On Demand: 2025 CPT Coding Changes and MPFS Final Rule Impacts to Cardiovascular Services-Presentation Slides

Presentation Slides

Pdf Summary

The document provides a comprehensive overview of 2025 updates in CPT coding and the Medicare Physician Fee Schedule (MPFS), focusing on cardiovascular (CV) services by MedAxiom. It discusses telemedicine service adjustments, including new codes for audio/video E/M services and updates in telemedicine regulations, like technology requirements and billing practices. Key changes effective January 1, 2025, include audio-only communication meeting telecommunication requirements under specific conditions and the establishment of new billing codes (98000-98015) for these services.<br /><br />Medicare's policy adjustments feature a notable allowance for separate reimbursement of E/M services on the same day as an annual wellness visit or vaccine administration under specific conditions. There are also updates on modifiers applicable within surgical packages and post-operative care—emphasizing the use of the modifier 54 and a new add-on code, G0559, for post-operative visits.<br /><br />In addition, new CPT codes address aspects of cardiac rehabilitation and procedures, with specific mention of telehealth inclusion through 2025. Significant updates include cardiac contractility modulation with the introduction of Category III codes for related procedures and monitoring services, as well as new radiology section updates with MR safety codes (76014-76019).<br /><br />The document also covers potential implications of recent fee schedule updates, emphasizing a 2.83% reduction in the 2025 conversion factor and adjustments in hospital outpatient payment systems (HOPPS). The changes aim to maintain financial stability despite inflation and budget neutrality factors, anticipating that cardiovascular service reimbursements remain flat compared to prior years.<br /><br />Overall, the report indicates robust changes across various domains, with significant insights on how practitioners can adapt to new coding practices, telemedicine advancements, and financial updates impacting the CV healthcare landscape.

Keywords

CPT coding

Medicare Physician Fee Schedule

cardiovascular services

telemedicine updates

E/M services

billing codes

post-operative care

cardiac rehabilitation

conversion factor

financial stability