CPT Professional 2025–2026

CPT Professional 2025–2026

By Elliot Spencer
Michael Caine
Listen with Sir Michael Caine™ and 1,000+ voices
Length8h 35m

About this audiobook

CPT Professional 2025–2026 is the definitive resource for medical coding professionals, students, and administrative assistants preparing for certification exams like the CMAA. In today’s high-stakes healthcare landscape, precision and speed are non-negotiable. This book meets that challenge head-on—demystifying the structure, application, and real-world usage of CPT codes across all major categories, including surgery, radiology, anesthesia, pathology, and more. With updated guidance reflecting the latest changes in Evaluation and Management (E/M) services and coding compliance standards, this guide ensures you're never behind on current medical billing regulations. Are you struggling to decode CPT® codes, overwhelmed by complex documentation requirements, or worried about failing your medical billing and coding exam? You’re not alone—and this frustration could be holding back your career in one of the fastest-growing fields in healthcare. Navigating the world of Current Procedural Terminology isn't just about memorizing five-digit codes—it’s about mastering a professional language that drives communication between healthcare providers, insurance payers, and regulatory bodies. If you’ve ever felt anxious staring at modifiers, unsure which code applies, or worried about costly documentation errors, this is the guide that changes everything. CPT Professional 2025–2026 is the definitive resource for medical coding professionals, students, and administrative assistants preparing for certification exams like the CMAA. In today’s high-stakes healthcare landscape, precision and speed are non-negotiable. This book meets that challenge head-on—demystifying the structure, application, and real-world usage of CPT codes across all major categories, including surgery, radiology, anesthesia, pathology, and more. With updated guidance reflecting the latest changes in Evaluation and Management (E/M) services and coding compliance standards, this guide ensures you're never behind on current medical billing regulations. What sets this book apart is its human-centered approach. Through vivid case studies, real-life coding scenarios, and time-sensitive practice questions, it doesn’t just teach you codes—it trains your thinking. You’ll learn how to avoid common pitfalls, understand nuanced coding rules, and manage your time during exams, so you walk into the testing center with confidence, not anxiety. Whether you're just starting out or refining your skills as a professional coder, this guide adapts to your pace—offering clarity, context, and proven strategies grounded in real clinical practice. If you're ready to transform complexity into clarity and pass your certification exam with confidence, then now is the time to act. Don’t let another day go by feeling uncertain or unprepared. Grab your copy of CPT Professional 2025–2026 today and take control of your future in medical coding.

Audiobook details

GenreHealth and Wellness, Self-Help
Length8 hrs 35 mins
Narrated byListen with 1,000+ voices
FormateBook with Audio
Publish dateSep 12, 2025
LanguageEnglish

