CPT4
Current Procedural Terminology (CPT®)
CPT (Current Procedural Terminology) codes, often referred to as CPT-4 codes, are a set of medical codes used for reporting medical, surgical, and diagnostic procedures and services. Developed and maintained by the American Medical Association (AMA), these codes serve as a universal language among healthcare providers, payers, and facilities, ensuring a standardized system for describing healthcare procedures and services. CPT codes are integral in the billing process, as they allow healthcare providers to communicate accurately and efficiently with insurance companies about the procedures and services performed on a patient. This ensures that providers are reimbursed correctly for their services. Moreover, CPT codes are used for a variety of administrative purposes, including tracking healthcare utilization, measuring performance, and identifying treatment patterns and trends. These codes are also essential in research and policy development for the assessment of healthcare outcomes and resource allocation. Each CPT code is a unique five-digit numeric code that precisely defines the type of service or procedure performed, thereby streamlining the process of filing and processing insurance claims and enhancing the efficiency of the healthcare system.
CPT4 codes starting with 9
- 90281Immune globulin (Ig), human, for intramuscular useCPT4
- 90284Immune globulin (SCIg), human, for use in subcutaneous infusions, 100 mg, eachCPT4
- 90291Cytomegalovirus immune globulin (CMV-IgIV), human, for intravenous useCPT4
- 90371Hepatitis B immune globulin (HBIg), human, for intramuscular useCPT4
- 90375Rabies immune globulin (RIg), human, for intramuscular and/or subcutaneous useCPT4
- 90376Rabies immune globulin, heat-treated (RIg-HT), human, for intramuscular and/or subcutaneous useCPT4
- 90377Rabies immune globulin, heat- and solvent/detergent-treated (RIg-HT S/D), human, for intramuscular and/or subcutaneous useCPT4
- 90378Respiratory syncytial virus, monoclonal antibody, recombinant, for intramuscular use, 50 mg, eachCPT4
- 90384Rho(D) immune globulin (RhIg), human, full-dose, for intramuscular useCPT4
- 90385Rho(D) immune globulin (RhIg), human, mini-dose, for intramuscular useCPT4
- 90389Tetanus immune globulin (TIg), human, for intramuscular useCPT4
- 90396Varicella-zoster immune globulin, human, for intramuscular useCPT4
- 90399Unlisted immune globulinCPT4
- 90460Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administeredCPT4
- 90461Immunization administration through 18 years of age via any route of administration, with counseling by physician or other qualified health care professional; each additional vaccine or toxoid component administered (List separately in addition to code foCPT4
- 90468Immunization administration younger than age 8 years (includes intranasal or oral routes of administration) when the physician counsels the patient/family; each additional administration (single or combination vaccine/toxoid), per day (List separately in CPT4
- 90470H1N1 immunization administration (intramuscular, intranasal), including counseling when performedCPT4
- 90471Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)CPT4
- 90472Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)CPT4
- 90473Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid)CPT4
- 90474Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure)CPT4
- 90476Adenovirus vaccine, type 4, live, for oral useCPT4
- 90585Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis, live, for percutaneous useCPT4
- 90586Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer, live, for intravesical useCPT4
- 90620Meningococcal recombinant protein and outer membrane vesicle vaccine, serogroup B (MenB-4C), 2 dose schedule, for intramuscular useCPT4
- 90621Meningococcal recombinant lipoprotein vaccine, serogroup B (MenB-FHbp), 2 or 3 dose schedule, for intramuscular useCPT4
- 90625Cholera vaccine, live, adult dosage, 1 dose schedule, for oral useCPT4
- 90630Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, for intradermal useCPT4
- 90632Hepatitis A vaccine (HepA), adult dosage, for intramuscular useCPT4
- 90633Hepatitis A vaccine (HepA), pediatric/adolescent dosage-2 dose schedule, for intramuscular useCPT4
- 90634Hepatitis A vaccine (HepA), pediatric/adolescent dosage-3 dose schedule, for intramuscular useCPT4
- 90636Hepatitis A and hepatitis B vaccine (HepA-HepB), adult dosage, for intramuscular useCPT4
- 90644Meningococcal conjugate vaccine, serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY), 4 dose schedule, when administered to children 6 weeks-18 months of age, for intramuscular useCPT4
- 90645Hemophilus influenza b vaccine (Hib), HbOC conjugate (4 dose schedule), for intramuscular useCPT4
- 90647Haemophilus influenzae type b vaccine (Hib), PRP-OMP conjugate, 3 dose schedule, for intramuscular useCPT4
- 90648Haemophilus influenzae type b vaccine (Hib), PRP-T conjugate, 4 dose schedule, for intramuscular useCPT4
- 90649Human Papillomavirus vaccine, types 6, 11, 16, 18, quadrivalent (4vHPV), 3 dose schedule, for intramuscular useCPT4
- 90650Human Papillomavirus vaccine, types 16, 18, bivalent (2vHPV), 3 dose schedule, for intramuscular useCPT4
- 90651Human Papillomavirus vaccine types 6, 11, 16, 18, 31, 33, 45, 52, 58, nonavalent (9vHPV), 2 or 3 dose schedule, for intramuscular useCPT4
- 90653Influenza vaccine, inactivated (IIV), subunit, adjuvanted, for intramuscular useCPT4
- 90654Influenza virus vaccine, trivalent (IIV3), split virus, preservative-free, for intradermal useCPT4
- 90655Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.25 mL dosage, for intramuscular useCPT4
- 90656Influenza virus vaccine, trivalent (IIV3), split virus, preservative free, 0.5 mL dosage, for intramuscular useCPT4
- 90657Influenza virus vaccine, trivalent (IIV3), split virus, 0.25 mL dosage, for intramuscular useCPT4
- 90658Influenza virus vaccine, trivalent (IIV3), split virus, 0.5 mL dosage, for intramuscular useCPT4
- 90660Influenza virus vaccine, trivalent, live (LAIV3), for intranasal useCPT4
- 90661Influenza virus vaccine, trivalent (ccIIV3), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular useCPT4
- 90662Influenza virus vaccine (IIV), split virus, preservative free, enhanced immunogenicity via increased antigen content, for intramuscular useCPT4
- 90668Influenza virus vaccine (IIV), pandemic formulation, split virus, for intramuscular useCPT4
