Wednesday, August 20, 2025

PLA Codes, CPT Codes: Next CPT Meeting September 18-20, Chicago

The next AMA CPT Editorial Panel Meeting will be held in Chicago, September  18-20, 2025.   

It's hybrid (in person registration vs online zoom registration) - and both are free.

Find it here:

https://www.ama-assn.org/member-benefits/events/cpt-editorial-panel-meeting

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At that link, you can also find the Agenda,

https://www.ama-assn.org/system/files/cpt-panel-september-2025-agenda.pdf

Pathology issues had a comment deadline of July 25.  You can still request materials to review, though, til September 12.

Diagnostics Field

Prostate biopsy codes for the surgical procedure are up for revision (55xxx).

Under genomic sequencing procedures, look for new codes for renal conditions, immune conditions, and Alport syndrome.  

There is one application for Administrative MAAA code (bladder) and one deletion.

There are remote device codes for monitoring oncology therapy.

There are a number of codes with the term, "Augmentative AI" in areas like radiology and cardiology and dermatology.

BIG NEWS FOR AI PATHOLOGY ("CMAA")

There is a "discussion only session" (tab 94) on "clinically meaningful algorithmic analyses" or CMAA that do not require physician work.   (AMA has been discussing where to put "dry lab” meaning AI of whole slide imaging, and this session may be relevant.)

PLA CODES

Codes under review by the PLA committee are posted here:

https://www.ama-assn.org/system/files/august-2025-pla-public-agenda.pdf

By September, the PLA committee will have finished its reviews and edits and these codes will be voted on (briefly) at the Chicago CPT.

More About CMAA 

Several years ago, AMA created Appendix S, which provides a taxonomy for AI-assisted services.  Specifically, it defines "Assistive" services, "Augmentative" services (both of which are signed off or signed out by a physician), and "Autonomous" services, requiring no physician sign-out.  (The autonomous category has 3 sublevels, Levels I,II,III).

As I understand it, at the September AMA, the digital workgroup will present CMAA, Clinically Meaningful Algorithmic Analyses.   (aka, Tab 94).  I believe this could develop into an entirely new coding section which would have subchapters for cardiology tests, radiology tests, laboratory tests.  If that happened, it would be anomalous to have "dry lab" algorithmic codes in the PLA section and they would be located instead in CMAA (with radiology, etc).   This is all TBD but it is my impressioin so far.  I think CMAA slide diagnostics would be "autonomous" usually, no physician sign out.  Of course, if they did require physician sign-out, they would not be eligible to be PLA codes, anyway.

The "Agenda" PDF has a link that takes you to the AMA website manager for tabs and comments.  Tab 94 includes two documents, be sure and review both.