April 28, 2025
Clinical Payment and Coding Policies describe payment rules and methodologies for Current Procedural Terminology (CPT®) codes, Healthcare Common Procedure Coding System and ICD-10 coding for claims submitted as covered services. This information is a resource for our payment policies. It’s not intended to address all reimbursement-related issues. We regularly add and modify clinical payment and coding policy positions as part of our ongoing policy review process.
The following policies were updated:
- CPCP013 Increased Procedural Services, Modifier 22-Professional Provider effective April 15, 2025
- CPCP014 Global Surgical Package-Professional Provider effective April 15, 2025
- CPCP009 Co-Surgeon/Team Surgeon Policy-Professional Provider effective April 18, 2025
- CPCP015 Multiple Surgical Procedures-Professional Provider effective April 23, 2025
- CPCP019 Infusion Services effective July 18, 2025
View the revised policies.
CPT copyright 2025 American Medical Association (AMA). All rights reserved. CPT is a registered trademark of the AMA.
The information provided does not constitute coding or legal advice. Physicians and other health care providers should use their own medical judgment based upon all available information and the condition of the patient in determining the appropriate course of treatment, and to submit claims using the most appropriate code(s) based upon the medical record documentation, coding guidelines and reference materials.