2025 CPT/HCPCS Billing and Coding Article Updates

Date Posted: January 2, 2025

These Billing and Coding Articles have been revised under contractor numbers: 02102 (AK), 02202 (ID), 02302 (OR), 02402 (WA), 03102 (AZ), 03202 (MT), 03302 (ND), 03402 (SD), 03502 (UT), and 03602 (WY).

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
A56124 Billing and Coding: Billing Limitations for Pharmacies 90695 90630
90654		 90661
A58138 Billing and Coding: Implantable Continuous Glucose Monitors (I-CGM) G0564
G0565		 N/A N/A
A59056 Billing and Coding: Influenza Diagnostic Tests 0528U N/A N/A
A57513 Billing and Coding: Magnetic-Resonance-Guided Focused Ultrasound Surgery (MRgFUS) for Essential Tremor and Tremor Dominant Parkinson's Disease 61715 0398T N/A
A56073 Billing and Coding: In Vitro Chemosensitivity & Chemoresistance Assays N/A 0564T N/A
A57222 Billing and Coding: Plastic Surgery N/A N/A 15830, 15832, 15833, 15834, 15835, 15836, 15837, 15838, 15839, 19316, 19350
A56515 Billing and Coding: Mohs Micrographic Surgery N/A N/A 88309
A57184 Billing and Coding: Cardiovascular Stress Testing, Including Exercise and/or Pharmacological Stress and Stress Echocardiography N/A N/A 93320, 93321, 93325
A57225 Billing and Coding: Respiratory Care N/A N/A 94681, 94690
A57191 Billing and Coding: Blepharoplasty, Eyelid Surgery, and Brow Lift N/A N/A 15822, 15823
A54992 Billing and Coding: Nerve Conduction Studies and Electromyography N/A N/A 95860, 95861, 95863, 95864, 95865, 95866, 95867, 95868, 95869, 95870, 95872
A53046 Billing and Coding: Wound Care & Debridement – Provided by a Therapist, Physician, NPP or as Incident-to Services N/A N/A 29580
A58567 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