genes, associated proteins or diseases approved by the Human Genome Organization (HUGO)
• Codes 81445, 81449, 81450, 81451, 81455 and 81456 have been revised to reflect genome sequencing analysis 
• Codes 81457-81459 are reported for tissue tumor
• Codes 81462-8164 are reported for cell-free nucleic acid, also known as liquid biopsy
• Codes 86041-86043, 86366 are added to report testing for acetylcholine receptor antibody
• Code 88366 has notes to use in conjunction with other codes when digitization of glass microscope slides
• Many parenthetical notes added and revised
• 61 codes added to proprietary laboratory analyses (PLA) 

Medicine

• Codes 90380 and 90381 are new codes for RSV antibody
• Guidelines have been added to codes 90480 and 90481 directing the use of the codes to report administration of immune globulins and monoclonal antibodies only when the healthcare provider provides face-to-face counseling during the administration of a vaccine
• New vaccine product codes include 90611, 90460-90474, 90622, 90623
• 90679 is a new code describing prevention of RSV virus
• 90683 is a new code used to report RSV 
• Revision of administration code 0094A is updated with specified age
• 0113A is a new code for third-dose administration
• Codes 91312-91317 are new codes used to report bivalent products
• Many updates to immunizations have been made to include updates to ages, dosing schedules, and administration and products
• New codes established to report programming of phrenic nerve stimulation system
• Parenthetical notes added to codes pertaining to nerve stimulator reporting include restriction for reporting interrogation and reporting in conjunction with insertion, removal and programming components
• Codes 97550-97552 are new codes for Physical Medicine and Rehabilitation/Therapeutic Procedures (PM&R)
• Parenthetical notes added to PM&R codes adding explanation for reporting skilled training provided by qualified healthcare professionals (QHPs) to caregivers without the presence of patient

Category III

• Code 0014M has been deleted
• Code 0404T has been deleted
• Codes 0424T-0436T have been deleted
• Code 0465T has been deleted
• Code 0499T has been deleted
• 0501T-0504T has been deleted
• Codes 0587T-0590T have been revised adding terminology to reflect their use for treatment of bladder dysfunction
• Codes 0656T-0657T have been revised to clarify VBT in the lumbar and thoracic spine region
• 0790T is a new Category III code used to describe revision, replacement or removal of VBT 
• 0795T-0804T have been revised to explain the differences between leadless pacemakers
• 0809T is deleted.