Billing updates for 2025 Copied
To support the updates to the Current Procedural Terminology (CPT) codes for 2025, we made several changes to the Billing and Charge Capture screens, effective for appointments on or after January 1, 2025.
New billing code for genetic counseling services
Code 96041 will replace code 96040 to meet the updated reporting requirements for medical genetics and genetic counseling services.
96041 Genetic Counseling will be displayed under the Additional Codes section (callout 1) when selecting codes during the billing process.
After selecting 96041 Genetic Counseling, a drop-down menu (callout 2) will appear so you can choose from the following time-based units:
- 16-45 minutes: 1 unit (default selection)
- 46-75 minutes: 2 units
- 76-105 minutes: 3 units
- 106-135 minutes: 4 units
NOTE: You must select a time-based unit to save the billing code.
Once the code is saved, the patient’s Charge Capture Report will include 96041 Genetic Counseling (callout 3). The report will display the code, selected time-based unit, and description for the captured charges.
Additional billing code added for COVID-19 vaccines
When administering any of the COVID-19 vaccines listed below from the MAR > Nursing Care tab, the system will automatically record code 90480 alongside the corresponding vaccine billing code in the Charge Capture Report (callout 1):
| Billing Code | Vaccine |
| 91320 | COVID Vaccine (Pfizer) (PF) IM (12 yrs & older) |
| 91318 | COVID vaccine (Pfizer) (PF) IM (6 months thru 4 yrs) (EUA) |
| 91319 | COVID vaccine (Pfizer) (PF) IM (5 yrs thru 11 yrs) (EUA) |
| 91322 | COVID vaccine (Moderna) (PF) IM (12 yrs & older) |
| 91321 | COVID vaccine (Moderna) (PF) IM (6 months thru 11 yrs) (EUA) |
| 91304 | COVID vaccine (Novavax) – adjuv-matrix (PF) IM (12 yrs & older) (EUA) |
Removal of depreciated E/M Codes
In compliance with the 2025 CPT Code Set guidelines, several outdated E/M Codes will be removed from the Billing Screen to ensure adherence to the latest coding standards and eliminate the use of obsolete codes.
Key updates
- The following E/M Codes will no longer be available for selection under the Additional Codes section for appointments on or after Jan. 1, 2025:
- 96040
- 99441
- 99442
- 99443
- G2012
- For appointments with dates of service (DOS) before Jan. 1, 2025, these codes remain visible, accessible, and selectable in the Billing Screen and Charge Capture Report.
- Providers can continue to make corrections to these codes in a patient’s Charge Capture Report within the following timelines:
- Additions: Up to 12 months from DOS
- Corrections: Up to 24 months from DOS
- Billing Revisions: Up to 72 months from DOS
NOTE: On Dec. 6, 2024, CMS published the following Appropriate Use Criteria modifiers will expire at the end of 2024: MA, MB, MC, MD, ME, MF, MG, MH, and QQ. iKnowMed will remove these modifiers in a future release in January. Until this time, please refrain from using them starting Jan. 1, 2025.