The 2025 CPT® codes are now available for download. The American Medical Association (AMA) requires the purchase of the 2025 code set version. Please refer to the 2025 CPT and HCPCS Codes article on the Success Community for important 2025 CPT code guidance and files.
Stay in AMA compliance
Our goal is to ensure you purchase and use the correct number of licenses to lessen the chance of a future AMA audit. Review the AMA License Terms definition of a “Provider”. Purchases through NextGen Healthcare must adhere to AMA requirements. The AMA has been auditing the use of CPT codes more frequently and they are reaching out directly to clients as well as NextGen Healthcare to inquire. To protect your practice, it is essential to comply with all AMA rules.
Important Reminder
If you have purchased or are renewing any of the solutions listed below, you will also need to have purchased the most current CPT code set released by the AMA to be compliant with AMA rules:
- NextGen® Medical Necessity Check
- NextGen® In-Line Edits
- NextGen® Charge Review Rules Engine
These other NextGen Healthcare solutions rely on mappings of the most current CPT codes. Therefore, the use of these solutions is predicated on the most current CPT codes being purchased and loaded in your system.
The Import Utility is made available exclusively to clients who purchase 2025 CPT codes directly from NextGen Healthcare, per our obligations to the AMA. Clients that do not purchase 2025 CPT codes from NextGen Healthcare will not be provided access to the Import Utility and associated instructions.
Still need 2025 CPT and HCPCS codes
If you’re not a SaaS subscription client and still need to purchase 2025 CPT codes, we can help! Contact your Account Representative to purchase 2025 CPT codes that will take effect on January 1, 2025.
Did you purchase 2024 CPT codes from us last year? Your Auto-Renewal for the 2025 CPT and HCPCS codes is confirmed, and the new set of 2025 codes license(s) will automatically renew based on your code purchase(s) from last year. Please be sure your organization is currently subscribing for the correct number of CPT code licenses needed to cover all your Providers for next year.
Why purchase from us? We make it easy!
1. Easy to import—We bundle both code sets (including RVU mappings) into one file for you to easily import into NextGen Enterprise, providing you with a license to use the Import Utility and associated scripts to identify deactivated codes that may be embedded in templates
2. Less expensive—Purchasing CPT and HCPCS codes from NextGen Healthcare is less expensive than from the AMA, which charges separately for each code set
3. Auto-renew—Purchase this year and you’ll auto-renew for next year
Please contact your Account Representative if you have additional questions.