- 90669Pneumococcal conjugate vaccine, 7 valent, for intramuscular useCPT4
- 90670Pneumococcal conjugate vaccine, 13 valent (PCV13), for intramuscular useCPT4
- 90672Influenza virus vaccine, quadrivalent, live (LAIV4), for intranasal useCPT4
- 90673Influenza virus vaccine, trivalent (RIV3), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular useCPT4
- 90674Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, preservative and antibiotic free, 0.5 mL dosage, for intramuscular useCPT4
- 90675Rabies vaccine, for intramuscular useCPT4
- 90676Rabies vaccine, for intradermal useCPT4
- 90680Rotavirus vaccine, pentavalent (RV5), 3 dose schedule, live, for oral useCPT4
- 90681Rotavirus vaccine, human, attenuated (RV1), 2 dose schedule, live, for oral useCPT4
- 90682Influenza virus vaccine, quadrivalent (RIV4), derived from recombinant DNA, hemagglutinin (HA) protein only, preservative and antibiotic free, for intramuscular useCPT4
- 90685Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.25 mL dosage, for intramuscular useCPT4
- 90686Influenza virus vaccine, quadrivalent (IIV4), split virus, preservative free, 0.5 mL dosage, for intramuscular useCPT4
- 90687Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.25 mL dosage, for intramuscular useCPT4
- 90688Influenza virus vaccine, quadrivalent (IIV4), split virus, 0.5 mL dosage, for intramuscular useCPT4
- 90689Influenza virus vaccine, quadrivalent (IIV4), inactivated, adjuvanted, preservative free, 0.25 mL dosage, for intramuscular useCPT4
- 90690Typhoid vaccine, live, oralCPT4
- 90691Typhoid vaccine, Vi capsular polysaccharide (ViCPs), for intramuscular useCPT4
- 90694Influenza virus vaccine, quadrivalent (aIIV4), inactivated, adjuvanted, preservative free, 0.5 mL dosage, for intramuscular useCPT4
- 90696Diphtheria, tetanus toxoids, acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV), when administered to children 4 through 6 years of age, for intramuscular useCPT4
- 90697Diphtheria, tetanus toxoids, acellular pertussis vaccine, inactivated poliovirus vaccine, Haemophilus influenzae type b PRP-OMP conjugate vaccine, and hepatitis B vaccine (DTaP-IPV-Hib-HepB), for intramuscular useCPT4
- 90698Diphtheria, tetanus toxoids, acellular pertussis vaccine, Haemophilus influenzae type b, and inactivated poliovirus vaccine, (DTaP-IPV/Hib), for intramuscular useCPT4
- 90700Diphtheria, tetanus toxoids, and acellular pertussis vaccine (DTaP), when administered to individuals younger than 7 years, for intramuscular useCPT4
- 90702Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years, for intramuscular useCPT4
- 90703Tetanus toxoid adsorbed, for intramuscular useCPT4
- 90707Measles, mumps and rubella virus vaccine (MMR), live, for subcutaneous useCPT4
- 90708Measles and rubella virus vaccine, live, for subcutaneous useCPT4
- 90710Measles, mumps, rubella, and varicella vaccine (MMRV), live, for subcutaneous useCPT4
- 90713Poliovirus vaccine, inactivated (IPV), for subcutaneous or intramuscular useCPT4
- 90714Tetanus and diphtheria toxoids adsorbed (Td), preservative free, when administered to individuals 7 years or older, for intramuscular useCPT4
- 90715Tetanus, diphtheria toxoids and acellular pertussis vaccine (Tdap), when administered to individuals 7 years or older, for intramuscular useCPT4
- 90716Varicella virus vaccine (VAR), live, for subcutaneous useCPT4
- 90717Yellow fever vaccine, live, for subcutaneous useCPT4
- 90718Tetanus and diphtheria toxoids (Td) adsorbed when administered to individuals 7 years or older, for intramuscular useCPT4
- 90721Diphtheria, tetanus toxoids, and acellular pertussis vaccine and Hemophilus influenza B vaccine (DTaP/Hib), for intramuscular useCPT4
- 90723Diphtheria, tetanus toxoids, acellular pertussis vaccine, hepatitis B, and inactivated poliovirus vaccine (DTaP-HepB-IPV), for intramuscular useCPT4
- 90724Immunization, active; influenza virus vaccine. (Deprecated)CPT4
- 90732Pneumococcal polysaccharide vaccine, 23-valent (PPSV23), adult or immunosuppressed patient dosage, when administered to individuals 2 years or older, for subcutaneous or intramuscular useCPT4
- 90733Meningococcal polysaccharide vaccine, serogroups A, C, Y, W-135, quadrivalent (MPSV4), for subcutaneous useCPT4
- 90734Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM), for intramuscular useCPT4
- 90736Zoster (shingles) vaccine (HZV), live, for subcutaneous injectionCPT4
- 90738Japanese encephalitis virus vaccine, inactivated, for intramuscular useCPT4
- 90739Hepatitis B vaccine (HepB), adult dosage, 2 dose schedule, for intramuscular useCPT4
- 90740Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 3 dose schedule, for intramuscular useCPT4
- 90743Hepatitis B vaccine (HepB), adolescent, 2 dose schedule, for intramuscular useCPT4
- 90744Hepatitis B vaccine (HepB), pediatric/adolescent dosage, 3 dose schedule, for intramuscular useCPT4
- 90746Hepatitis B vaccine (HepB), adult dosage, 3 dose schedule, for intramuscular useCPT4
- 90747Hepatitis B vaccine (HepB), dialysis or immunosuppressed patient dosage, 4 dose schedule, for intramuscular useCPT4
- 90748Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB), for intramuscular useCPT4
- 90749Unlisted vaccine/toxoidCPT4
- 90750Zoster (shingles) vaccine (HZV), recombinant, subunit, adjuvanted, for intramuscular useCPT4
- 90756Influenza virus vaccine, quadrivalent (ccIIV4), derived from cell cultures, subunit, antibiotic free, 0.5 mL dosage, for intramuscular useCPT4
- 90760Intravenous infusion, hydration; initial, 31 minutes to 1 hourCPT4
- 90781Intravenous infusion for therapy/diagnosis, administered by physician or under direct supervision of physician; each additional hour, up to eight (8) hours (List separately in addition to code for primary procedure) (Deprecated)CPT4
- 90785Interactive complexity (List separately in addition to the code for primary procedure)CPT4
- 90791Psychiatric diagnostic evaluationCPT4
- 90792Psychiatric diagnostic evaluation with medical servicesCPT4
- 90801Psychiatric diagnostic interview examinationCPT4
- 90804Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or outpatient facility, approximately 20 to 30 minutes face-to-face with the patientCPT4
- 90805Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or outpatient facility, approximately 20 to 30 minutes face-to-face with the patient; with medical evaluation and management servicesCPT4
- 90806Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or outpatient facility, approximately 45 to 50 minutes face-to-face with the patientCPT4
