AMA releases 2027 CPT code set

The American Medical Association (AMA) announced the release of the 2027 Current Procedural Terminology (CPT®) code set, which includes 299 additions, 74 revisions, and 80 deletions for a variety of services.

One of the key changes for 2027 is a new maternity care coding framework. Currently, these services are coded through a global model that effectively represents nine months of care as a single service. Although this approach simplifies billing, it obscures care variation and complexity, according to the AMA. The CPT Editorial Panel convened a multidisciplinary workgroup to develop a more granular framework that better reflects modern obstetric care. The AMA released these changes earlier this year to give healthcare organizations additional time to prepare.

Starting in 2027, services for antepartum care, labor management, delivery, and postpartum care will be coded separately. The update consists of 12 additions, 17 deletions, and six revisions. It also includes significant revisions to subsection guidelines and relocates some existing codes. The AMA noted that these changes are designed to enhance data quality and tracking, which should help physicians and researchers address the rising rates of maternal mortality and serious or near-fatal maternal morbidity in the U.S.

The 2027 CPT code set also includes the following:

• New and revised guidelines for ventricular assist device procedures, including three new codes involving left ventricular assist devices
• Nine new codes for traumatic and non-traumatic diaphragmatic hernia repairs
• Updated prostate biopsy codes and guidelines
• A new time-based code structure for biofeedback
• New and revised radiology codes
• Six new codes for unattended sleep studies
• 10 new codes for artificial intelligence-related services

The changes will take effect on January 1, 2027. Revenue integrity staff should download the file and map the new, revised, and deleted CPT codes. Discuss the changes with all relevant teams, and update your chargemaster and other systems as needed. Review the AMA’s resources on the new maternity care coding framework to ensure your organization is prepared for the upcoming transition.