Category I
The American College of Radiology (ACR) announced as of January 1, 2025 several new and/or revised Category I Codes will be available*.
Proposed MR Safety Procedures
Proposed MR Safety Procedures will be listed in a new subsection: Magnetic Resonance (MR) Safety Implant/Foreign Body Procedures of the Radiology/Diagnostic Radiology (Diagnostic Imaging) section.
CPT Code 7XX00
MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources, analyzing current MR conditional status of individual components and systems, and consulting published professional guidance with written report; initial 15 minutes.
CPT Code 7XX01
MR safety implant and/or foreign body assessment by trained clinical staff, including identification and verification of implant components from appropriate sources, analyzing current MR conditional status of individual components and systems, and consulting published professional guidance with written report; each additional 30 minutes. (List separately in addition to code for primary procedure).
CPT Code 7XX02
MR safety determination by a physician or other qualified health care professional responsible for the safety of the MR procedure, including review of implant MR conditions for indicated MR exam, analysis of risk versus clinical benefit of performing MR exam, and determination of MR equipment, accessory equipment, and expertise required to perform examination with written report.
CPT Code 7XX03
MR safety medical physics examination customization, planning and performance monitoring by medical physicist or MR safety expert, with review and analysis by physician or qualified health care professional to prioritize and select views and imaging sequences, to tailor MR acquisition specific to restrictive requirements or artifacts associated with MR conditional implants or to mitigate risk of nonconditional implants or foreign bodies with written report.
CPT Code 7XX04
MR safety implant electronics preparation under supervision of physician or other qualified health care professional, including MR-specific programming of pulse generator and/or transmitter to verify device integrity, protection of device internal circuitry from MR electromagnetic fields, and protection of patient from risks of unintended stimulation or heating while in the MR room with written report.
CPT Code 7XX05
MR safety implant positioning and/or immobilization under supervision of physician or qualified health care professional, including application of physical protections to secure implanted medical device from MR-induced translational or vibrational forces, magnetically induced functional changes, and/or prevention of radiofrequency burns from inadvertent tissue contact while in the MR room with written report.
MRI-Monitored Transurethral Ultrasound Ablation
MRI-monitored TULSA
MRI-monitored TULSA utilizes robotically driven directional thermal ultrasound and closed-loop temperature feedback control software to deliver predictable physician-prescribed ablation of prostate tissue for treatment of prostate cancer. Three new CPT Codes were approved for MRI-monitored TULSA.
CPT Code 5X006
(Insertion of transurethral ablation transducers for delivery of thermal ultrasound for prostate tissue ablation, including suprapubic tube placement during the same session and placement of an endorectal cooling device, when performed)
CPT Code 5X007
(Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation)
CPT Code 5X008
(Ablation of prostate tissue, transurethral, using thermal ultrasound, including magnetic resonance imaging guidance for, and monitoring of, tissue ablation; with insertion of transurethral ultrasound transducers for delivery of the thermal ultrasound, including suprapubic tube placement and placement of an endorectal cooling device, when performed)
MRI Guided High Intensity Focused Ultrasound (MRgFUS)
MRgFUS Code 0398T
MRgFUS Code 0398T will be converted from Category III to Category I. The noninvasive procedure ablates tissue within the skull without open surgery. Code 0398T will be deleted and three new codes have been created to report this procedure to include treatment planning, insertion, and ablation of prostate tissue.
Transcranial Doppler
Three new add-on codes will be available to report procedures performed with a complete transcranial Doppler study of intracranial arteries: vasoreactivity study, emboli detection without intravenous microbubble injection, and venous-arterial shunt detection with intravenous microbubble injection. Code 93893 will be revised to describe venous-arterial shunt detection and Code 93890 will be deleted.
Percutaneous RF Ablation of Thyroid
Beginning in 2025, there will be a new code to report percutaneous radiofrequency ablation of thyroid and an add-on code to report ablation of additional nodule(s).
Fascial Plane Blocks (FPB)
Six new codes have been created to report specific fascial plane block infiltration (injection or infusion) of the thoracic, lower extremity, and abdominal regions in post-operative pain management.
Codes 64486-64489 will be revised to specify reporting transverse abdominus plane blocks and guidelines regarding the Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Somatic Nerves will also be revised to reflect these changes.