- 90807Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an office or outpatient facility, approximately 45 to 50 minutes face-to-face with the patient; with medical evaluation and management servicesCPT4
- 90812Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an office or outpatient facility, approximately 45 to 50 minutes face-to-face with the patientCPT4
- 90822Individual psychotherapy, insight oriented, behavior modifying and/or supportive, in an inpatient hospital, partial hospital or residential care setting, approximately 75 to 80 minutes face-to-face with the patient; with medical evaluation and management CPT4
- 90823Individual psychotherapy, interactive, using play equipment, physical devices, language interpreter, or other mechanisms of non-verbal communication, in an inpatient hospital, partial hospital or residential care setting, approximately 20 to 30 minutes faCPT4
- 90832Psychotherapy, 30 minutes with patientCPT4
- 90833Psychotherapy, 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)CPT4
- 90834Psychotherapy, 45 minutes with patientCPT4
- 90836Psychotherapy, 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)CPT4
- 90837Psychotherapy, 60 minutes with patientCPT4
- 90838Psychotherapy, 60 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure)CPT4
- 90839Psychotherapy for crisis; first 60 minutesCPT4
- 90840Psychotherapy for crisis; each additional 30 minutes (List separately in addition to code for primary service)CPT4
- 90845PsychoanalysisCPT4
- 90846Family psychotherapy (without the patient present), 50 minutesCPT4
- 90847Family psychotherapy (conjoint psychotherapy) (with patient present), 50 minutesCPT4
- 90849Multiple-family group psychotherapyCPT4
- 90853Group psychotherapy (other than of a multiple-family group)CPT4
- 90862Pharmacologic management, including prescription, use, and review of medication with no more than minimal medical psychotherapyCPT4
- 90863Pharmacologic management, including prescription and review of medication, when performed with psychotherapy services (List separately in addition to the code for primary procedure)CPT4
- 90867Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial, including cortical mapping, motor threshold determination, delivery and managementCPT4
- 90868Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent delivery and management, per sessionCPT4
- 90869Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent motor threshold re-determination with delivery and managementCPT4
- 90870Electroconvulsive therapy (includes necessary monitoring)CPT4
- 90871Electroconvulsive therapy (includes necessary monitoring); multiple seizures, per day (Deprecated)CPT4
- 90875Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient), with psychotherapy (eg, insight oriented, behavior modifying or supportive psychotherapy); 30 minutesCPT4
- 90880HypnotherapyCPT4
- 90882Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies, employers, or institutionsCPT4
- 90885Psychiatric evaluation of hospital records, other psychiatric reports, psychometric and/or projective tests, and other accumulated data for medical diagnostic purposesCPT4
- 90887Interpretation or explanation of results of psychiatric, other medical examinations and procedures, or other accumulated data to family or other responsible persons, or advising them how to assist patientCPT4
- 90889Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriersCPT4
- 90899Unlisted psychiatric service or procedureCPT4
- 90901Biofeedback training by any modalityCPT4
- 90911Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometryCPT4
- 90912Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patientCPT4
- 90913Biofeedback training, perineal muscles, anorectal or urethral sphincter, including EMG and/or manometry, when performed; each additional 15 minutes of one-on-one physician or other qualified health care professional contact with the patient (List separateCPT4
- 90935Hemodialysis procedure with single evaluation by a physician or other qualified health care professionalCPT4
- 90937Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescriptionCPT4
- 90940Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator methodCPT4
- 90945Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies), with single evaluation by a physician or other qualified health care professionalCPT4
- 90947Dialysis procedure other than hemodialysis (eg, peritoneal dialysis, hemofiltration, or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified health care professional, with or without substantial reCPT4
- 90951End-stage renal disease (ESRD) related services monthly, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by aCPT4
- 90954End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physicianCPT4
- 90955End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or otCPT4
- 90956End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face visit by a physician or otherCPT4
- 90957End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 4 or more face-to-face visits by a physiciaCPT4
- 90958End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 2-3 face-to-face visits by a physician or oCPT4
- 90959End-stage renal disease (ESRD) related services monthly, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parents; with 1 face-to-face visit by a physician or otheCPT4
- 90960End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per monthCPT4
- 90961End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per monthCPT4
- 90962End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per monthCPT4
- 90963End-stage renal disease (ESRD) related services for home dialysis per full month, for patients younger than 2 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parentsCPT4
- 90965End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 12-19 years of age to include monitoring for the adequacy of nutrition, assessment of growth and development, and counseling of parentsCPT4
- 90966End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and olderCPT4
- 90967End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients younger than 2 years of ageCPT4
- 90969End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 12-19 years of ageCPT4
- 90970End-stage renal disease (ESRD) related services for dialysis less than a full month of service, per day; for patients 20 years of age and olderCPT4
- 90989Dialysis training, patient, including helper where applicable, any mode, completed courseCPT4
