Impact on CY 2025 Payment for Selected Procedures								
CPT/ HCPCS 1	MOD	Short Descriptor	Facility			Non Facility		
			CY 2024 2	CY 2025 3	% Change	CY 2024 2	CY 2025 3	% Change
11721		Debride nail 6 or more	$23.30 	$22.97 	-1%	$44.61 	$43.67 	-2%
17000		Destruct premalg lesion	$55.26 	$53.70 	-3%	$67.91 	$66.31 	-2%
27130		Total hip arthroplasty	"$1,285.90 "	"$1,259.25 "	-2%	NA	NA	NA
27244		Treat thigh fracture	"$1,231.64 "	"$1,206.52 "	-2%	NA	NA	NA
27447		Total knee arthroplasty	"$1,283.90 "	"$1,257.63 "	-2%	NA	NA	NA
33533		Cabg arterial single	"$1,833.81 "	"$1,789.08 "	-2%	NA	NA	NA
35301		Rechanneling of artery	"$1,101.82 "	"$1,071.32 "	-3%	NA	NA	NA
43239		Egd biopsy single/multiple	$136.48 	$132.62 	-3%	$375.48 	$357.11 	-5%
66821		After cataract laser surgery	$309.24 	$298.88 	-3%	$332.21 	$319.91 	-4%
66984		Xcapsl ctrc rmvl w/o ecp	$537.26 	$521.75 	-3%	NA	NA	NA
67210		Treatment of retinal lesion	$492.99 	$478.40 	-3%	$510.63 	$494.25 	-3%
77427		Radiation tx management x5	$189.74 	$187.93 	-1%	$189.74 	$187.93 	-1%
88305	26	Tissue exam by pathologist	$35.95 	$34.93 	-3%	$35.95 	$34.93 	-3%
90471		Immunization admin	NA	NA	NA	$20.64 	$20.05 	-3%
90935		Hemodialysis one evaluation	$69.90 	$67.93 	-3%	NA	NA	NA
92012		Eye exam establish patient	$49.27 	$47.87 	-3%	$88.88 	$85.39 	-4%
92014		Eye exam&tx estab pt 1/>vst	$74.23 	$72.13 	-3%	$125.49 	$120.98 	-4%
93000		Electrocardiogram complete	NA	NA	NA	$14.31 	$13.91 	-3%
93010		Electrocardiogram report	$7.99 	$7.76 	-3%	$7.99 	$7.76 	-3%
93015		Cardiovascular stress test	NA	NA	NA	$71.90 	$70.84 	-2%
93307	26	Tte w/o doppler complete	$42.28 	$41.40 	-2%	$42.28 	$41.40 	-2%
93458	26	L hrt artery/ventricle angio	$285.94 	$277.53 	-3%	$285.94 	$277.53 	-3%
98941		Chiropract manj 3-4 regions	$33.29 	$32.67 	-2%	$39.28 	$38.49 	-2%
99203		Office o/p new low 30-44 min	$81.22 	$79.25 	-2%	$111.51 	$109.01 	-2%
99213		Office o/p est low 20-29 min	$65.24 	$63.72 	-2%	$90.87 	$88.95 	-2%
99214		Office o/p est mod 30-39 min	$96.20 	$93.80 	-3%	$128.16 	$125.18 	-2%
99222		1st hosp ip/obs moderate 55	$129.16 	$125.50 	-3%	NA	NA	NA
99223		1st hosp ip/obs high 75	$171.10 	$167.23 	-2%	NA	NA	NA
99231		Sbsq hosp ip/obs sf/low 25	$48.93 	$47.23 	-4%	NA	NA	NA
99232		Sbsq hosp ip/obs moderate 35	$77.89 	$76.34 	-2%	NA	NA	NA
99233		Sbsq hosp ip/obs high 50	$117.17 	$113.86 	-3%	NA	NA	NA
99236		Hosp ip/obs same date hi 85	$205.72 	$199.58 	-3%	NA	NA	NA
99239		Hosp ip/obs dschrg mgmt >30	$113.18 	$110.63 	-2%	NA	NA	NA
99283		Emergency dept visit low mdm	$70.24 	$68.25 	-3%	NA	NA	NA
99284		Emergency dept visit mod mdm	$119.50 	$116.45 	-3%	NA	NA	NA
99291		Critical care first hour	$210.04 	$205.72 	-2%	$272.29 	$265.56 	-3%
99292		Critical care addl 30 min	$105.85 	$102.86 	-3%	$119.17 	$115.48 	-3%
99348		Home/res vst est low mdm 30	NA	NA	NA	$75.90 	$74.07 	-2%
99350		Home/res vst est high mdm 60	NA	NA	NA	$183.75 	$177.91 	-3%
G0008		Admin influenza virus vac	NA	NA	NA	NA	NA	NA
								
1 CPT codes and descriptions are copyright 2024 American Medical Association.  All Rights Reserved.  Applicable FARS/DFARS apply.								
2 Payments based on the 03/09/2024 - 12/31/2024 conversion factor of 33.2875.								
"3 Payments based on the 2025 conversion factor of 32.3465, which includes the budget neutrality adjustment."								
								
