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Questions and Answers
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?
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?
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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?
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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?
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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.