- 90993Dialysis training, patient, including helper where applicable, any mode, course not completed, per training sessionCPT4
- 90999Unlisted dialysis procedure, inpatient or outpatientCPT4
- 91010Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and reportCPT4
- 91013Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg, stimulant, acid or alkali perfusion) (List separately in addition to code for primary proceduCPT4
- 91020Gastric motility (manometric) studiesCPT4
- 91022Duodenal motility (manometric) studyCPT4
- 91034Esophagus, gastroesophageal reflux test; with nasal catheter pH electrode(s) placement, recording, analysis and interpretationCPT4
- 91035Esophagus, gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement, recording, analysis and interpretationCPT4
- 91037Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretationCPT4
- 91038Esophageal function test, gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement, recording, analysis and interpretation; prolonged (greater than 1 hour, up to 24 hours)CPT4
- 91040Esophageal balloon distension study, diagnostic, with provocation when performedCPT4
- 91065Breath hydrogen or methane test (eg, for detection of lactase deficiency, fructose intolerance, bacterial overgrowth, or oro-cecal gastrointestinal transit)CPT4
- 91110Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus through ileum, with interpretation and reportCPT4
- 91111Gastrointestinal tract imaging, intraluminal (eg, capsule endoscopy), esophagus with interpretation and reportCPT4
- 91112Gastrointestinal transit and pressure measurement, stomach through colon, wireless capsule, with interpretation and reportCPT4
- 91117Colon motility (manometric) study, minimum 6 hours continuous recording (including provocation tests, eg, meal, intracolonic balloon distension, pharmacologic agents, if performed), with interpretation and reportCPT4
- 91120Rectal sensation, tone, and compliance test (ie, response to graded balloon distention)CPT4
- 91122Anorectal manometryCPT4
- 91133Electrogastrography, diagnostic, transcutaneous; with provocative testingCPT4
- 91200Liver elastography, mechanically induced shear wave (eg, vibration), without imaging, with interpretation and reportCPT4
- 91299Unlisted diagnostic gastroenterology procedureCPT4
- 91300Pfizer-Biontech Covid-19 VaccineCPT4
- 91301Moderna Covid-19 VaccineCPT4
- 91303Janssen Covid-19 VaccineCPT4
- 91306Moderna Covid-19 Vaccine (Low Dose)CPT4
- 92002Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate, new patientCPT4
- 92004Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive, new patient, 1 or more visitsCPT4
- 92012Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patientCPT4
- 92014Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; comprehensive, established patient, 1 or more visitsCPT4
- 92015Determination of refractive stateCPT4
- 92018Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; completeCPT4
- 92019Ophthalmological examination and evaluation, under general anesthesia, with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; limitedCPT4
- 92020Gonioscopy (separate procedure)CPT4
- 92025Computerized corneal topography, unilateral or bilateral, with interpretation and reportCPT4
- 92060Sensorimotor examination with multiple measurements of ocular deviation (eg, restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure)CPT4
- 92065Orthoptic and/or pleoptic training, with continuing medical direction and evaluationCPT4
- 92070Fitting of contact lens for treatment of disease, including supply of lensCPT4
- 92071Fitting of contact lens for treatment of ocular surface diseaseCPT4
- 92072Fitting of contact lens for management of keratoconus, initial fittingCPT4
- 92081Visual field examination, unilateral or bilateral, with interpretation and report; limited examination (eg, tangent screen, Autoplot, arc perimeter, or single stimulus level automated test, such as Octopus 3 or 7 equivalent)CPT4
- 92082Visual field examination, unilateral or bilateral, with interpretation and report; intermediate examination (eg, at least 2 isopters on Goldmann perimeter, or semiquantitative, automated suprathreshold screening program, Humphrey suprathreshold automatic CPT4
- 92083Visual field examination, unilateral or bilateral, with interpretation and report; extended examination (eg, Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30, or quantitative, automated threshold perimCPT4
- 92100Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report, same day (eg, diurnal curve or medical treatment of acute elevation of intraocular pressure)CPT4
- 92120Tonography with interpretation and report, recording indentation tonometer method or perilimbal suction methodCPT4
- 92132Scanning computerized ophthalmic diagnostic imaging, anterior segment, with interpretation and report, unilateral or bilateralCPT4
- 92133Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; optic nerveCPT4
- 92134Scanning computerized ophthalmic diagnostic imaging, posterior segment, with interpretation and report, unilateral or bilateral; retinaCPT4
- 92135Scanning computerized ophthalmic diagnostic imaging, posterior segment, (eg, scanning laser) with interpretation and report, unilateralCPT4
- 92136Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculationCPT4
- 92140Provocative tests for glaucoma, with interpretation and report, without tonographyCPT4
- 92145Corneal hysteresis determination, by air impulse stimulation, unilateral or bilateral, with interpretation and reportCPT4
- 92201Ophthalmoscopy, extended; with retinal drawing and scleral depression of peripheral retinal disease (eg, for retinal tear, retinal detachment, retinal tumor) with interpretation and report, unilateral or bilateralCPT4
- 92202Ophthalmoscopy, extended; with drawing of optic nerve or macula (eg, for glaucoma, macular pathology, tumor) with interpretation and report, unilateral or bilateralCPT4
- 92225Ophthalmoscopy, extended, with retinal drawing (eg, for retinal detachment, melanoma), with interpretation and report; initialCPT4
- 92226Ophthalmoscopy, extended, with retinal drawing (eg, for retinal detachment, melanoma), with interpretation and report; subsequentCPT4
- 92227Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report, unilateral or bilateralCPT4
- 92228Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report, unilateral or bilateralCPT4
