About APMA

New CPT Code Set: January 1, 2026

  • Nov 24, 2025

A new CPT® code set1 takes effect January 1, 2026, containing additions, deletions, and modifications. Some of those changes that are most pertinent to podiatrists are below. 

Remote Physiologic Monitoring 

CPT® coding for remote physiologic monitoring includes codes that represent three aspects of the service: equipment set-up/patient education, device supply with recording/alert transmission, and monitoring treatment management services. Prior to January 1, 2026, the set-up/patient education codes and device supply codes could not be submitted unless monitoring lasted 16 days or more. The new code set allows for more versatility in the provision of the service by allowing for submission of those codes if monitoring lasts two or more days. The new and revised codes with this additional versatility are: 

  • CPT® 99445 - Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate); device(s) supply with daily recording(s) or programmed alert(s) transmission, 2–15 days in a 30-day period1 

  • CPT® 99454 - Remote monitoring of physiologic parameter(s) (e.g., weight, blood pressure, pulse oximetry, respiratory flow rate); device(s) supply with daily recording(s) or programmed alert(s) transmission, 16–30 days in a 30-day period1

Prior to January 1, 2026, the remote physiologic monitoring treatment management services codes could only be submitted if monitoring treatment management lasted 20 minutes or more. In 2026, codes are revised and added that allow submission of this service if monitoring treatment management services last 10 minutes or more. Those new and revised codes are:

  • CPT® 99470 - Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring one real-time interactive communication with the patient/caregiver during the calendar month; first 10 minutes1

  • CPT® 99457 - Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring one real-time interactive communication with the patient/caregiver during the calendar month; first 20 minutes1

  • CPT® 99458 - Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring one real-time interactive communication with the patient/caregiver during the calendar month; each additional 20 minutes (list separately in addition to code for primary procedure)1

Real-Time Fluorescence Wound Imaging 

The code descriptor for CPT® 0598T is changing from "Noncontact real-time fluorescence wound imaging, for bacterial presence, location, and load, per session; first anatomic site (e.g., lower extremity)" to "Real-time fluorescence wound imaging with clinical darkness, to identify location of bacterial wound pathogens and measure wound size, per session; first anatomic site (e.g., lower extremity, right leg)." With this change, code submission no longer requires that the real-time fluorescence wound imaging be "noncontact." The revised code descriptor adds the work involved to achieve the clinical darkness and accounts for the measurement of wound size. The add-on code for this service, CPT® 0599T, mirrors these changes in the new code set.

Enzymatic Debridement of Burns 

CPT® 97602 is used to represent nonselective enzymatic debridement. For 2026, new codes are added that specify selective enzymatic debridement of burn eschar: 

  • CPT® 0973T - Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (i.e., general anesthesia, moderate sedation), including patient monitoring, trunk, arms, legs; first 100 square cm1

  • CPT® 0975T - Selective enzymatic debridement, partial-thickness and/or full-thickness burn eschar, requiring anesthesia (i.e., general anesthesia, moderate sedation), including patient monitoring, scalp, neck, hands, feet, and/or multiple digits; first 100 sq cm1

Each of these also have an add-on code to represent each additional 100 square cm of debridement. 

Limb Lengthening 

The new code set adds multiple codes representing procedures intended to achieve limb lengthening, including this new code involving work performed on the tibia: 

  • CPT® 27713 - Osteotomy(ies), tibia, including fibula when performed, unilateral, with insertion of an externally controlled intramedullary lengthening device, including imaging, alignment assessments, computations of adjustment schedules, and management of the intramedullary lengthening device1

Remote Therapeutic Monitoring 

CPT® coding for remote therapeutic monitoring includes codes that represent three aspects of the service: equipment set-up/patient education, device(s) supply for data access/transmission, and monitoring treatment management services. Prior to January 1, 2026, the CPT® codes that represent the equipment set-up/patient education supply could not be submitted unless monitoring lasted 16 or more days. The new code set allows submission of those codes if monitoring lasts two days or more.  

 

[1] CPT® 2026 Professional Edition Current Procedural Terminology (CPT®) is copyright 1966, 1970, 1973, 1977, 1981, 1983-2025 by the American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association (AMA).