Table of contents

1INTRODUCTION TO CPT AND CODING STANDARDS
125General Structure of Pathology and Laboratory CPT Codes: Importance of Accurate Coding in Pathology and Laboratory Service
2Overview of CPT Codes
126Key Considerations for Using Pathology and Laboratory CPT Codes
3What is CPT?
127Clinical Laboratory Panels: Key Features of Clinical Laboratory Panels in the CPT
4Importance of CPT Codes
128Common Clinical Laboratory Panels and Their CPT Codes
5Structure of CPT Codes
129Clinical Guidelines and Compliance
Show all chapters
6Key Features 2025 CPT Updates
130Use of Modifiers in Laboratory Panels
7Guidelines for Accurate CPT Coding
131Importance in Healthcare
8The Purpose and Evolution of CPT Coding
132Molecular Pathology and Genomic Sequencing
9Purpose of CPT Coding
133Molecular Pathology
10Evolution of CPT Coding
134Genomic Sequencing
11Coding Standards and Compliance
135Molecular Pathology and Genomic Sequencing in Clinical Practice
12Importance of Accurate Medical Coding
136CPT Codes and Billing for Genomic Sequencing and Molecular Pathology
13What is CPT Coding?
137Key Changes to Pathology and Laboratory Coding for 2025
14Why Accurate CPT Coding is Important
138MEDICINE SERVICES
15Best Practices in the Coding Process
139Overview of Medicine Section CPT Codes
16Key Updates and Changes in 2025
140Major Components of the Medicine Section: Coding Challenges and Tips
17THE CPT CODE STRUCTURE
141Cardiovascular System Procedures
18Overview of the Five-Digit Code System
142Cardiovascular Diagnostic Procedures
19Structure and Format
143Cardiovascular Therapeutic Procedures
20How the Codes Work
144Cardiovascular Surgical Procedures
21Importance of the Five-Digit Code System
145Other Cardiovascular Medicine Procedures
22Understanding Modifiers in CPT Coding: Purpose of Modifiers in CPT Coding
146Respiratory System and Pulmonary Services
23Types of Modifiers: Commonly Used CPT Modifiers
147Pulmonary Diagnostic Testing and Therapeutic Procedures
24How to Apply CPT Modifiers: Importance of Accurate Modifier Use
148Therapeutic Interventions
25Category of CPT Codes: Category I, Category II, and Category III
149Special Considerations
26Category I CPT Codes
150Reimbursement and Billing Tips
27Category I CPT Codes Requirements
151Immunization Administration and Preventive Services: Preventive Services (CPT Codes 99381–99429)
28Category II CPT Codes
152MODIFIERS AND THEIR USAGE
29Benefits of Category II Codes
153Overview of CPT Modifiers and Their Purpose
30Category III CPT Codes
154Overview of CPT Modifiers
31Purpose of Category III Codes
155CPT Modifiers Purpose
32Summary of Difference
156Categories of Key Modifiers
33CPT Codebook Layout and How to Navigate
157Commonly Used Modifiers and Their Meanings: Commonly Used CPT Modifiers and Their Meanings
34Introduction and Guidelines
158Best Practices for Applying Modifiers
35Index
159Commonly Used CPT Modifiers and Their Applications
36Main Body (Codes and Descriptions)
160CATEGORY II CPT CODES
37Category I Codes
161Introduction to Performance Measurement Codes
38Sections
162Purpose and Importance
39Category II Codes
163Structure and Use
40Category III Codes
164Key Benefits
41Appendices
165Practical Example
42Modifiers
166Coding for Quality Reporting: Category II Codes in Clinical Practice
43Navigating the CPT Codebook
167Changes in Category II Codes
44EVALUATION AND MANAGEMENT SERVICES
168CATEGORY III CPT CODES
45Overview of E/M Codes
169Temporary Codes for Emerging Technologies
46Purpose of E/M Codes
170Purposes of Category III CPT Codes
47Key Components of E/M Codes
171Key Features of Category III CPT Codes
48Time-Based Coding: Types of E/M Services
172Examples of Category III CPT Codes
49Office or Other Outpatient Services: New vs. Established Patients
173When to Use Category III Codes
50CPT Codes for Office or Other Outpatient Services
174TELEMEDICINE AND REMOTE SERVICES CODING
51Key Elements of E/M Services
175Overview of Telemedicine in CPT
52Factors Influencing Code Selection
176Definition of Telemedicine in CPT
53Recent Changes in E/M Coding
177Telemedicine Modifiers
54Hospital Inpatient and Observation Services
178Categories of Telemedicine Service in CPT
55Hospital Observation Services (CPT Codes 99218-99220, 99224-99226)
179Recent Updates to CPT for Telemedicine
56Important Points to Remember About Inpatient Hospital and Observation Services
180Coding for Remote Patient Monitoring
57Emergency Department Services: Key Components of Emergency Department Services
181CPT Codes Applicable for Remote Patient Monitoring
58E/M Modifications for 2025
182Key CPT Codes Associated with Remote Patient Monitoring
59ANESTHESIA SERVICES
183Billing and Documentation Requirements for RPM
60Anesthesia CPT Codes Overview
184Compliance with RPM CPT Codes
61What are Anesthesia CPT Codes?
185Reimbursement and RPM Services
62Key Components of Anesthesia Services
186Telehealth Visits: Guidelines and Requirements
63Structure of Anesthesia CPT Codes: Specialized Anesthesia Services
187What is Telemedicine?
64Modifiers in Anesthesia Coding
188CPT Codes for Telehealth Visits
65Anesthesia Time Reporting
189Telehealth Visit Guidelines and Requirements