- 92230Fluorescein angioscopy with interpretation and reportCPT4
- 92235Fluorescein angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateralCPT4
- 92240Indocyanine-green angiography (includes multiframe imaging) with interpretation and report, unilateral or bilateralCPT4
- 92242Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report, unilateral or bilateralCPT4
- 92250Fundus photography with interpretation and reportCPT4
- 92260OphthalmodynamometryCPT4
- 92270Electro-oculography with interpretation and reportCPT4
- 92273Electroretinography (ERG), with interpretation and report; full field (ie, ffERG, flash ERG, Ganzfeld ERG)CPT4
- 92274Electroretinography (ERG), with interpretation and report; multifocal (mfERG)CPT4
- 92275Electroretinography with interpretation and reportCPT4
- 92283Color vision examination, extended, eg, anomaloscope or equivalentCPT4
- 92284Dark adaptation examination with interpretation and reportCPT4
- 92285External ocular photography with interpretation and report for documentation of medical progress (eg, close-up photography, slit lamp photography, goniophotography, stereo-photography)CPT4
- 92286Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysisCPT4
- 92287Anterior segment imaging with interpretation and report; with fluorescein angiographyCPT4
- 92310Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens, both eyes, except for aphakiaCPT4
- 92311Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, 1 eyeCPT4
- 92312Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneal lens for aphakia, both eyesCPT4
- 92313Prescription of optical and physical characteristics of and fitting of contact lens, with medical supervision of adaptation; corneoscleral lensCPT4
- 92314Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens, both eyes except for aphakiaCPT4
- 92315Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, 1 eyeCPT4
- 92316Prescription of optical and physical characteristics of contact lens, with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia, both eyesCPT4
- 92325Modification of contact lens (separate procedure), with medical supervision of adaptationCPT4
- 92326Replacement of contact lensCPT4
- 92340Fitting of spectacles, except for aphakia; monofocalCPT4
- 92341Fitting of spectacles, except for aphakia; bifocalCPT4
- 92342Fitting of spectacles, except for aphakia; multifocal, other than bifocalCPT4
- 92352Fitting of spectacle prosthesis for aphakia; monofocalCPT4
- 92354Fitting of spectacle mounted low vision aid; single element systemCPT4
- 92355Fitting of spectacle mounted low vision aid; telescopic or other compound lens systemCPT4
- 92370Repair and refitting spectacles; except for aphakiaCPT4
- 92371Repair and refitting spectacles; spectacle prosthesis for aphakiaCPT4
- 92499Unlisted ophthalmological service or procedureCPT4
- 92502Otolaryngologic examination under general anesthesiaCPT4
- 92504Binocular microscopy (separate diagnostic procedure)CPT4
- 92506Evaluation of speech, language, voice, communication, and/or auditory processingCPT4
- 92507Treatment of speech, language, voice, communication, and/or auditory processing disorder; individualCPT4
- 92508Treatment of speech, language, voice, communication, and/or auditory processing disorder; group, 2 or more individualsCPT4
- 92511Nasopharyngoscopy with endoscope (separate procedure)CPT4
- 92512Nasal function studies (eg, rhinomanometry)CPT4
- 92516Facial nerve function studies (eg, electroneuronography)CPT4
- 92517Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP)CPT4
- 92519Vestibular evoked myogenic potential (VEMP) testing, with interpretation and report; cervical (cVEMP) and ocular (oVEMP)CPT4
- 92520Laryngeal function studies (ie, aerodynamic testing and acoustic testing)CPT4
- 92521Evaluation of speech fluency (eg, stuttering, cluttering)CPT4
- 92522Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria)CPT4
- 92523Evaluation of speech sound production (eg, articulation, phonological process, apraxia, dysarthria); with evaluation of language comprehension and expression (eg, receptive and expressive language)CPT4
- 92524Behavioral and qualitative analysis of voice and resonanceCPT4
- 92525Evaluation of swallowing and oral function for feeding (Deprecated)CPT4
- 92526Treatment of swallowing dysfunction and/or oral function for feedingCPT4
- 92531Spontaneous nystagmus, including gazeCPT4
- 92532Positional nystagmus testCPT4
- 92533Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests)CPT4
- 92537Caloric vestibular test with recording, bilateral; bithermal (ie, one warm and one cool irrigation in each ear for a total of four irrigations)CPT4
- 92538Caloric vestibular test with recording, bilateral; monothermal (ie, one irrigation in each ear for a total of two irrigations)CPT4
- 92540Basic vestibular evaluation, includes spontaneous nystagmus test with eccentric gaze fixation nystagmus, with recording, positional nystagmus test, minimum of 4 positions, with recording, optokinetic nystagmus test, bidirectional foveal and peripheral stiCPT4
- 92541Spontaneous nystagmus test, including gaze and fixation nystagmus, with recordingCPT4
- 92542Positional nystagmus test, minimum of 4 positions, with recordingCPT4
- 92543Caloric vestibular test, each irrigation (binaural, bithermal stimulation constitutes 4 tests), with recordingCPT4
- 92544Optokinetic nystagmus test, bidirectional, foveal or peripheral stimulation, with recordingCPT4
- 92545Oscillating tracking test, with recordingCPT4
- 92546Sinusoidal vertical axis rotational testingCPT4
- 92547Use of vertical electrodes (List separately in addition to code for primary procedure)CPT4
- 92548Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), including interpretation and reportCPT4
- 92549Computerized dynamic posturography sensory organization test (CDP-SOT), 6 conditions (ie, eyes open, eyes closed, visual sway, platform sway, eyes closed platform sway, platform and visual sway), including interpretation and report; with motor control tesCPT4
- 92550Tympanometry and reflex threshold measurementsCPT4
- 92551Screening test, pure tone, air onlyCPT4
- 92552Pure tone audiometry (threshold); air onlyCPT4
- 92553Pure tone audiometry (threshold); air and boneCPT4
- 92555Speech audiometry thresholdCPT4
- 92556Speech audiometry threshold; with speech recognitionCPT4
- 92557Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined)CPT4
- 92558Evoked otoacoustic emissions, screening (qualitative measurement of distortion product or transient evoked otoacoustic emissions), automated analysisCPT4
