2027 CPT Updates: Critical Coding Updates, Documentation Requirements and Reimbursement Implications
| Presenter: Edna Maldonado, CPC, ACS-UR Date: Thursday, November 19, 2026 Time: 1 pm ET | 12 pm CT | 11 am MT | 10 am PT Duration: 60 minutes |  |
The 2027 CPT® code update introduces significant changes that will impact medical coding, billing, documentation, and reimbursement across multiple healthcare specialties. Effective January 1, 2027, the updated CPT code set includes 453 editorial changes, consisting of 299 new codes, 74 revised codes, and 80 deleted codes. These changes reflect advancements in medical technology, evolving clinical practices, and the need for more accurate and detailed reporting of healthcare services.
This year's updates go beyond routine annual code revisions, introducing major changes to several coding areas. One of the most significant developments is the restructuring of maternity care services, replacing traditional global maternity care reporting with separate reporting for antepartum care, labor management, delivery, and postpartum services. Other important changes include new codes for ventricular assist device procedures, expanded diaphragmatic hernia repair reporting, revised prostate biopsy guidelines, new unattended sleep study codes, and updated biofeedback reporting requirements.
The 2027 CPT update also expands reporting for artificial intelligence-related services, introducing 10 additional AI-related codes and updating Appendix S, the Taxonomy for Artificial Intelligence in Medical Services and Procedures. Significant changes are also being introduced in speech-language pathology, adaptive behavior services, cardiovascular procedures, radiology, genetic testing, and other specialty-specific areas.
This webinar will provide a practical review of the most important 2027 CPT code additions, deletions, revisions, and guideline changes. Participants will learn how these updates affect code selection, clinical documentation, time-based reporting, claim submission, and reimbursement. The session will also address coding challenges, common reporting mistakes, and the transition from deleted codes to the appropriate updated code structures.
Attendees will gain practical guidance for preparing their coding and billing workflows for the new year, updating internal coding references, educating providers and coding teams, and reducing claim denials and compliance risks.
Whether you work in professional fee coding, hospital outpatient services, surgical billing, specialty practice administration, or revenue cycle management, this session will help you understand the changes and prepare for accurate CPT reporting in 2027.
Identify the major changes in the 2027 CPT code set, including the 299 new codes, 74 revised codes, 80 deleted codes, and the clinical specialties most affected. Explain the purpose and application of newly introduced CPT codes and recognize how revised code descriptions, reporting instructions, and coding guidelines affect code assignment. Understand the significant restructuring of maternity care services, including the transition from global maternity codes to separate reporting for antepartum care, labor management, delivery, and postpartum services. Evaluate new and revised surgical and cardiovascular procedure codes, including updates affecting ventricular assist devices, diaphragmatic hernia repair, tricuspid valve procedures, and other surgical services. Apply updated coding requirements for radiology and urology services, including prostate biopsy reporting, magnetic resonance angiography, and new imaging-related procedures. Understand the new unattended sleep testing code structure and biofeedback reporting requirements, including changes to complexity-based reporting, technical and professional components, and time-based services. Recognize the impact of new AI-related CPT codes and updated Appendix S guidelines on reporting assistive, augmentative, and other AI-related medical services. Identify changes affecting rehabilitation and specialty services, including speech-language pathology, adaptive behavior services, audiology, vestibular testing, and genetic testing. Evaluate the impact of new, revised, and deleted codes on documentation, billing workflows, reimbursement, and payer claim requirements. Develop an implementation strategy for the 2027 CPT changes, including codebook updates, EHR and charge master revisions, staff education, claim edit reviews, and audit preparation.
- Summary of 299 new, 74 revised, and 80 deleted codes.
- Important changes to CPT coding guidelines and reporting instructions.
- Understanding the effective date and transition to the 2027 code set.
- Deletion of traditional global maternity care codes.
- Separate reporting for antepartum, labor management, delivery, and postpartum services.
- New labor management codes for initial and subsequent days, including straightforward and complex services.
- Revised vaginal delivery, cesarean delivery, and postpartum reporting.
- New and revised codes for maternity-related procedures and complications.
- New CPT codes for lactation counseling services.
- New reporting guidelines and documentation considerations.
- Implications for billing and reimbursement.
- New and revised ventricular assist device (VAD/LVAD) procedure codes.
- Transcatheter tricuspid valve implantation and edge-to-edge repair coding changes.
- New cardiac contractility modulation codes.
- Intracoronary drug delivery balloon service updates.
- Nine new codes for diaphragmatic hernia repair.
- Open, laparoscopic, and thoracoscopic repair procedures.
- New mesh implantation add-on reporting.
- Diaphragm plication and congenital duodenal obstruction repair.
- New coding for median arcuate ligament procedures.
- New endoscopic submucosal dissection (ESD) codes for upper and lower GI procedures.
- Revised procedural guidelines and reporting requirements.
- Documentation and coding considerations for endoscopic services.
- Revised prostate biopsy codes and guidelines.
- Imaging guidance and fusion-targeted biopsy reporting.
- Changes affecting add-on codes and deleted biopsy codes.
