Reimbursement Codes/0623T

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.

About this code

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. Category III; confirm current CPT status and OPPS/PFS assignment in the latest CMS addenda before billing. This entry uses our own plain-English summary, not the copyrighted AMA CPT long descriptor. Always confirm the current CMS addendum before billing.

Medicare statusCategory III; confirm current CPT status and OPPS/PFS assignment in the latest CMS addenda before billing.

PaymentDo not rely on legacy rates. Prefer 75577 when that Category I code applies.

Verify current AMA/CMS status; may be limited as 75577 Category I expands.

What changed

Track whether CMS still lists this family separately from 75577 in Addendum B; plaque AI payment narrative in CY2027 centres on 75577 SaMS placement.

Who bills under it

Hospital and imaging programmes that still report the Category III plaque family rather than 75577.

Related FDA AI clearances

Code
0623T
Code type
CPT III
Category
AI imaging
Rule status
Active

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