- 92560Bekesy audiometry; screeningCPT4
- 92561Bekesy audiometry; diagnosticCPT4
- 92562Loudness balance test, alternate binaural or monauralCPT4
- 92563Tone decay testCPT4
- 92565Stenger test, pure toneCPT4
- 92567Tympanometry (impedance testing)CPT4
- 92568Acoustic reflex testing, thresholdCPT4
- 92570Acoustic immittance testing, includes tympanometry (impedance testing), acoustic reflex threshold testing, and acoustic reflex decay testingCPT4
- 92571Filtered speech testCPT4
- 92575Sensorineural acuity level testCPT4
- 92577Stenger test, speechCPT4
- 92579Visual reinforcement audiometry (VRA)CPT4
- 92582Conditioning play audiometryCPT4
- 92583Select picture audiometryCPT4
- 92584ElectrocochleographyCPT4
- 92585Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; comprehensiveCPT4
- 92586Auditory evoked potentials for evoked response audiometry and/or testing of the central nervous system; limitedCPT4
- 92587Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder, 3-6 frequencies) or transient evoked otoacoustic emissions, with interpretation and reportCPT4
- 92588Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping, minimum of 12 frequencies), with interpretation and reportCPT4
- 92590Hearing aid examination and selection; monauralCPT4
- 92591Hearing aid examination and selection; binauralCPT4
- 92592Hearing aid check; monauralCPT4
- 92593Hearing aid check; binauralCPT4
- 92594Electroacoustic evaluation for hearing aid; monauralCPT4
- 92595Electroacoustic evaluation for hearing aid; binauralCPT4
- 92596Ear protector attenuation measurementsCPT4
- 92597Evaluation for use and/or fitting of voice prosthetic device to supplement oral speechCPT4
- 92601Diagnostic analysis of cochlear implant, patient younger than 7 years of age; with programmingCPT4
- 92602Diagnostic analysis of cochlear implant, patient younger than 7 years of age; subsequent reprogrammingCPT4
- 92603Diagnostic analysis of cochlear implant, age 7 years or older; with programmingCPT4
- 92604Diagnostic analysis of cochlear implant, age 7 years or older; subsequent reprogrammingCPT4
- 92605Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; first hourCPT4
- 92606Therapeutic service(s) for the use of non-speech-generating device, including programming and modificationCPT4
- 92607Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; first hourCPT4
- 92608Evaluation for prescription for speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)CPT4
- 92609Therapeutic services for the use of speech-generating device, including programming and modificationCPT4
- 92610Evaluation of oral and pharyngeal swallowing functionCPT4
- 92611Motion fluoroscopic evaluation of swallowing function by cine or video recordingCPT4
- 92612Flexible endoscopic evaluation of swallowing by cine or video recordingCPT4
- 92613Flexible endoscopic evaluation of swallowing by cine or video recording; interpretation and report onlyCPT4
- 92614Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recordingCPT4
- 92615Flexible endoscopic evaluation, laryngeal sensory testing by cine or video recording; interpretation and report onlyCPT4
- 92616Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recordingCPT4
- 92617Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; interpretation and report onlyCPT4
- 92618Evaluation for prescription of non-speech-generating augmentative and alternative communication device, face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure)CPT4
- 92620Evaluation of central auditory function, with report; initial 60 minutesCPT4
- 92621Evaluation of central auditory function, with report; each additional 15 minutes (List separately in addition to code for primary procedure)CPT4
- 92625Assessment of tinnitus (includes pitch, loudness matching, and masking)CPT4
- 92626Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hourCPT4
- 92627Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to code for primary procedure)CPT4
- 92630Auditory rehabilitation; prelingual hearing lossCPT4
- 92633Auditory rehabilitation; postlingual hearing lossCPT4
- 92650Auditory evoked potentials; screening of auditory potential with broadband stimuli, automated analysisCPT4
- 92651Auditory evoked potentials; for hearing status determination, broadband stimuli, with interpretation and reportCPT4
- 92652Auditory evoked potentials; for threshold estimation at multiple frequencies, with interpretation and reportCPT4
- 92653Auditory evoked potentials; neurodiagnostic, with interpretation and reportCPT4
- 92700Unlisted otorhinolaryngological service or procedureCPT4
- 92920Percutaneous transluminal coronary angioplasty; single major coronary artery or branchCPT4
- 92921Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure)CPT4
- 92924Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; single major coronary artery or branchCPT4
- 92925Percutaneous transluminal coronary atherectomy, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure)CPT4
- 92928Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; single major coronary artery or branchCPT4
- 92929Percutaneous transcatheter placement of intracoronary stent(s), with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure)CPT4
- 92933Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; single major coronary artery or branchCPT4
- 92934Percutaneous transluminal coronary atherectomy, with intracoronary stent, with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure)CPT4
- 92937Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection when performed; single vesseCPT4
- 92938Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary, free arterial, venous), any combination of intracoronary stent, atherectomy and angioplasty, including distal protection when performed; each additioCPT4
- 92941Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction, coronary artery or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty, including aspiration thCPT4
- 92943Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; single vesselCPT4
- 92944Percutaneous transluminal revascularization of chronic total occlusion, coronary artery, coronary artery branch, or coronary artery bypass graft, any combination of intracoronary stent, atherectomy and angioplasty; each additional coronary artery, coronarCPT4
- 92950Cardiopulmonary resuscitation (eg, in cardiac arrest)CPT4
- 92953Temporary transcutaneous pacingCPT4
