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. These policies are not intended to address all coding or 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
CPT copyright 2025 American Medical Association. All rights reserved. CPT is a registered trademark of the AMA.
Clinical payment and coding policies are based on health care professional and industry-standard guidelines. The clinical payment and coding guidelines are not intended to provide billing or coding advice but to serve as a reference for facilities and providers.