66Base Units and Relative Value Units (RVUs)
190Billing and Reimbursement
67ASA Physical Status Modifiers
191Telemedicine CPT Code Changes for 2025
68Reporting Time and Modifiers for Anesthesia: Anesthesia Modifiers
192CODING FOR PROCEDURES WITH ADVANCED TECHNOLOGY
69Special Considerations
193Robotic Surgery CPT Codes
70Special Circumstances in Anesthesia Billing
194Understanding Robotic Surgery CPT Codes
71Special Circumstances Affecting Anesthesia Billing
195Key Considerations for Robotic Surgery Coding: CPT Coding Tips for Robotic Surgery
72Key Changes in Anesthesia Coding for the 2025 Edition
196Minimally Invasive Procedures
73SURGERY GUIDELINES
197What Are Minimally Invasive Procedures?
74General Surgery Coding Principles
198CPT Codes for Minimally Invasive Procedures
75Global Surgical Package Explanation: Components of the Global Surgical Package
199Key Considerations for Coding Minimally Invasive Procedures
76Time Frames for Global Surgical Packages: Exceptions to the Global Surgical Package
200Commonly Used CPT Codes for Minimally Invasive Procedures
77Importance of Modifiers in Global Surgical Packages: Global Surgical Package and Medicare
201AI-Assisted Procedures and CPT Codes
78Surgical Modifiers and Their Applications
202AI-Assisted Procedures in Health Care
79In-Depth Review of Specific Surgical Subsections
203CPT Codes for AI-Assisted Procedures
80Integumentary System
204Documenting AI-Assisted Procedures
81Key Categories in the Integumentary System
205Coding New Medical Devices in 2025
82Key Points
206Coding for New Medical Devices in 2025
83Types
207Importance of Correct Coding
84Key Points
208COMPLIANCE, DOCUMENTATION, AND AUDIT PREPARATION
85Types of Repair
209Importance of Compliance in Medical Coding
86Types of Procedures
210The Importance of Compliance in Medical Coding
87Key Points
211CPT Coding Documentation
88Key Considerations for Accurate Coding
212Audit Preparation in CPT
89Musculoskeletal System: Musculoskeletal Subsection Overview
213Documenting Services Correctly for CPT Coding
90Key CPT Codes in the Musculoskeletal System: Specific Guidelines for Musculoskeletal Surgery
214Preparing for Audits and Ensuring Accuracy
91Best Practices in Documentation and Coding
215Organizing and Maintaining Accurate Documentation
92Digestive System: Specific Surgical Subsections in the Digestive System
216Regular Internal Audits and Self-Monitoring
93Laparoscopic Procedures of the Digestive System
217Education and Training for Coding Staff
94Use of Add-on Codes
218Leveraging Technology and Tools
95Global Surgery Package
219Proper Use of Modifiers
96RADIOLOGY SERVICES
220Strategies to Assure Accuracy in CPT Coding Practices
97Diagnostic Radiology: X-rays, Ultrasounds, MRI
221Payer Communication and Understanding Guidelines
98X-Rays (CPT Codes 70000-70199)
222Preparing for External Audits
99Ultrasounds (CPT Codes 76500-76999)
223Post-Audit Review and Continuous Improvement
100Magnetic Resonance Imaging (MRI) (CPT Codes 70336, 70540-76498):
224Handling Rejected or Denied Claims
101Interventional Radiology Procedures
225Rejected Claims vs. Denied Claims
102Essential Concepts in Interventional Radiology
226Common Reasons for Rejections or Denials
103CPT Coding for Interventional Radiology Procedures
227Steps to Handle Rejected/Denied Claims
104Common Interventional Radiology Procedures
228Tools for Preventing and Managing Claim Rejections and Denials
105Imaging Guidance Codes
229SPECIALTY-SPECIFIC CPT CODING
106Modifiers in Interventional Radiology
230Coding for Cardiology Procedures: Tips for Accurate Cardiology Coding
107Comprehensive Codes and Bundling: Documentation Requirements
231Coding for Orthopedic Surgery
108Nuclear Medicine CPT Codes
232Major Sections of CPT Coding for Orthopedic Surgery
109Understanding Nuclear Medicine CPT Codes
233CPT Modifiers for Orthopedic Surgery
110Common Sections in Nuclear Medicine CPT Codes
234Accurate Documentation and Challenges in Orthopedic Coding: Coding Guidelines and Compliance
111Some Specific Examples of More Commonly Used Nuclear Medicine CPT Codes
235Neurology and Neurosurgical Procedures
112Nuclear Medicine Procedure Reporting and Documentation
236Documentation and Coding Considerations
113Radiation Oncology Coding Guidelines
237Coding for Oncology Treatments
114Radiation Oncology Overview
238CPT EXAM PRACTICES AND STUDY GUIDE
115Consultation and Planning
239Key Concepts to Master for the CPT Exam
116Treatment Planning (CPT Code 77261–77263)
240Final Study Tips
117Radiation Treatment Delivery- CPT Code 77401–77499
241Common Pitfalls and How to Avoid Them
118Treatment Management (CPT Codes 77427–77499)
242Study Tips and Resources for Exam Success
119Brachytherapy Coding (CPT Codes 77750–77799)
243CPT Exam Study Tips
120Radiation Dosimetry (CPT Codes 77300–77399)
244Essential Resources for CPT Exam Preparation
121Specialized Techniques and Add-Ons: Documentation Guidelines
245On Exam Day
122Common Challenges in Radiation Oncology Coding
246Sample Questions: CPT Exam Sample Questions
123PATHOLOGY AND LABORATORY SERVICES
247Conclusion
124Overview of Pathology and Lab CPT Codes
248INDEX
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