ICD-10 and CPT 2025

  • The American Medical Association (AMA) has made Current Procedural Terminology CPT®  code changes to the 2025 edition of the CPT®.  Diagnostic Laboratory of Oklahoma (DLO) will be implementing these changes effective January 1, 2025.  Overall, the changes for 2025 CPT® coding affect the way we bill some of our tests.  These tests may also be included in panels or profiles.  The chart below lists some of the tests affected and the appropriate CPT code changes.  Please refer to the Quest Diagnostics Test Directory for further detail on reflexing information.

    The American Medical Association (AMA) has made Current Procedural Terminology CPT®  code changes to the 2025 edition of the CPT®.  Diagnostic Laboratory of Oklahoma (DLO) will be implementing these changes effective January 1, 2025.  Overall, the changes for 2025 CPT® coding affect the way we bill some of our tests.  These tests may also be included in panels or profiles.  The chart below lists some of the tests affected and the appropriate CPT code changes.  Please refer to the Quest Diagnostics Test Directory for further detail on reflexing information.

    Download a PDF of the CPT Code Changes for 2025 Table

    Click here to view the latest ICD-10 and CPT 2025 updates

    Download Diagnosis Codes for Laboratory Orders (2025)

    Download Aetna Office Links Update (2025)

     

    The American Medical Association (AMA) has made Current Procedural Terminology CPT® code changes to the 2025 edition of the CPT.

    Diagnostic Laboratory of Oklahoma (DLO) will be implementing these changes effective January 1, 2025. Overall, the changes for 2025 AMA CPT coding affect the way we bill some of our tests. These tests may also be included in panels or profiles. The chart below lists some of the tests affected and the appropriate CPT code changes. Please refer to the Quest Diagnostics Test Directory for further detail on reflexing information.

    Download a PDF of the CPT® Code Changes for 2024 Table

     

      Order Code  Test Name 2024 CPT Coding 2025 CPT Coding
    11786 Quest AD-Detect® Beta-Amyloid 42/40 Ratio, Plasma 0346U 82233, 82234
    13690 Tau Protein, Phosphorylated 83520 84393
    92433 ADmark® Phospho-Tau/Total-Tau/A Beta42, Analysis and Interpretation, CSF (Symptomatic) 83520 (x3) 84393, 82234, 84394
    13825 Quest AD-Detect® Phosphorylated tau217(p-tau217), Plasma 83520 84393
    94628 Beta-Amyloid 42/40 Ratio and Apolipoprotein E (APOE) Isoform Panel, CSF 82542 (x2), 82172 82233, 82234, 82172
    94627 Beta-Amyloid 42/40 Ratio, CSF 82542 82233, 82234
    37989 14-3-3 Protein, CSF (Prion Disease) 0035U, 83520 (x2) 0035U, 83520, 84394
    18835 Pneumocystis jirovecii DNA, Qualitative Real-time PCR 87798 87594
    94577 Mycobacterium tuberculosis Complex and Rifampin Resistance, PCR, Sputum 87801 87564
    94578 Mycobacterium tuberculosis Complex, Rifampin Resistance, Culture/PCR Sputum 87801, 87116, 87206 87564, 87116, 87206
    36925  Mycobacterium tuberculosis Complex and Rifampin Resistance, PCR, Non-Sputum 87801 87564
    13240 PFAS (Forever Chemicals) 9 Panel  0457U effective 7/1/2024  0457U
    92587 BRCA Panel Plus  81162, 81307, 81321, 81323, 81351, 81404, 81405, 81406, 81479 

     

     

    81432

    91461 Lynch Syndrome Panel  81295, 81297, 81292, 81294, 81298, 81300, 81317, 81319, 81403  81435
    38611 Guideline Based Hereditary Cancer Panel  Breast: 81432, 81433 - or - Colon: 81435, 81436 Breast: 81432 - or - Colon: 81435 
    38621 Hereditary Breast Cancer Panel  81432, 81433  81432 
    38600 Comprehensive Hereditary Cancer Panel  Breast: 81432, 81433 - or - Colon: 81435, 81436 Breast: 81432 - or - Colon: 81435 
    38641 Hereditary Endocrine Cancer Panel 81437, 81438  81437
    38631 Hereditary Colorectal Cancer Panel   81435, 81436  81435
    13979 Neurofilament Light Chain (NfL), Plasma 83520 83884
    16374 S. pneumoniae Antibody (IgG), 13 Serotypes 86317 (x13)  86581
    19564 S. pneumoniae Antibody (IgG), 14 Serotypes 86317 (x14)  86581
    16963 S. pneumoniae Antibody (IgG), 23 Serotypes 86317 (x23)  86581
    19817 S. pneumoniae Antibody (IgG), 12 Serotypes 86317 (x12)  86581

     

    We appreciate your support and look forward to continuing to serve all of your laboratory needs. DLO will make every effort to assist you with the transition to the 2025 AMA CPT coding being used for our test offerings.

    Thank you very much for using DLO for your laboratory testing needs.

    Note: The CPT codes provided are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payer being billed.

    June 27 is annually recognized as National HIV Testing Day in the United States. This day serves as a powerful reminder of the importance of knowing your HIV status.