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Learn about important changes to the Alliance/ICP Program effective October 1, 2025. Visit dhcf.dc.gov/alliance-program-changes for information.

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Transmittal 25-19 - DC Physician Fee Schedule Mid-Year CPT HCPCS Code Updates Effective July 1, 2025


Tuesday, July 1, 2025

Each quarter the Centers for Medicare and Medicaid Services (CMS) releases modifications of the Healthcare Common Procedure Coding System (HCPCS) code set. Level I of the HCPCS is the CPT (Current Procedural Terminology) codes, maintained by the American Medical Association, that are used primarily to identify laboratory or vaccine administration services and procedures furnished by physicians and other health care professionals. Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the codes, such as prescription drug products and durable medical equipment. The Department of Health Care Finance (DHCF) adopts new quarterly CPT-HCPCS codes that align with policy.