2025 CPT Code Updates

From time to time, the American Medical Association (AMA) makes minor changes to the CPT code set. The changes generally take effect on January 1. In some cases, AMA adds new codes and retires others. In other cases, only the description associated with the code is changed. Eyefinity updates its software and platforms to support code changes.

The updated codes apply only to claims with a service date on or after the CPT code change effective date—January 1. Claims with an earlier service date will continue to use the prior codes. Billers should familiarize themselves with the changes and verify that the correct codes are appearing on claims.

Eyefinity has identified 25 code changes that apply to eyecare, with the caveat that there may be additional changes not identified.

This section includes the 2023 CPT code updates:

To avoid a disruption in billing, it’s important that you finalize any outstanding visits in your EHR software by end of day on December 31. For more information on finalizing exams, refer to the following topics:

Note that you can finalize individual exams or batch finalize multiple exams.