- Documentation considerations for accurate procedure reporting.
- New magnetic resonance angiography (MRA) codes for head and neck imaging.
- Intraosseous fiducial marker placement.
- Revised imaging and postprocessing reporting requirements.
- Updates to other imaging-related and diagnostic procedures.
- Six new codes for unattended sleep study services.
- Deletion of existing unattended sleep testing codes.
- New complexity-based reporting requirements.
- Separate technical analysis and professional interpretation reporting.
- Updated sleep medicine testing guidelines.
- New time-based biofeedback reporting structure.
- Revised biofeedback code and reporting guidelines.
- New and revised autonomic function testing codes.
- Documentation and time-tracking considerations.
- Ten additional AI-related CPT codes.
- Updated Appendix S: Taxonomy for Artificial Intelligence in Medical Services and Procedures.
- Assistive, augmentative, and autonomous AI service classifications.
- Understanding reporting distinctions for AI-supported medical services.
- Replacement of CPT code 92507 with 10 new treatment codes.
- New time-based reporting for individual treatment services.
- Different treatment categories based on clinical conditions.
- Revised group treatment reporting under CPT code 92508.
- Documentation and billing implications for speech-language pathologists.
- Six new adaptive behavior service codes.
- Revisions to existing adaptive behavior codes and guidelines.
- Deletion of certain Category III codes.
- Updated reporting requirements for behavioral treatment services.
- New video head impulse testing (vHIT) codes.
- New rotational vestibular assessment codes.
- Revised vestibular testing reporting requirements.
- Documentation considerations for audiology and vestibular services.
- New genetic testing codes for heritable immune conditions and Alport syndrome.
- New and revised skin grafting and wound imaging codes.
- Updates to psoriasis laser treatment reporting.
- Musculoskeletal, spine, and sacroiliac joint coding revisions.
- New codes for pancreatic irreversible electroporation and bone tumor ablation.
- Selected Category III updates for emerging technologies, including digital 3D modeling, pancreatic histotripsy, quantitative liver MR analysis, and other advanced procedures.
- Impact of applicable CMS payment policies, NCCI edits, payer requirements, and reimbursement considerations.
- Practical strategies for implementing the 2027 CPT updates and avoiding common coding errors.
Interactive Q&A session with Raemarie Trofnoff Jimenez, CPC, CDEO, CIC, CPB, CPMA, CPPM, CPC-I, CANPC, CRHC
Medical Coders and Coding Auditors (CPC®, CCS®, COC®, CPMA®) Medical Billing and Revenue Cycle Professionals Physicians and Advanced Practice Providers Practice Managers and Healthcare Administrators Compliance Officers and Healthcare Auditors Hospital and Ambulatory Surgery Center (ASC) Coding Professionals Radiology, Cardiology, Urology, and Surgical Coding Specialists Obstetrics and Gynecology Billing Professionals Speech-Language Pathologists and Rehabilitation Professionals Behavioral Health and Adaptive Behavior Service Providers HIM, CDI, and Clinical Documentation Professionals Healthcare Consultants, Educators, and Coding Instructors
Edna Maldonado, CPC, ACS-UR, is a Certified Professional Coder (CPC), Board of Medical Specialty Coding & Compliance (ACS-Urology) and AHIMA ICD-10-CM Trainer. Edna R. Maldonado, CPC, is a bilingual health care management professional that has specialized in urology coding, billing and training for over 30 years. Her training skills are unmatched and she has used them to train several coders new to urology to staff AUA’s Coding Hotline. She has also trained and prepared coders for the CPC coding examination. Her leadership extends beyond training, she has also assisted new coders with goal setting and she has mentored several coders who have moved on to higher positions in urology coding.
Ms. Maldonado’s ambition and drive has elevated her to an expert level in the field of urology coding. She holds herself to the highest standards of professionalism and confidence. She is dedicated to representing her organization and herself in a stellar light by always providing superior results. She is currently the Chair for the Practice Administration Work Group (PAWG) for the AUA, serving as Co-Course Director for the two-day annual Coding Seminar held by the AUA. Ms. Maldonado is an AAPC Officer for her Local Chapter, Frederick, MD.
Ms. Maldonado’s career in urology began in 1990 at Florida Urology Partners (formerly known as Town & Country Urology) where she was hired to manage a busy urology practice by the original owner, Servando Sanchez, M.D. During her time there, Ms. Maldonado was an effective leader with creative skills in interpersonal communications, organizational techniques and problem solving that she used to motivate and to cultivate a diverse staff of eleven. Her time there prepared her for a great opportunity to relocate and join a premier urologic association, providing invaluable support to the urologic community-the American Urological Association (AUA).
Since joining the AUA in 2010, Ms. Maldonado has become a respected and renowned expert in the field of urology coding. She has developed a multitude of urology coding training materials and training techniques for teaching urology coding. As a urology coding trainer, Ms. Maldonado has developed, designed and recorded content for urology coding CDs, webinars and virtual training. As an instructor, Ms. Maldonado has been a lead faculty member for urology coding courses including 30 two-day coding seminars, 27 customized coding seminars and over6 conference coding courses.
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