The CPT Code List is a comprehensive directory of codes used by healthcare providers to report medical services and procedures to insurance companies and other payers.
The CPT Code List is updated annually by the American Medical Association (AMA). The 2024 edition of the CPT Code List will be released on January 1, 2024.
This article provides an overview of the CPT Code List 2024, including the changes from the 2023 edition.
Cpt Code List 2024
The CPT Code List 2024 includes several important changes from the 2023 edition. These changes include:
- New codes for telehealth services
- Revised codes for chronic care management
- New codes for behavioral health services
- Updated codes for evaluation and management services
- New codes for remote patient monitoring
- Revised codes for surgical procedures
- New codes for diagnostic tests
These changes are designed to reflect the evolving healthcare landscape and to ensure that the CPT Code List remains a valuable resource for healthcare providers.
New codes for telehealth services
The CPT Code List 2024 includes several new codes for telehealth services. These codes are designed to reflect the increasing use of telehealth services in the healthcare industry.
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99490: Virtual check-in
This code is used to report a brief, virtual check-in with a patient. The check-in can be used to assess the patient’s condition, provide brief advice, or order medications.
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99491: Virtual visit, low complexity
This code is used to report a virtual visit with a patient that is of low complexity. The visit can be used to discuss a new or existing condition, provide education, or order tests.
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99492: Virtual visit, moderate complexity
This code is used to report a virtual visit with a patient that is of moderate complexity. The visit can be used to discuss a new or existing condition, provide education, order tests, or make a diagnosis.
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99493: Virtual visit, high complexity
This code is used to report a virtual visit with a patient that is of high complexity. The visit can be used to discuss a new or existing condition, provide education, order tests, make a diagnosis, or develop a treatment plan.
These new codes provide healthcare providers with a more accurate way to report telehealth services, which can lead to improved reimbursement and better patient care.
Revised codes for chronic care management
The CPT Code List 2024 includes several revised codes for chronic care management (CCM). These codes are designed to better reflect the complexity and time required to provide CCM services.
The following are the key changes to the CCM codes for 2024:
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99490: Virtual check-in
This code is a new code for a brief, virtual check-in with a patient. The check-in can be used to assess the patient’s condition, provide brief advice, or order medications.
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99491: Virtual visit, low complexity
This code is a new code for a virtual visit with a patient that is of low complexity. The visit can be used to discuss a new or existing condition, provide education, or order tests.
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99492: Virtual visit, moderate complexity
This code is a new code for a virtual visit with a patient that is of moderate complexity. The visit can be used to discuss a new or existing condition, provide education, order tests, or make a diagnosis.
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99493: Virtual visit, high complexity
This code is a new code for a virtual visit with a patient that is of high complexity. The visit can be used to discuss a new or existing condition, provide education, order tests, make a diagnosis, or develop a treatment plan.
These changes to the CCM codes are designed to ensure that healthcare providers are appropriately reimbursed for the time and complexity of the services they provide.
New codes for behavioral health services
The CPT Code List 2024 includes several new codes for behavioral health services. These codes are designed to better reflect the complexity and time required to provide these services.
The following are the key new codes for behavioral health services for 2024:
- 96150: Cognitive behavioral therapy for insomnia, individual
- 96151: Cognitive behavioral therapy for insomnia, group
- 96152: Acceptance and commitment therapy for anxiety, individual
- 96153: Acceptance and commitment therapy for anxiety, group
- 96154: Motivational interviewing for substance use disorders, individual
- 96155: Motivational interviewing for substance use disorders, group
These new codes are designed to ensure that healthcare providers are appropriately reimbursed for the time and complexity of the behavioral health services they provide.
Updated codes for evaluation and management services
The CPT Code List 2024 includes several updated codes for evaluation and management (E/M) services. These updates are designed to simplify the E/M coding process and to better reflect the complexity of these services.
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99202: Office or other outpatient visit for the evaluation and management of an established patient, requiring at least 2 of these 3 key components: a comprehensive history; a comprehensive examination; and medical decision making of moderate complexity.
