Tuesday, April 1, 2025

AMA Releases Newest PLA Codes (April 2025)

AMA releases new PLA codes quarterly and to no one's surprise, the list for the second quarter is now online.

https://www.ama-assn.org/system/files/cpt-pla-codes-long.pdf

AMA releases a cumulate PDF that includes codes not included in this year's AMA CPT book.   In practice, this means codes submitted on around June 15 or later (for the July quarter review, or later) appear in this PDF.  The new codes are those released April 1, 2025. Events released on April 1 will be effective for use on July 1.

  • AMA summarizes that it revised one code (0285U), deleted 6 codes, and added 23 codes.
  • There were editorial updates, such as manufacturer, for 5 additiional codes.
  • New codes begin at 0552U and run up to 0574U.

Among publicly held companies, see Guardant REVEAL (for MRD), 0569U; Biomerieux Biofire respiratory tract 0564U.  Haystack/Quest has 2 MRD codes (0560U, 0561U), for baseline and for monitoring. Illumina's FDA approved TruSight test, 517 genes, 0543U.  

Not new, from December 2024, I notice CareDx Allosure, not organ specific, 0540U.  

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Code applications for the Spring quarter (Q2) were due about March 11 and AMA is currently reviewing them.  Will be posted for comment April 15, 2025.