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Significant Expansion of Primary Care Service Codes in 2025: What You Need to Know


Significant Expansion of Primary Care Service Codes in 2025: What You Need to Know

Date Posted: Tuesday, October 08, 2024

 

In 2025, the landscape of primary care coding will see a major expansion. To ensure timely payments, it's crucial for primary care practices to familiarize themselves with the upcoming changes before the implementation date of January 1, 2025.

 

On September 1, the American Medical Association unveiled the 2025 Current Procedural Terminology (CPT) code set, featuring 270 new codes, 38 revisions, and 112 deletions. Although the complete 2025 CPT code books are not yet available, many updates can be accessed through recent minutes from the CPT Editorial Committee meetings. Here are some key highlights.

 

Introduction of 17 New Telemedicine Codes

 

The COVID-19 pandemic accelerated the adoption of telemedicine, leading insurers to accept standard outpatient codes (99202-99215) with modifier 95 for telehealth services. Recognizing the need for distinct telehealth codes, the CPT Editorial Committee has created a new section dedicated to evaluation and management (

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