Cardiovascular clinicians will see several new CPT® and HCPCS codes starting Jan. 1, 2025. The ACC Advocacy team has prepared the following overview detailing telehealth coding updates, new Category III CPT codes and new HCPCS codes relevant to cardiovascular care.

New codes were created to report services furnished via telehealth; however, the Centers for Medicare and Medicaid Services (CMS) declined to assign separate payment for 16 of these codes for audio-visual and audio-only telehealth, citing statutory limitations that require them to continue using the existing evaluation and management codes. Codes 98000-98015 were created by CPT to require specific time thresholds for determining which code to report, or selection can be based on medical decision-making complexity. It is unknown whether commercial payers may adopt them. Other telehealth coding updates include the following:

• 98016: This brief communication code will cover short virtual check-ins, replacing HCPCS code G2012.
• 99441-99443: These audio-only codes have been deleted for 2025.

There are no new Category I CPT codes specific to cardiovascular care for 2025, but several new Category III CPT codes are published in the 2025 CPT Professional Codebook, particularly for advanced cardiac care and remote monitoring technologies. New Category III CPT codes include:

• 0897T: Noninvasive augmentative arrhythmia analysis derived from quantitative computational cardiac arrhythmia simulations. 
• 0899T-0898T: Two new codes for noninvasive determination/estimate of absolute quantitation of myocardial blood flow derived from augmentative/assistive algorithmic analysis. 
• 0902T: A new code for QTc interval derived by augmentative algorithmic analysis of input from an external, patient-activated mobile electrocardiogram (ECG) device.
• 0903T-0905T: Three codes for ECG, algorithmically generated 12-lead ECG from a reduced-lead ECG.
• 0913T-0914T: Two codes for intracoronary drug-coated balloon. One code is for the stand-alone percutaneous procedure and the other is an add-on code for intracoronary drug-coated balloon with a PCI procedure. 
• 0915T-0931T: These new codes will cover insertion, removal and management of a cardiac contractility modulation-defibrillator.
• 0932T-0934T: New codes for noninvasive detection of heart failure and long-term monitoring of left atrial pressure.
• 0937T-0940T: These codes will address external ECG monitoring for 15-30 days.

Several new HCPCS codes were created by CMS for 2025 that are relevant to cardiovascular care. They include the following:

• G0446: New code for intensive behavioral therapy for cardiovascular disease. This is for an annual face-to-face visit. 
• G0537-G0538: New codes for administration of a standardized atherosclerotic cardiovascular disease risk assessment and management services, respectively.
• G0559: New code for postoperative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the practitioner who performed the procedure and is of a different specialty than the practitioner who performed the procedure, within the 90-day global period of the procedure(s).

Keywords: ACC Advocacy, Current Procedural Terminology, Healthcare Common Procedure Coding System, Telemedicine