CPT Codes for 2024 Unveiled

Consolidated codes for reporting current COVID-19 immunizations, provisional codes for forthcoming monovalent vaccines, and codes for Respiratory Syncytial Virus (RSV) immunizations are among the features of the American Medical Association’s 2024 Current Procedural Terminology (CPT) code set unveiled today.

In all, the 2024 code set includes 230 additions, 49 deletions and 70 revisions among its 11,163 codes according to an AMA news release.

The 2024 version will also be the first to offer Spanish language descriptors for medical procedures and services. “Providing approximately 41 million Spanish speaking individuals in the United States with an easy-to-understand description of medical procedures and services can help build a more inclusive health care environment, where language is no longer a barrier and patients can actively engage in their own care,” Lori Prestesater, AMA senior vice president of health solutions said in the release.

To streamline the COVID-19 immunization reporting process, the 2024 code set consolidates more than 50 previous immunization reporting codes into 17 (91300-91317), and a new code (90480) for reporting the administration of any COVID-19 vaccine for any patient. The latter replaces all previously approved specific vaccine administration codes.

In addition, it includes provisional codes (91318-91322) for monovalent Moderna and Pfizer COVID-19 vaccines for when they are approved by the U.S. Food and Drug Administration.

The 2024 code set contains five new codes (90380, 90381, 90683, 90679 and 90678) developed in response to product-specific RSV immunizations. The codes will enable better tracking, reporting and analysis for planning and allocation purposes, the AMA said.

Responding to requests from the Centers for Medicare and Medicaid Services, some evaluation and management (E/M) reporting codes have been revised for greater clarification. The revisions include:

  • Removing time ranges from office or other outpatient visit codes (99202-99205, 99212-99215) and aligning the format with other E/M codes,
  • Defining the “substantive portion” of a split/shared E/M visit in which a physician and a non-physician practitioner work jointly to furnish all the work related to the visit, and
  • Instructions for reporting hospital inpatient or observation care services and admission and discharge services for the use of codes 99234-99236 when the patient stay crosses over two calendar dates.