2025 CPT/HCPCS Billing and Coding Article Updates

Date Posted: January 2, 2025

These Billing and Coding Articles have been revised under contractor numbers: 01112 (NCA), 01182 (SCA), 01212 (AS, GU, HI, and NMI), and 01312 (NV).

Effective Date: January 1, 2025

Summary of Changes: The following Billing and Coding Articles have been updated to include and/or remove CPT/HCPCS codes as well as update descriptions. For description changes, either the short and/or long code description was changed. Please Note: Depending on which descriptor was used, there may not be any changes to the code display in the article.

MCD Number Billing and Coding Article Title New CPT/HCPCS Codes Deleted CPT/HCPCS Codes CPT/HCPCS Codes Descriptor changes
A56119 Billing and Coding: Billing Limitations for Pharmacies 90695 90630
90654		 90661
A58133 Billing and Coding: Implantable Continuous Glucose Monitors (I-CGM) G0564
G0565		 N/A N/A
A59055 Billing and Coding: Influenza Diagnostic Tests 0528U N/A N/A
A57512 Billing and Coding: Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor and Tremor Dominant Parkinson's Disease 61715 0398T N/A
A56071 Billing and Coding: In Vitro Chemosensitivity & Chemoresistance Assays N/A 0564T N/A
A57221 Billing and Coding: Plastic Surgery N/A N/A 15830, 15832, 15833, 15834, 15835, 15836, 15837, 15838, 15839, 19316, 19350
A56514 Billing and Coding: Mohs Micrographic Surgery N/A N/A 88309
A57183 Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography N/A N/A 93320, 93321, 93325
A57224 Billing and Coding: Respiratory Care N/A N/A 94681, 94690
A57181 Billing and Coding: Allergy Testing N/A N/A 95004, 95017, 95018, 95027, 95028, 95044, 95052, 95056, 95060, 95065, 95070
A57190 Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift N/A N/A 15822, 15823
A54969 Billing and Coding: Nerve Conduction Studies and Electromyography N/A N/A 95860, 95861, 95863, 95864, 95865, 95866, 95867, 95868, 95869, 95870, 95872
A53296 Billing and Coding: Wound Care & Debridement – Provided by a Therapist, Physician, NPP or as Incident-to Services N/A N/A 29580
A58565 Billing and Coding: Wound and Ulcer Care N/A N/A 29580

Visit the Medicare Coverage Articles webpage to view the Active Billing and Coding Articles or access it via the CMS MCD.

Last Updated Jan 02 , 2025