- 92960Cardioversion, elective, electrical conversion of arrhythmia; externalCPT4
- 92961Cardioversion, elective, electrical conversion of arrhythmia; internal (separate procedure)CPT4
- 92970Cardioassist-method of circulatory assist; internalCPT4
- 92973Percutaneous transluminal coronary thrombectomy mechanical (List separately in addition to code for primary procedure)CPT4
- 92974Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure)CPT4
- 92977Thrombolysis, coronary; by intravenous infusionCPT4
- 92978Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; initial vessCPT4
- 92979Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision, interpretation and report; each additioCPT4
- 92986Percutaneous balloon valvuloplasty; aortic valveCPT4
- 92987Percutaneous balloon valvuloplasty; mitral valveCPT4
- 92990Percutaneous balloon valvuloplasty; pulmonary valveCPT4
- 92992Atrial septectomy or septostomy; transvenous method, balloon (eg, Rashkind type) (includes cardiac catheterization)CPT4
- 92997Percutaneous transluminal pulmonary artery balloon angioplasty; single vesselCPT4
- 92998Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure)CPT4
- 93000Electrocardiogram, routine ECG with at least 12 leads; with interpretation and reportCPT4
- 93005Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and reportCPT4
- 93010Electrocardiogram, routine ECG with at least 12 leads; interpretation and report onlyCPT4
- 93015Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; with supervision, interpretation and reportCPT4
- 93016Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretation and reportCPT4
- 93017Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and reportCPT4
- 93018Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report onlyCPT4
- 93024Ergonovine provocation testCPT4
- 93040Rhythm ECG, 1-3 leads; with interpretation and reportCPT4
- 93041Rhythm ECG, 1-3 leads; tracing only without interpretation and reportCPT4
- 93042Rhythm ECG, 1-3 leads; interpretation and report onlyCPT4
- 93050Arterial pressure waveform analysis for assessment of central arterial pressures, includes obtaining waveform(s), digitization and application of nonlinear mathematical transformations to determine central arterial pressures and augmentation index, with iCPT4
- 93224External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation by a physician or other qualified health care professionalCPT4
- 93225External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection, recording, and disconnection)CPT4
- 93226External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with reportCPT4
- 93227External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professionalCPT4
- 93228External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with query) with ECG triggered and patient selected events CPT4
- 93229External mobile cardiovascular telemetry with electrocardiographic recording, concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with query) with ECG triggered and patient selected events CPT4
- 93241External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretationCPT4
- 93242External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording)CPT4
- 93243External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with reportCPT4
- 93244External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; review and interpretationCPT4
- 93245External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretationCPT4
- 93246External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording)CPT4
- 93247External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with reportCPT4
- 93248External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; review and interpretationCPT4
- 93260Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care CPT4
- 93261Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator syCPT4
- 93264Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days, including at least weekly downloads of pulmonary artery pressure recordings, interpretation(s), trend analysis, and report(s) by a physician or other qualified health careCPT4
- 93268External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; includes transmission, review and interprCPT4
- 93270External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; recording (includes connection, recordingCPT4
- 93271External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; transmission and analysisCPT4
- 93272External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; review and interpretation by a physician CPT4
- 93278Signal-averaged electrocardiography (SAECG), with or without ECGCPT4
- 93279Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care CPT4
- 93280Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care CPT4
- 93281Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care CPT4
- 93282Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care CPT4
- 93283Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care CPT4
- 93284Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care CPT4
- 93285Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis, review and report by a physician or other qualified health care CPT4
- 93286Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple CPT4
- 93287Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery, procedure, or test with analysis, review and report by a physician or other qualified health care professional; single, dual, or multiple CPT4
- 93288Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead pacemaker systeCPT4
- 93289Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; single, dual, or multiple lead transvenous impCPT4
- 93290Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; implantable cardiovascular physiologic monitorCPT4
- 93291Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; subcutaneous cardiac rhythm monitor system, inCPT4
- 93292Interrogation device evaluation (in person) with analysis, review and report by a physician or other qualified health care professional, includes connection, recording and disconnection per patient encounter; wearable defibrillator systemCPT4
- 93293Transtelephonic rhythm strip pacemaker evaluation(s) single, dual, or multiple lead pacemaker system, includes recording with and without magnet application with analysis, review and report(s) by a physician or other qualified health care professional, upCPT4
