Part B News | Editors' Blog

CPT 2027 refresh delivers E/M updates, MDM clarity and hundreds of new codes

by: Laura Evans, CPC, Julia Kyles, CPC, and Richard Scott Oct 13, 2026

Reinforce your coding and billing efforts in 2027: Prepare to welcome nearly 300 new CPT codes across a wide range of services and body systems taking effect Jan. 1. The AMA’s CY 2027 CPT update also contains 74 revised codes and 80 deletions.

Many of the deleted codes are being replaced with new codes. See the body system round-ups below for further guidance. The CPT update also features a definition for prescription drug management in the level-based E/M services section and more guidance for chronic care management coding.

Q&A: Practices brace for modifier 25 cuts with anxiety, questions

by: Richard Scott Oct 9, 2026

The latest issue of Part B News returns to a topic that is currently roiling the provider community: CMS' proposal to slash fees for modifier 25-appended claims by up to 50% for some services. The proposal, as recent analysis shows, has massive billing and payment implications.

Commenters target 'disastrous' modifier 25 proposal that would slash fees by 50%

by: Richard Scott Sep 2, 2026

CMS wants to diminish payments for claims submitted with modifier 25 by 50% in some cases, and providers and others in the medical practice community are not pleased.

The fee cut, which "undermines patient-centered care," would be "disastrous," according to public comments shared with CMS in response to the proposed 2027 Medicare physician fee schedule.

Q&A: Level E/M encounters like an expert

by: Richard Scott Jul 27, 2026

E/M coding is one of the core elements of the medical practice revenue cycle process. Whether medical decision-making or time-based rules apply, it’s vital that practices, from physicians to coders, are fully up to speed.

Code swap: Remember that G0136 now covers physical activity, nutrition

by: Richard Scott May 28, 2026

Don't forget about a key change to a Medicare-covered HCPCS code that providers reported hundreds of thousands of times in its debut year. As of Jan. 1, code G0136 now covers physical activity and nutrition assessments, not social determinants of health (SDOH).

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