This code has been revised to include a more detailed description of the key components required for a level 2 E/M visit. This will help to ensure that providers are coding these visits accurately.
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99203: Office or other outpatient visit for the evaluation and management of an established patient, requiring at least 2 of these 3 key components: a comprehensive history; a comprehensive examination; and medical decision making of high complexity.
This code has been revised to include a more detailed description of the key components required for a level 3 E/M visit. This will help to ensure that providers are coding these visits accurately.
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99204: Office or other outpatient visit for the evaluation and management of an established patient, requiring at least 2 of these 3 key components: a problem-focused history; a problem-focused examination; and medical decision making of low complexity.
This code has been revised to include a more detailed description of the key components required for a level 4 E/M visit. This will help to ensure that providers are coding these visits accurately.
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99205: Office or other outpatient visit for the evaluation and management of an established patient, requiring at least 2 of these 3 key components: a problem-focused history; a problem-focused examination; and medical decision making of moderate complexity.
This code has been revised to include a more detailed description of the key components required for a level 5 E/M visit. This will help to ensure that providers are coding these visits accurately.
These updates to the E/M codes are designed to make the coding process more accurate and efficient. This will lead to improved reimbursement for healthcare providers and better patient care.
New codes for remote patient monitoring
The CPT Code List 2024 includes several new codes for remote patient monitoring (RPM). These codes are designed to reflect the increasing use of RPM services in the healthcare industry.
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99453: Remote patient monitoring of physiologic parameter(s) (e.g., weight, blood pressure, glucose), initial; set-up and patient education on use of equipment
This code is used to report the initial set-up and patient education for RPM services. This code includes the cost of the equipment used for RPM.
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99454: Remote patient monitoring of physiologic parameter(s) (e.g., weight, blood pressure, glucose), initial; device(s) supplied by physician or other qualified health care professional
This code is used to report the initial set-up and patient education for RPM services when the device is supplied by the physician or other qualified health care professional. This code does not include the cost of the equipment used for RPM.
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99457: Remote patient monitoring of physiologic parameter(s) (e.g., weight, blood pressure, glucose), per month
This code is used to report the monthly monitoring of physiologic parameters for RPM services. This code includes the cost of the equipment used for RPM.
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99458: Remote patient monitoring of physiologic parameter(s) (e.g., weight, blood pressure, glucose), per month; device(s) supplied by physician or other qualified health care professional
This code is used to report the monthly monitoring of physiologic parameters for RPM services when the device is supplied by the physician or other qualified health care professional. This code does not include the cost of the equipment used for RPM.
These new codes provide healthcare providers with a more accurate way to report RPM services, which can lead to improved reimbursement and better patient care.
Revised codes for surgical procedures
The CPT Code List 2024 includes several revised codes for surgical procedures. These revisions are designed to better reflect the complexity and time required to perform these procedures.
One of the most significant changes to the surgical codes for 2024 is the introduction of new codes for robotic surgery. Robotic surgery is a minimally invasive surgical technique that uses a robotic system to assist the surgeon. Robotic surgery can offer several advantages over traditional open surgery, including reduced pain, scarring, and recovery time.
The new robotic surgery codes in the CPT Code List 2024 include:
- 99453: Robotic surgery, simple
- 99454: Robotic surgery, moderate complexity
- 99455: Robotic surgery, high complexity
These new codes will help to ensure that surgeons are appropriately reimbursed for the time and complexity of robotic surgery procedures.
New codes for diagnostic tests
The CPT Code List 2024 includes several new codes for diagnostic tests. These new codes reflect the latest advances in medical technology and are designed to provide more accurate and timely diagnoses.
- 81555: Genetic testing for hereditary cancer syndromes, 31-100 gene panel
This code is used to report genetic testing for a panel of 31-100 genes that are associated with hereditary cancer syndromes. This test can be used to identify individuals who are at high risk for developing certain types of cancer, such as breast cancer, ovarian cancer, and colon cancer.
81556: Genetic testing for hereditary cancer syndromes, >100 gene panel
This code is used to report genetic testing for a panel of more than 100 genes that are associated with hereditary cancer syndromes. This test can be used to identify individuals who are at high risk for developing certain types of cancer, such as breast cancer, ovarian cancer, and colon cancer.
