--- title: CY 2026 CPT and HOPPS Updates description: The 2026 updates to CPT and the Hospital Outpatient Prospective Payment System have been released and are available for review. image: https://hiacode.com/hubfs/CPT%20Code%20Updates.jpg --- # CY 2026 CPT and HOPPS Updates ![Cari Greenwood, RHIA, CCS, CPC](https://hiacode.com/hubfs/Cari%20Greenwood%20Author%20Bio%20(1).png) [Cari Greenwood, RHIA, CCS, CPC](https://hiacode.com/blog/author/cari-greenwood) Dec 16, 2025 [Industry News](https://hiacode.com/blog/tag/industry-news) [Medical Coding Tips](https://hiacode.com/blog/tag/medical-coding-tips) [Annual Code Updates](https://hiacode.com/blog/tag/annual-code-updates) ![CPT code updates and woman typing on a computer](https://hiacode.com/hubfs/CPT%20Code%20Updates.jpg) - Share on: - [![](https://hiacode.com/hubfs/Facebook%20svg.svg)](http://www.facebook.com/share.php?u=https://hiacode.com/blog/cpt-code-updates) - [![](https://hiacode.com/hs-fs/hubfs/twitter.png?width=32&height=32&name=twitter.png)](https://twitter.com/intent/tweet?text=I+found+this+interesting+blog+post&url=https://hiacode.com/blog/cpt-code-updates) - [![](https://hiacode.com/hubfs/LinkedIn%20svg.svg)](http://www.linkedin.com/shareArticle?mini=true&url=https://hiacode.com/blog/cpt-code-updates) - [![](https://hiacode.com/hubfs/mdi_email.svg)](mailto:?subject=Check%20out%20https://hiacode.com/blog/cpt-code-updates%20&body=Check%20out%20https://hiacode.com/blog/cpt-code-updates&media=https://20824215.fs1.hubspotusercontent-na1.net/hubfs/20824215/CPT%20Code%20Updates.jpg) - ![](https://hiacode.com/hubfs/entypo_link.svg) copied The 2026 updates to CPT and the Hospital Outpatient Prospective Payment System have been released and are available for review. Now is the time to familiarize yourself with the changes brought about by the updates so you can hit the ground running when they become valid on January 1. This is a summary showing the total number of new, deleted and revised CPT codes. | **Year** | **New Codes** | **Deleted Codes** | **Revised Code Titles** | | --- | --- | --- | --- | | 2026 | 288 | 84 | 45 | This table shows the breakdown of code updates by section of CPT. | **CPT Section** | **New** | **Deleted** | **Revised ** | | --- | --- | --- | --- | | Evaluation & Management | 2 | 0 | 4 | | Anesthesia | 0 | 0 | 0 | | Surgery | 77 | 24 | 12 | | Radiology | 8 | 9 | 3 | | Pathology & Laboratory | 86 | 13 | 5 | | Medicine | 37 | 17 | 17 | | Category I | 0 | 0 | 0 | | Category II | 78 | 21 | 4 | | Totals | 288 | 84 | 45 |   This table shows the breakdown of code updates by CPT Surgery sub-sections. | **Surgery Sub-Section** | **New** | **Deleted** | **Revised** | | --- | --- | --- | --- | | Integumentary | 0 | 0 | 1 | | Musculoskeletal | 2 | 2 | 2 | | Respiratory | 0 | 0 | 0 | | Cardiovascular | 48 | 20 | 4 | | Lymphatic/Hemic | o | 0 | 0 | | Mediastinum/Diaphragm | 0 | 0 | 0 | | Digestive | 2 | 0 | 0 | | Urinary | 2 | 0 | 0 | | Male/Female Genital/OB | 12 | 2 | 2 | | Endocrine | 0 | 0 | 0 | | Nervous | 11 | 0 | 3 | | Eye and Ocular Adnexa | 0 | 0 | 0 | | Auditory | 0 | 0 | 0 | | Totals | 77 | 24 | 12 |   ## 2026 CPT Significant Updates by Section The list below highlights some of the significant 2026 updates to CPT by Section. #### Evaluation and Management: - A new code, **99445**, was created and codes **99453** and **99454** were revised to allow for reporting of remote monitoring of physiological parameters for smaller periods of time (2-15 days and 16 to 30 days) - A new code was, **99470**, was created to allow for remote physiologic monitoring treatment management for 10 to 19 minutes. #### Radiology - A new code, **75577**, was added - This code reports procedure to measure and assess the level of severity of coronary atherosclerotic plaque from AI generated data from coronary CTA - This code replaces Category III codes 0623T-0626T #### Pathology and Laboratory - Nearly one-third of the new codes are additions to the Pathology and Laboratory Section. **79** of these are proprietary lab analysis codes. #### Medicine - New codes **90482-90484** report counseling for immunizations not administered on the same date of service - New codes were released for immunizations for: - RSV - COVID-19 - Influenza - Codes reporting coronary therapeutic services