The HealthTech Signal

The Signal Directory

Reimbursement Code Tracker

The CPT and HCPCS codes that decide whether AI and digital health get paid. Every code opens its own page here with a plain-English write-up, what is changing for 2027 and who bills under it. The CMS source sits one click further.

Codes tracked

48

across 7 categories

By category

  • 10
  • 9
  • 9
  • 9
  • 4
  • 4
  • 3

By rule status

  • 24
  • 17
  • 4
  • 3

Showing 48 of 48 codes

CPT III · CT-FFR

Superseded

0501T

CT-derived FFR, data preparation (legacy)

Legacy Category III code in the original CT-derived fractional flow reserve family. Reporting for many programmes has moved to Category I code 75580.

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CPT III · CT-FFR

Superseded

0502T

CT-derived FFR, data analysis (legacy)

Legacy Category III code in the original CT-derived fractional flow reserve family. Reporting for many programmes has moved to Category I code 75580.

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CPT III · CT-FFR

Superseded

0503T

CT-derived FFR, interpretation and report (legacy)

Legacy Category III code in the original CT-derived fractional flow reserve family. Reporting for many programmes has moved to Category I code 75580.

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CPT III · Quantitative imaging

Proposed

0559T

3D printed anatomic model, first component

Category III code for a 3D printed anatomic model created from imaging datasets, first individually prepared component.

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CPT III · Quantitative imaging

Proposed

0561T

3D printed anatomic guide, first guide

Category III code for a 3D printed anatomic guide created from imaging datasets, first guide.

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CPT III · AI imaging

Active

0623T

Automated coronary plaque analysis from CCTA, data preparation

Earlier Category III family code for automated quantification of coronary atherosclerotic plaque from CCTA datasets. Many programmes have migrated reporting toward Category I 75577 where applicable.

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CPT III · Quantitative imaging

Proposed

0648T

Quantitative MRI tissue composition without same-session MRI

Category III code for quantitative magnetic resonance analysis of tissue composition when no diagnostic MRI of the same anatomy is done in the same session.

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CPT III · Quantitative imaging

Proposed

0649T

Quantitative MRI tissue composition with same-session MRI

Add-on Category III code for quantitative MR tissue composition analysis when a diagnostic MRI of the same anatomy is also performed.

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CPT III · Quantitative imaging

Proposed

0697T

Quantitative MRI tissue composition, multiple organs, without MRI

Category III code for multiparametric quantitative MR tissue composition across multiple organs without a same-session diagnostic MRI.

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CPT III · Quantitative imaging

Proposed

0698T

Quantitative MRI tissue composition, multiple organs, with MRI

Category III add-on for multi-organ quantitative MR tissue composition with a concurrent diagnostic MRI.

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CPT III · AI imaging

Proposed

0721T

Quantitative CT tissue characterisation without concurrent CT

Category III code for quantitative CT tissue characterisation from prior imaging when no concurrent CT of the analysed structure is acquired. Public summaries identify Optellum lung cancer prediction use cases for this family.

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CPT III · AI imaging

Proposed

0722T

Quantitative CT tissue characterisation with concurrent CT

Category III companion code when quantitative CT tissue characterisation is obtained with a concurrent CT of the analysed structure.

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CPT III · Quantitative imaging

Proposed

0723T

Quantitative MRCP without same-session MRI

Category III code for quantitative magnetic resonance cholangiopancreatography analysis without a same-session diagnostic MRI.

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CPT III · Quantitative imaging

Proposed

0724T

Quantitative MRCP with same-session MRI

Category III companion for quantitative MRCP with a concurrent diagnostic MRI of the same anatomy.

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CPT III · AI imaging

Proposed

0865T

Quantitative brain MRI analysis without same-session MRI

Category III code for quantitative brain MRI analysis with lesion characterisation and optional volume or severity scoring, without a same-session diagnostic brain MRI.

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CPT III · AI imaging

Proposed

0866T

Quantitative brain MRI analysis with same-session MRI

Category III companion for quantitative brain MRI analysis when a diagnostic brain MRI is also performed.

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CPT III · AI imaging

Proposed

0898T

Noninvasive prostate cancer estimation map

Category III code for a noninvasive prostate cancer estimation map derived from augmentative analysis of image-guided fusion biopsy and pathology, with visualisation and physician interpretation.

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CPT III · AI imaging

Proposed

0944T

3D liver lesion contour for microwave ablation planning

Category III code for 3D contour simulation of target liver lesions and margins used in image-guided percutaneous microwave ablation planning.

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CPT I · AI imaging

Proposed

75577

Coronary CT plaque AI analysis

Automated software analysis of coronary CT angiography that quantifies and characterises atherosclerotic plaque to help assess coronary disease severity.

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CPT I · CT-FFR

Proposed

75580

CT-derived fractional flow reserve analysis

Category I code for noninvasive coronary fractional flow reserve estimated by software analysis of a coronary CT angiography dataset, with physician interpretation and report. Widely associated with HeartFlow FFRCT pathways.