81479: Genomic sequencing, 25-50 million base pairs (e.g., exome sequencing, whole mitochondrial genome sequencing, single gene sequencing)
This code is used to report genomic sequencing of 25-50 million base pairs of DNA. This test can be used to identify genetic variants that are associated with a variety of diseases, including cancer, heart disease, and neurodegenerative disorders.
81480: Genomic sequencing, >50 million base pairs (e.g., whole genome sequencing)
This code is used to report genomic sequencing of more than 50 million base pairs of DNA. This test can be used to identify genetic variants that are associated with a variety of diseases, including cancer, heart disease, and neurodegenerative disorders.
These new codes for diagnostic tests will help to ensure that patients have access to the latest and most advanced medical technology.
FAQ
The following are some frequently asked questions (FAQs) about the CPT Code List 2024:
Question 1: When does the CPT Code List 2024 go into effect?
Answer: The CPT Code List 2024 goes into effect on January 1, 2024.
Question 2: What are the most significant changes to the CPT Code List 2024?
Answer: The most significant changes to the CPT Code List 2024 include new codes for telehealth services, revised codes for chronic care management, new codes for behavioral health services, updated codes for evaluation and management services, new codes for remote patient monitoring, revised codes for surgical procedures, and new codes for diagnostic tests.
Question 3: How can I get a copy of the CPT Code List 2024?
Answer: You can purchase a copy of the CPT Code List 2024 from the American Medical Association (AMA) website.
Question 4: What are the benefits of using the CPT Code List 2024?
Answer: The CPT Code List 2024 provides a comprehensive and up-to-date list of codes for medical services and procedures. Using the CPT Code List 2024 helps to ensure that you are using the correct codes for your services, which can lead to improved reimbursement and better patient care.
Question 5: How often is the CPT Code List updated?
Answer: The CPT Code List is updated annually by the AMA.
Question 6: Where can I find more information about the CPT Code List 2024?
Answer: You can find more information about the CPT Code List 2024 on the AMA website.
Question 7: How do I transition my practice to the CPT Code List 2024?
Answer: You should start by reviewing the changes to the CPT Code List 2024 and identifying any new codes that you will need to use. You should also update your billing system and train your staff on the new codes.
Tips
Here are a few tips for using the CPT Code List 2024:
Tip 1: Review the changes to the CPT Code List 2024.
The CPT Code List is updated annually, so it is important to review the changes each year. This will help you to ensure that you are using the correct codes for your services.
Tip 2: Use a code book or software to help you find the correct codes.
There are a number of code books and software programs available that can help you to find the correct codes for your services. These resources can save you time and help you to avoid errors.
Tip 3: Be specific when coding your services.
The more specific you are when coding your services, the more likely you are to be reimbursed correctly. For example, if you are coding for an office visit, you should specify the type of visit (e.g., initial visit, follow-up visit, etc.) and the level of service (e.g., level 1, level 2, etc.).
Tip 4: Keep up-to-date on coding changes.
The CPT Code List is updated annually, so it is important to keep up-to-date on coding changes. You can do this by attending coding workshops, reading coding articles, and visiting the AMA website.
Conclusion
The CPT Code List 2024 is an essential resource for healthcare providers. The code list provides a comprehensive and up-to-date list of codes for medical services and procedures. Using the CPT Code List 2024 helps to ensure that healthcare providers are using the correct codes for their services, which can lead to improved reimbursement and better patient care.
The CPT Code List 2024 includes several important changes from the 2023 edition. These changes include new codes for telehealth services, revised codes for chronic care management, new codes for behavioral health services, updated codes for evaluation and management services, new codes for remote patient monitoring, revised codes for surgical procedures, and new codes for diagnostic tests.
Healthcare providers should review the changes to the CPT Code List 2024 and update their billing systems and train their staff on the new codes. By using the CPT Code List 2024, healthcare providers can ensure that they are using the correct codes for their services, which can lead to improved reimbursement and better patient care.