CT Colonography Screening
Coverage for CT colonography (CTC) screening for colorectal cancer (CRC) has been included in the 2025 Medicare Physician Fee Schedule Proposed Rule.
Vascular Procedures Guidelines will be revised in 2025 as follows:
Guidelines in the Vascular Procedures subsection of the Radiology section will be revised to clarify that add-on Code 75774, Angiography, selective, each additional vessel studied after basic examination, radiological supervision and interpretation may be reported for both arteries and veins for each additional vessel. (That Code should be listed separately in addition to the Code for the primary procedure).
The cross-reference parenthetical notes following code 75774 directing users to codes 75600-75756 (angiography) and 36215-36248 (catheterization) will be deleted.
The following codes will be revised in 2025:
CPT Code 64486
Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by injection(s) (includes imaging guidance, when performed)
CPT Code 64487
Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance, when performed)
CPT Code 64488
Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by injections (includes imaging guidance, when performed)
CPT Code 64489
Transversus abdominis plane (TAP) block (abdominal plane block, rectus sheath block) bilateral; by continuous infusions (includes imaging guidance, when performed)
CPT Code 93893
Transcranial Doppler study of the intracranial arteries; emboli detection with intravenous microbubble injection
The following codes will be deleted in 2025:
CPT Code 0398T
Magnetic resonance image guided high intensity focused ultrasound (MRgFUS), stereotactic ablation lesion, intracranial for movement disorder including stereotactic navigation and frame placement when performed
CPT Code 93890
Transcranial Doppler study of the intracranial arteries; vasoreactivity study
CPT Code 99441
Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment: 5-10 minutes of medical discussion
CPT Code 99442
Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment: 11-20 minutes of medical discussion
CPT Code 99443
Telephone evaluation and management service by a physician or other qualified healthcare professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion
The following Category III Codes scheduled to sunset in 2025 will be extended for another 5 years until December 2030:
CPT Code 0071T
Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume less than 200 cc of tissue
CPT Code 0072T
Focused ultrasound ablation of uterine leiomyomata, including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue
CPT Code 0075T
Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; initial vessel
CPT Code +0076T
Transcatheter placement of extracranial vertebral artery stent(s), including radiologic supervision and interpretation, open or percutaneous; each additional vessel (List separately in addition to code for primary procedure)
CPT Code 0200T
Percutaneous sacral augmentation (sacroplasty), unilateral injection(s), including the use of a balloon or mechanical device, when used, 1 or more needles, includes imaging guidance and bone biopsy, when performed
CPT Code 0201T
Percutaneous sacral augmentation (sacroplasty), bilateral injections, including the use of a balloon or mechanical device, when used, 2 or more needles, includes imaging guidance and bone biopsy, when performed
CPT Code 0554T
Bone strength and fracture risk using finite element analysis of functional data, and bone-mineral density, utilizing data from a computed tomography scan; retrieval and transmission of the scan data, assessment of bone strength and fracture risk and bone mineral density, interpretation and report
CPT Code 0555T
Bone strength and fracture risk using finite element analysis of functional data, and bone-mineral density, utilizing data from a computed tomography scan; retrieval and transmission of the scan data
CPT Code 0556T
Bone strength and fracture risk using finite element analysis of functional data, and bone-mineral density, utilizing data from a computed tomography scan; assessment of bone strength and fracture risk and bone mineral density
CPT Code 0557T
Bone strength and fracture risk using finite element analysis of functional data, and bone-mineral density, utilizing data from a computed tomography scan; interpretation and report
CPT Code 0558T
Computed tomography scan taken for the purpose of biomechanical computed tomography analysis
CPT Code 0559T
Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure
CPT Code +0560T
Anatomic model 3D-printed from image data set(s); each additional individually prepared and processed component of an anatomic structure (List separately in addition to code for primary procedure)
CPT Code 0561T
Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide
CPT Code +0562T
Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure)
Resources
- https://www.acr.org/-/media/ACR/Files/Advocacy/AIA/ACR-Preliminary-Summary-2025-MPFS-PR-Final.pdf
- https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2025-medicare-physician-fee-schedule-proposed-rule
- https://www.acr.org/-/media/ACR/Files/Advocacy/AIA/MarApril-2025-Anticipated-CPT-Code-Changes.pdf
