This article summarizes changes in the 2009 Current Procedural Terminology (CPT)* that are relevant to general surgery and other surgical specialties. Be sure to read the guidelines of each section of the CPT book for any changes. It is also a good practice to update your charge sheet each year to ensure that you are using the most up-to-date codes for your practice. This information should be useful not only to surgeons but also to the office staff that performs coding functions. Be aware of the deleted codes, revised codes, new codes, and parentheticals that are included below a code or section of codes.