and procedures underwent a major overhaul that, among other changes, deleted many add-on codes for procedures in additional vessels - New codes **93415-93416** were created to report interrogation and programming of baroreflex activation therapy (BAT) modulation systems #### Category III - A large number of updates with 78 new codes, 21 codes deleted and 4 revised codes. - Many new Category III codes relate to procedure performed on the cardiovascular and nervous systems #### Surgery: Musculoskeletal - Codes **27458** and **27713** were added to allow reporting of femoral and tibial osteotomies. - New Category III codes **0999T – 1001T** were added to report autologous muscle cell therapy. #### Surgery: Cardiovascular - **New codes** for endovascular repair of thoracic aorta - Additions to the services included as part of repair - Code **33882** added to report repair by branched endograft multipiece system with fenestration for left subclavian artery - A **complete overhaul **of codes to report endovascular revascularization of lower extremities for occlusive disease. - Deletion of 16 codes - Addition of 46 new codes - Addition of new vascular territory -Inframalleolar - New terminology for type of lesion - New guideline specifying unsuccessful interventions are reported as diagnostic catheterization and angiography - **Many** new Category III codes for cardiovascular procedures, including: - Three codes (**0981T - 0983T**) for wireless inferior vena cava hemodynamic monitoring - Four codes (**0984T - 0987T**) for intravascular imaging of cerebral vessels - Two codes (**0994T – 0995T**) for aortic wall stabilization drug therapy - One code, **1019T**, for lymphovenous bypass #### Surgery: Digestive - One new code (**43889**) for endoscopic sleeve gastroplasty - One new code (**47384**) for percutaneous irreversible, electroporation ablation of liver tumors - Three new Category III codes (**0964T-0966T**) for procedures on to treat sleep apnea - Three new Category III codes (**0978T-0980T**) for submucosal cryolysis therapy to treat snoring and obstructive sleep apnea #### Surgery: Urinary and Male Genital - Two new codes for procedures to treat benign prostatic hyperplasia - **52443** Anterior Prostate Commissurotomy - **52597** Waterjet Resection of Prostate - Nine new codes for prostate biopsy with imaging guidance (**55707-55715**) - Two new codes for laparoscopic prostatectomy (**55868 -55869**) - One new Category III code, **0950T**, for transrectal ablation of benign prostate tissue #### Surgery: Nervous - Three new codes related to lumbar decompression - **62230, +62331 **Percutaneous Lumbar Decompression - **+63032** Repair of Annular Defect - Six new codes (**64654-64659**) to report procedures on baroreflex activation therapy (BAT) modulation systems - 10 new codes related to neurostimulators - **0988T, 0989T** Subcutaneous insertion, replacement or removal of integrated neurostimulation system for bladder dysfunction - **0968T, 0969T** Insertion, replacement or removal of epicranial neurostimulation system - **1013T - 1015T** Laparoscopic procedures on lower esophageal sphincter neurostimulators - **1016T - 1018T** Analysis, programming and monitoring of lower esophageal sphincter neurostimulators ## HOPPS Updates Highlights Updates take effect on January 1 and are made public through release of the Hospital Outpatient Prospective Payment- Notice of Proposed and/or Final Rulemaking. As of November 25, 2025 CMS has finalized the updates for CY 2026 with release of the final rule which can be found at [https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient/regulations-notices/cms-1834-fc.](https://www.cms.gov/medicare/payment/prospective-payment-systems/hospital-outpatient/regulations-notices/cms-1834-fc) All of the details about the HOPPS updates can be found in the final rule. ## Notable Areas of Update for 2026 - CMS is making an overall increase of payment rates of 2.6% for 2026, which is the same as the increase in 2025. This is based on a 3.3% increase reduced by 0.7 percentage point for the productivity adjustment. - The Conversion Factor for CY2026 is $91.415 for hospitals that meet outpatient quality reporting requirements. This is an increase of 2.3% over 2025. - There are 3 new procedures or