Introduction :2026 CPT Code Updates/Revisions
Remote Monitoring 2026 CPT Code Updates/Revisions
Revisions will be made to the remote monitoring treatment management codes for physiologic (CPT code 99457) and therapeutic (CPT code 98980) services. The updated descriptors will require that providers perform at least one real-time, interactive communication with the patient or their caregiver during the calendar month.
Additionally, revisions will affect codes 99454 and 98977. Currently described as services for “each 30 days,” these codes will be updated to describe services for “16–30 days in a 30-day period.” This change is being made to accommodate new codes that will describe 2–15 days of remote physiologic or therapeutic monitoring services.
TEVAR and Endovascular Repair 2026 CPT Code Updates/Revisions
The endovascular repair of thoracic aortic aneurysm (TEVAR) code family will undergo substantial updates with the revision of four existing codes and the introduction of two new placeholder codes (33XX2 and 35XX1). The goal of these revisions is to more accurately reflect current clinical practice and coding standards, according to CMS.
The new code descriptors will specify services included within the code when performed. For example, the descriptor for code 33880 will be revised to explicitly include pre-procedure sizing, device selection, nonselective catheterization, and all associated radiological supervision and interpretation.
A review of Addendum B indicates that several TEVAR-related codes will be deleted, including the add-on codes 33884, 33889, and 33891.
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Prostate Biopsy Code Overhaul
CMS is proposing a significant overhaul of prostate biopsy codes, which includes the deletion of 55700 (Biopsy, prostate; needle or punch, single or multiple, any approach) and the introduction of nine new placeholder codes (5XX00–5XX10). This revision is intended to improve clarity in reporting prostate biopsies and any associated imaging procedures.
As part of this update, the descriptor for code 55705 (Biopsy, prostate; incisional, any approach) will be revised to “Biopsy, prostate; any approach, non-imaging-guided.”
Major Radiology and Radiation Oncology 2026 CPT Code Updates/Revisions
Changes
CMS plans to revise three radiation oncology treatment delivery codes—77402, 77407, and 77412—and establish them as a “technique-agnostic family of codes” that bundle imaging services. For instance, the descriptor for 77407 (Radiation treatment delivery, >=1 MeV; intermediate) will become “Radiation treatment delivery; Level 2, single isocenter (e.g., 3D or IMRT), photons, including imaging guidance, when performed.”
These revisions will be accompanied by the deletion of codes 77385, 77386, and 77014. CMS’s proposal is to delete HCPCS codes G6001–G6017 and recognize the newly revised CPT codes for payment under the Physician Fee Schedule. This is contingent on CMS finalizing a plan to use hospital outpatient prospective payment system (OPPS) data to calculate prices.
The CPT Editorial Panel has also updated 76872 (Ultrasound, transrectal), though the new descriptor was not published in the proposed rule.
Percutaneous Coronary Intervention (PCI) 2026 CPT Code Updates/Revisions
The proposed rule includes 10 revised codes for PCI services, the deletion of six add-on codes, and the introduction of two new placeholder codes (92X01 and 92X02).
Revised descriptors will appear for codes 92920, 92924, 92928, 92933, 92937, 92941, 92943, 92973, 93571, and 93572. As an example, 92920 (Percutaneous transluminal coronary angioplasty; single major coronary artery or branch) will be revised to “Percutaneous transluminal coronary angioplasty, single major coronary artery and/or its branch(es).”
Based on an analysis of Addendum B, the following add-on codes will be deleted as of January 1, 2026: 92921, 92925, 92929, 92934, 92938, and 92944. CMS has historically bundled these add-on codes, believing that separate payment might incentivize the increased placement of stents.