AMA Created New Codes for Renal Denervation
The American Medical Association has introduced two Category I CPT codes for ultrasound-based hypertension procedures.
Updated on Oct. 1, 2026 in Heart Disease
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The American Medical Association CPT Editorial Panel has established two new Category I CPT codes for renal sympathetic denervation. These codes facilitate standardized reporting for ultrasound-based procedures designed to address uncontrolled hypertension.
Why it matters
The introduction of these codes creates a formal mechanism for physicians to report and receive payment for renal denervation procedures. By standardizing the process, the AMA aims to improve access to treatments that target nerve overactivity.
The newly established codes 37X47 and 37X48 are designed for percutaneous transcatheter renal sympathetic denervation. During the treatment, the system delivers two to three 360-degree ultrasound energy doses, each lasting seven seconds.
The players
American Medical Association
The American Medical Association is a professional organization that maintains the Current Procedural Terminology code set used for medical billing and reimbursement.
Recor Medical
Recor Medical is a medical technology company based in Palo Alto that developed the Paradise Ultrasound Renal Denervation System.
The details
The procedure utilizes the FDA-approved Paradise Ultrasound Renal Denervation System to manage sympathetic nerve overactivity. A specialized balloon catheter incorporates a HydroCooling system to circulate sterile water, protecting the arterial wall while energy is applied to surrounding nerves.
Timeline
November 2023: The Paradise system received FDA approval.
October 1, 2026: The AMA CPT Editorial Panel announced the creation of the new codes.
January 1, 2028: The new CPT codes are expected to become effective.
The Big Picture
This coding update follows the established protocols for the Current Procedural Terminology (CPT) code set maintenance process. It marks a critical step in integrating ultrasound-based renal denervation into the standard medical reimbursement framework for providers.
Standardized billing codes simplify the insurance reimbursement process, potentially increasing the availability of ultrasound denervation as a treatment option. Patients may find these procedures more accessible as physicians gain a clearer path for reporting services.
The takeaway
The move to formalize these procedure codes highlights the transition of renal denervation from an experimental approach to a recognized clinical intervention. Patients and providers should look for further guidance from the AMA as the effective date approaches.
What happens next
The AMA will publish the final, permanent code numbers and detailed descriptors for these procedures prior to the January 1, 2028, implementation date.
Further reading
Learn more about advancements in managing Heart Disease in the United States.
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