The Centers for Medicare & Medicaid Services (CMS) have revised the HCPCS codes for 2025. MassHealth is updating the Service Codes and Descriptions (Subchapter 6) of the Physician Manual to incorporate those 2025 HCPCS/Current Procedural Terminology (CPT) service code updates, as applicable.
MassHealth updated its system to reflect the 2025 HCPCS/CPT coding changes effective for dates of service on or after January 1, 2025. All affected claims will be reprocessed and will appear on a future remittance advice.
If you have questions, please contact MassHealth at provider@masshealthquestions.com or (800) 841-2900.
Claims Reprocessed for 2025 HCPCS/CPT Code Updates