technologies being added to New Technology APCs - 3 devices with pass-through status are expiring by 12/31/2025 - 2 new devices have qualified for pass-through payment through the alternative pathway approval process - No new devices have qualified for pass-through payment through the traditional pathway approval process - There are 541 codes being added to the ASC covered procedures list - Three year phase out of the Inpatient Only (IPO) List - CMS will pay separately for the provision of certain groups of skin substitute products as supplies when they are used during a covered application procedure paid under the PFS in the non-facility setting or under the OPPS - Finalization of changes to the methodology used to calculate the CY 2026 Community Mental Health Center (CMHC) Partial Hospitalization Program (PHP), and Intensive Outpatient Program (IOP) costs based on 40 percent of the corresponding proposed hospital-based PHP and IOP costs - 1 new status indicator is being added related to skin substitute products paid separately. ## HCPCS Codes - Quarterly updates to HCPCS codes are ongoing. Many HCPCS codes are “hard” coded in the chargemaster. Check with your organization to determine which HCPCS codes are in the chargemaster, and which are assigned by coders. Access the latest version of HCPCS here: [https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update](https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update) ## Prepare Now Make sure you and your team are ready on January 1, 2026, to apply all of the CY2026 code and payment updates! [Enroll now in HIAlearn’s CY 2026 CPT Updates and HOPPS Updates Coding Course](https://hialearn.com/code-updates/cpt). Approved by AHIMA and AAPC for 2.5 CEUs total. [![FY 2025 PCS Screen Group](https://no-cache.hubspot.com/cta/default/20824215/interactive-180522291631.png) ](https://hiacode.com/hs/cta/wi/redirect?encryptedPayload=AVxigLKRV3ZaDpbQs1YkE5eqFudqvea275D7Js5p2tzthrOIKPk425goUWhmb3qpTSN7OVQolmWBQgV9piQS4P22x1DACOLbR2UDMIm3BqQ0yAsZfNDx8AuJ%2FgzmI0EnU4bhiaE%2FolKxXK7NoJL5tcVxzPFrd6lhzYyIZMZRAIrKpSjPeTQzAjuPyzU%3D&webInteractiveContentId=180522291631&portalId=20824215) Combine with ICD-10 and IPPS updates to get comprehensive update information: - [ FY 2026 ICD-10-CM Code Updates](https://hialearn.com/code-updates/icd-10-cm-diagnosis-codes) (1.5 CEUs) - [FY 2026 ICD-10-PCS Code Updates](https://hialearn.com/code-updates/icd-10-pcs-procedure-codes) (1.0 CEUs) - [FY 2026 Inpatient Prospective Payment System (IPPS) Updates](https://hialearn.com/code-updates/ipps) (1.5 CEUs) [Bundle all four courses, and receive one free](https://app.hubspot.com/payments/purchase/hscs_KNSSsIP9zD5auGzRDKzXEBOITQy3DPkJ4iO7HLcywWUlThDqlOVPtM3h6KTt3ku6). [![FY 2026 Code Updates](https://no-cache.hubspot.com/cta/default/20824215/interactive-173892097925.png) ](https://hiacode.com/hs/cta/wi/redirect?encryptedPayload=AVxigLKNyONCJ5q0lmgFuaVi8TubN2g1uF9Zoyg4CLiL6jYnUfSFo3gkOhiMEmb%2B3OPmIlQqMAdi7FZ80AbycfJwncW152Nh1RRsqUDPfSKgeJLBrSBWF2AZNUcVZVRRVNrwAN8ZJLMNLr3lf58e6Oba6A%2BKusGjmvNoYu9DW1Jo8Bjl82dOSA%3D%3D&webInteractiveContentId=173892097925&portalId=20824215) > ***The information contained in this post is valid at the time of posting. Viewers are encouraged to research subsequent official guidance in the areas associated with the topic as they can change rapidly.*** ##### [Previous](https://hiacode.com/blog/vascular-embolization-and-occlusion) ### [CPT Coding Guidelines Review: Vascular Embolization and Occlusion](https://hiacode.com/blog/vascular-embolization-and-occlusion) ##### [Next](https://hiacode.com/blog/holiday-coding-accuracy-checklist) ### [Checking It Twice: A Holiday Coding Accuracy Checklist for Clean Claims](https://hiacode.com/blog/holiday-coding-accuracy-checklist) Serach Blog Post ## Need to Earn CEUs? Our coding education platform, HIAlearn.com, offers courses related to this topic and many more. Subscribe today and access more than 230 courses accepted by AHIMA for CEUs, with a selection also accepted by AAPC. ![CTA Sidebar HIAlearn logo-1](https://hiacode.com/hs-fs/hubfs/CTA%20Sidebar%20HIAlearn%20logo-1.png?width=1080&height=189&name=CTA%20Sidebar%20HIAlearn%20logo-1.png) [![Learn