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CPT I · AI imaging

Active

92228

Remote retinal imaging with physician review

Category I code for remote imaging of the retina with physician interpretation when automated analysis support may be used in the workflow, distinct from the autonomous analysis code 92229.

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CPT I · AI imaging

Active

92229

Autonomous retinal imaging analysis

Category I code for point-of-care retinal imaging with automated analysis used to detect diabetic retinopathy and related findings without an ophthalmologist on site.

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CPT I · RTM

Active

98975

RTM initial set-up and patient education

Remote therapeutic monitoring set-up and education for a therapeutic monitoring device.

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CPT I · RTM

Active

98976

RTM device supply, respiratory system

Device supply for remote therapeutic monitoring of the respiratory system.

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CPT I · RTM

Active

98977

RTM device supply, musculoskeletal system

Device supply for remote therapeutic monitoring of the musculoskeletal system.

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CPT I · RTM

Active

98978

RTM device supply, cognitive behavioural therapy

Device supply for remote therapeutic monitoring supporting cognitive behavioural therapy.

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CPT I · RTM

Active

98979

RTM treatment management, 10-19 minutes

Shorter RTM treatment management time band in a calendar month.

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CPT I · RTM

Active

98980

RTM treatment management, first 20 minutes

First 20 minutes of RTM treatment management with interactive communication in a calendar month.

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CPT I · RTM

Active

98981

RTM treatment management, each additional 20 minutes

Add-on RTM treatment management beyond the first 20 minutes.

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CPT I · RTM

Active

98984

RTM device supply, additional therapeutic parameter family

Additional RTM device-supply code in the CY2027 PFS remote monitoring family discussed by CMS.

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CPT I · RTM

Active

98985

RTM treatment management companion code

Companion RTM management code in the CY2027 PFS remote monitoring family discussed by CMS.

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CPT I · RPM

Active

99091

Collection and interpretation of physiologic data

Physician or QHP collection and interpretation of physiologic data digitally stored or transmitted by the patient.

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CPT I · RPM

Active

99445

RPM device supply, 2-15 days

Shorter-duration device supply code for 2 to 15 days of physiologic data transmission in a 30-day period.

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CPT I · RPM

Active

99453

RPM initial device set-up and patient education

Remote physiologic monitoring set-up and education for a connected physiologic device.

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CPT I · RPM

Active

99454

RPM device supply with daily recordings, 16-30 days

Device supply with daily recording or programmed alert transmission for 16 to 30 days in a 30-day period.

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CPT I · RPM

Active

99457

RPM treatment management, first 20 minutes

Treatment management services for remote physiologic monitoring requiring interactive communication, first 20 minutes in a calendar month.

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CPT I · RPM

Active

99458

RPM treatment management, each additional 20 minutes

Add-on treatment management time beyond the first 20 minutes in the same calendar month.

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CPT I · RPM

Active

99470

RPM treatment management, 10-19 minutes

Shorter treatment management code for 10 to 19 minutes of RPM management in a calendar month.

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CPT I · RPM

Active

99473

Self-measured blood pressure patient education

Patient education and device calibration for self-measured blood pressure monitoring.

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CPT I · RPM

Active

99474

Self-measured blood pressure collection and interpretation

Collection and interpretation of self-measured blood pressure readings.

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HCPCS · Quantitative imaging

Proposed

C8001

3D anatomical segmentation for preoperative planning

HCPCS C-code for 3D anatomical segmentation imaging used in preoperative planning from prior CT or MR of the same anatomy.

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HCPCS · Digital mental health

Active

G0552

DMHT device supply and onboarding

HCPCS code for supply of an FDA-cleared or De Novo digital mental health treatment device plus initial education and onboarding, per course of treatment that augments a behavioural therapy plan.

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HCPCS · Digital mental health

Active

G0553

DMHT treatment management, first 20 minutes

First 20 minutes of monthly treatment management tied to the patient's therapeutic use of a DMHT device, including interactive communication.

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HCPCS · Digital mental health

Active

G0554

DMHT treatment management, each additional 20 minutes

Each additional 20 minutes of monthly DMHT treatment management in the same calendar month.

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HCPCS · Proposed G-code

Comment only

GRPM1

Proposed RPM set-up G-code

CMS is seeking comment on a consolidated HCPCS G-code for RPM initial set-up and patient education that would replace several existing RPM CPT codes if adopted in future rulemaking.

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HCPCS · Proposed G-code

Comment only

GRPM2

Proposed RPM monthly monitoring G-code

Comment-only concept for a bundled monthly RPM G-code covering device supply with at least 2 days of transmission plus treatment management of at least 20 minutes.

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HCPCS · Proposed G-code

Comment only

GRTM1

Proposed RTM set-up G-code

Comment-only concept for a consolidated RTM initial set-up and patient education G-code.

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HCPCS · Proposed G-code

Comment only

GRTM2

Proposed RTM monthly monitoring G-code

Comment-only concept for a bundled monthly RTM G-code covering device supply, transmission and treatment management thresholds described in the PFS fact sheet.

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