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Questions and Answers
What is the range of CPT codes for Evaluation and Management (E/M) services?
What is the range of CPT codes for Evaluation and Management (E/M) services?
What category of Surgery CPT codes includes procedures related to the digestive system?
What category of Surgery CPT codes includes procedures related to the digestive system?
Which type of Radiology service would be reported with CPT codes 72000-72999?
Which type of Radiology service would be reported with CPT codes 72000-72999?
What type of test or procedure is typically reported with CPT codes 86000-86999?
What type of test or procedure is typically reported with CPT codes 86000-86999?
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Which category of Medicine CPT codes includes services related to cardiovascular medicine?
Which category of Medicine CPT codes includes services related to cardiovascular medicine?
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What factor is considered when selecting an Evaluation and Management (E/M) CPT code?
What factor is considered when selecting an Evaluation and Management (E/M) CPT code?
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Which range of CPT codes is used to report surgical procedures of the musculoskeletal system?
Which range of CPT codes is used to report surgical procedures of the musculoskeletal system?
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What type of service would be reported with CPT codes 87000-87999?
What type of service would be reported with CPT codes 87000-87999?
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Study Notes
CPT Codes
Evaluation and Management (E/M)
- CPT codes 99201-99499
- Used to report physician outpatient and office services
- Categories:
- New patient visits (99201-99205)
- Established patient visits (99211-99215)
- Consultations (99241-99255)
- Emergency department services (99281-99288)
- Critical care services (99291-99292)
- Codes are selected based on:
- Level of complexity (e.g., straightforward, low, moderate, high)
- Amount of history, examination, and medical decision-making
- Type of presenting problem (e.g., new problem, established problem, preventive care)
Surgery
- CPT codes 10000-69999
- Used to report surgical procedures
- Categories:
- Integumentary system (10000-19999)
- Musculoskeletal system (20000-29999)
- Respiratory system (30000-39999)
- Cardiovascular system (40000-49999)
- Digestive system (50000-59999)
- Urinary system (60000-69999)
- Codes are selected based on:
- Specific procedure performed
- Anatomical location (e.g., hand, foot, head)
- Type of procedure (e.g., excision, repair, reconstruction)
Radiology
- CPT codes 70000-79999
- Used to report diagnostic and therapeutic radiology services
- Categories:
- Diagnostic radiology (70000-71999)
- Therapeutic radiology (72000-72999)
- Radiation oncology (73000-73999)
- Nuclear medicine (74000-74999)
- Codes are selected based on:
- Type of radiology service (e.g., X-ray, CT, MRI)
- Anatomical location (e.g., chest, abdomen, musculoskeletal)
- Specific procedure performed
Pathology and Laboratory
- CPT codes 80000-89999
- Used to report pathology and laboratory services
- Categories:
- Organ or disease-oriented panels (80000-84999)
- Chemotherapy and pharmacology (85000-85999)
- Microbiology (86000-86999)
- Immunology (87000-87999)
- Molecular diagnostics (88000-88999)
- Codes are selected based on:
- Type of test or procedure performed
- Specific analyte or disease tested (e.g., HIV, glucose)
Medicine
- CPT codes 90000-99999
- Used to report medicine services
- Categories:
- Cardiovascular medicine (90000-91999)
- Endocrinology (92000-92999)
- Gastroenterology (93000-93999)
- Nephrology (94000-94999)
- Oncology and hematology (95000-96999)
- Codes are selected based on:
- Specific medicine service or procedure performed
- Type of medication or treatment administered (e.g., infusion, injection)
CPT Codes
Evaluation and Management (E/M)
- CPT codes 99201-99499 are used to report physician outpatient and office services.
- E/M codes are categorized into new patient visits, established patient visits, consultations, emergency department services, and critical care services.
- Code selection is based on level of complexity, amount of history, examination, and medical decision-making, and type of presenting problem.
Surgery
- CPT codes 10000-69999 are used to report surgical procedures.
- Surgical codes are categorized into different body systems, including integumentary, musculoskeletal, respiratory, cardiovascular, digestive, and urinary systems.
- Code selection is based on specific procedure performed, anatomical location, and type of procedure.
Radiology
- CPT codes 70000-79999 are used to report diagnostic and therapeutic radiology services.
- Radiology codes are categorized into diagnostic radiology, therapeutic radiology, radiation oncology, and nuclear medicine.
- Code selection is based on type of radiology service, anatomical location, and specific procedure performed.
Pathology and Laboratory
- CPT codes 80000-89999 are used to report pathology and laboratory services.
- Laboratory codes are categorized into organ or disease-oriented panels, chemotherapy and pharmacology, microbiology, immunology, and molecular diagnostics.
- Code selection is based on type of test or procedure performed, and specific analyte or disease tested.
Medicine
- CPT codes 90000-99999 are used to report medicine services.
- Medicine codes are categorized into different specialties, including cardiovascular medicine, endocrinology, gastroenterology, nephrology, and oncology and hematology.
- Code selection is based on specific medicine service or procedure performed, and type of medication or treatment administered.
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Description
Learn about CPT codes 99201-99499 used for reporting physician outpatient and office services, including new and established patient visits, consultations, emergency department services, and critical care services.