More](https://no-cache.hubspot.com/cta/default/20824215/f611164b-1c02-4b86-a2aa-6033633d4569.png)](https://cta-redirect.hubspot.com/cta/redirect/20824215/f611164b-1c02-4b86-a2aa-6033633d4569) #### Category - [Medical Coding Tips (370)](https://hiacode.com/blog/tag/medical-coding-tips) - [Industry News (339)](https://hiacode.com/blog/tag/industry-news) - [Company News (23)](https://hiacode.com/blog/tag/company-news) - [Query Tips (23)](https://hiacode.com/blog/tag/query-tips) - [Annual Code Updates (16)](https://hiacode.com/blog/tag/annual-code-updates) - [CDI Tips (9)](https://hiacode.com/blog/tag/cdi-tips) ### Subscribe to our Newsletter #### Recent Blogs Jul 01, 2026 [Industry News](https://hiacode.com/blog/tag/industry-news) [Medical Coding Tips](https://hiacode.com/blog/tag/medical-coding-tips) ### [ICD-10-CM Coding for Colonosco...](https://hiacode.com/blog/icd-10-cm-coding-for-colonoscopy-following-positive-cologuard-result) Jun 24, 2026 [Industry News](https://hiacode.com/blog/tag/industry-news) [Medical Coding Tips](https://hiacode.com/blog/tag/medical-coding-tips) ### [20,000 Inpatient Reviews Revea...](https://hiacode.com/blog/20k-inpatient-coding-reviews-principal-diagnosis-pcs-revenue-integrity) Jun 10, 2026 [Industry News](https://hiacode.com/blog/tag/industry-news) [Medical Coding Tips](https://hiacode.com/blog/tag/medical-coding-tips) ### [Big Changes Coming to CPT Codi...](https://hiacode.com/blog/big-changes-coming-to-cpt-coding-for-maternity-care) Jun 05, 2026 [Industry News](https://hiacode.com/blog/tag/industry-news) [Medical Coding Tips](https://hiacode.com/blog/tag/medical-coding-tips) ### [Why Being Proactive Matters in...](https://hiacode.com/blog/proactive-coding-quality-assurance) ## Related blogs from Industry News , Medical Coding Tips , Annual Code Updates Jul 01, 2026 [Industry News](https://hiacode.com/blog/tag/industry-news),  [Medical Coding Tips](https://hiacode.com/blog/tag/medical-coding-tips) #### [ICD-10-CM Coding for Colonoscopy Following Positiv...](https://hiacode.com/blog/icd-10-cm-coding-for-colonoscopy-following-positive-cologuard-result) A colonoscopy prompted by a positive Cologuar... [ Read More](https://hiacode.com/blog/icd-10-cm-coding-for-colonoscopy-following-positive-cologuard-result) Jun 24, 2026 [Industry News](https://hiacode.com/blog/tag/industry-news),  [Medical Coding Tips](https://hiacode.com/blog/tag/medical-coding-tips) #### [20,000 Inpatient Reviews Reveal Coding Opportuniti...](https://hiacode.com/blog/20k-inpatient-coding-reviews-principal-diagnosis-pcs-revenue-integrity) A review of 20,805 inpatient encounters found... [ Read More](https://hiacode.com/blog/20k-inpatient-coding-reviews-principal-diagnosis-pcs-revenue-integrity) Jun 10, 2026 [Industry News](https://hiacode.com/blog/tag/industry-news),  [Medical Coding Tips](https://hiacode.com/blog/tag/medical-coding-tips) #### [Big Changes Coming to CPT Coding for Maternity Car...](https://hiacode.com/blog/big-changes-coming-to-cpt-coding-for-maternity-care) Beginning January 1, 2027, CPT will retire th... [ Read More](https://hiacode.com/blog/big-changes-coming-to-cpt-coding-for-maternity-care) Jun 05, 2026 [Industry News](https://hiacode.com/blog/tag/industry-news),  [Medical Coding Tips](https://hiacode.com/blog/tag/medical-coding-tips) #### [Why Being Proactive Matters in Coding Quality Assu...](https://hiacode.com/blog/proactive-coding-quality-assurance) Taking a proactive approach to coding quality... [ Read More](https://hiacode.com/blog/proactive-coding-quality-assurance) ## Subscribe to our Newsletter Weekly medical coding tips and coding education delivered directly to your inbox. ```json { "@context" : "https://schema.org", "@type" : "BlogPosting", "author" : { "@type" : "Person", "name" : "Cari Greenwood, RHIA, CCS, CPC", "url" : "https://hiacode.com/blog/author/cari-greenwood" }, "dateModified" : "2025-12-16T18:06:45.405Z", "datePublished" : "2025-12-16T18:00:00.000Z", "headline" : "CY 2026 CPT and HOPPS Updates", "image" : [ "https://hiacode.com/hubfs/CPT%20Code%20Updates.jpg" ], "mainEntityOfPage" : { "@id" : "https://hiacode.com/blog/cpt-code-updates", "@type" : "WebPage" }, "publisher" : { "@type" : "Organization", "logo" : { "@type" : "ImageObject", "url" : "https://hiacode.com/hubfs/HIA_RGB_AlternativeLogo%20(1)%20(1).png" }, "name" : "Health Information Associates" } } ```