New CPT Codes: AI & Patient Monitoring Advances
- Hear's a breakdown of the new and revised CPT codes announced by the AMA, as detailed in the provided text:
- * 5 New Codes: For reporting RPM services over 2-to-15-day periods within a 30-day period.
- * Coronary Atherosclerotic Plaque Assessment: Using augmentative software to evaluate coronary disease severity.
Summary of New & Revised CPT Codes (Effective jan. 1, 2026)
Hear’s a breakdown of the new and revised CPT codes announced by the AMA, as detailed in the provided text:
1. Remote Patient Monitoring (RPM):
* 5 New Codes: For reporting RPM services over 2-to-15-day periods within a 30-day period.
* 2 New Codes: For reporting RPM of treatment management, requiring only 10 minutes of service per calendar month (reduced from the previous 20-minute threshold).
2. Augmentative & AI Services:
* Coronary Atherosclerotic Plaque Assessment: Using augmentative software to evaluate coronary disease severity.
* Multispectral Imaging for Burn Wounds: Assistive algorithmic classification of burn healing.
* Cardiac Dysfunction Detection: Assistive algorithmic analysis of acoustic and electrocardiogram recordings.
* Perivascular Fat Analysis for Cardiac Risk: Two codes for noninvasive assessment of cardiac risk using augmentative software, with or without a concurrent CT scan.
3.Hearing Aid Services:
* 12 New Patient-Centered Codes: Covering assessment of visual, dexterity, and psychosocial factors; device validation; and training/support for connected hearing devices.
4. Lower Extremity revascularization:
* 46 New Codes: Reflecting technological advancements and a shift towards outpatient care, aiming to improve access to therapies for patients with persistent symptoms.
5. Behavioral Health Services:
* Existing codes added to CPT appendices P & T (services delivered via audio/video or audio-only) to increase flexibility and access, especially in underserved communities.
6. Immunization Counseling:
* 3 New Codes: For immunization counseling when the immunization is not administered on the same date.
Key Takeaways:
* The updates reflect a growing emphasis on technology-driven healthcare, including RPM, AI, and advanced imaging.
* There’s a focus on improving access to care,particularly in underserved areas and for specific conditions like lower extremity disease and behavioral health.
* The changes aim to better capture the complexity of modern medical services and support evolving care delivery models.