- 93294Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, or leadless pacemaker system with interim analysis, review(s) and report(s) by a physician or other qualified health care professionalCPT4
- 93295Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead implantable defibrillator system with interim analysis, review(s) and report(s) by a physician or other qualified health care professionalCPT4
- 93296Interrogation device evaluation(s) (remote), up to 90 days; single, dual, or multiple lead pacemaker system, leadless pacemaker system, or implantable defibrillator system, remote data acquisition(s), receipt of transmissions and technician review, techniCPT4
- 93297Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, including analysis of 1 or more recorded physiologic cardiovascular data elements from all internal and external sensors, analysis, review(sCPT4
- 93298Interrogation device evaluation(s), (remote) up to 30 days; subcutaneous cardiac rhythm monitor system, including analysis of recorded heart rhythm data, analysis, review(s) and report(s) by a physician or other qualified health care professionalCPT4
- 93299Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and technician review, technical support CPT4
- 93303Transthoracic echocardiography for congenital cardiac anomalies; completeCPT4
- 93304Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited studyCPT4
- 93306Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiographyCPT4
- 93307Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, without spectral or color Doppler echocardiographyCPT4
- 93308Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited studyCPT4
- 93312Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and reportCPT4
- 93313Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe onlyCPT4
- 93314Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); image acquisition, interpretation and report onlyCPT4
- 93315Transesophageal echocardiography for congenital cardiac anomalies; including probe placement, image acquisition, interpretation and reportCPT4
- 93316Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe onlyCPT4
- 93317Transesophageal echocardiography for congenital cardiac anomalies; image acquisition, interpretation and report onlyCPT4
- 93318Echocardiography, transesophageal (TEE) for monitoring purposes, including probe placement, real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to tCPT4
- 93320Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); completeCPT4
- 93321Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)CPT4
- 93325Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)CPT4
- 93350Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation CPT4
- 93351Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation CPT4
- 93352Use of echocardiographic contrast agent during stress echocardiography (List separately in addition to code for primary procedure)CPT4
- 93355Echocardiography, transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel(s) structural intervention(s) (eg, TAVR, transcatheter pulmonary valve replacement, mitral valve repair, paravalvular regurgitation repair, left atrial apCPT4
- 93356Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging)CPT4
- 93451Right heart catheterization including measurement(s) of oxygen saturation and cardiac output, when performedCPT4
- 93452Left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performedCPT4
- 93453Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography, imaging supervision and interpretation, when performedCPT4
- 93454Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretationCPT4
- 93455Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venCPT4
- 93456Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right heart catheterizationCPT4
- 93457Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary, free arterial, venCPT4
- 93458Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left venCPT4
- 93459Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left venCPT4
- 93460Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) foCPT4
- 93461Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) foCPT4
- 93462Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure)CPT4
- 93463Pharmacologic agent administration (eg, inhaled nitric oxide, intravenous infusion of nitroprusside, dobutamine, milrinone, or other agent) including assessing hemodynamic measurements before, during, after and repeat pharmacologic agent administration, wCPT4
- 93464Physiologic exercise study (eg, bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure)CPT4
- 93503Insertion and placement of flow directed catheter (eg, Swan-Ganz) for monitoring purposesCPT4
- 93505Endomyocardial biopsyCPT4
- 93530Right heart catheterization, for congenital cardiac anomaliesCPT4
- 93531Combined right heart catheterization and retrograde left heart catheterization, for congenital cardiac anomaliesCPT4
- 93532Combined right heart catheterization and transseptal left heart catheterization through intact septum with or without retrograde left heart catheterization, for congenital cardiac anomaliesCPT4
- 93533Combined right heart catheterization and transseptal left heart catheterization through existing septal opening, with or without retrograde left heart catheterization, for congenital cardiac anomaliesCPT4
- 93561Indicator dilution studies such as dye or thermodilution, including arterial and/or venous catheterization; with cardiac output measurement (separate procedure)CPT4
- 93562Indicator dilution studies such as dye or thermodilution, including arterial and/or venous catheterization; subsequent measurement of cardiac outputCPT4
- 93563Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective coronary angiography during congenital heart catheterization (List separately in addition to code for primary procedure)CPT4
- 93564Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg, aortocoronary saphenous vein, free radial artery, or free maCPT4
- 93565Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective left ventricular or left atrial angiography (List separately in addition to code for primary procedure)CPT4
- 93566Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure)CPT4
- 93567Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for supravalvular aortography (List separately in addition to code for primary procedure)CPT4
- 93568Injection procedure during cardiac catheterization including imaging supervision, interpretation, and report; for pulmonary angiography (List separately in addition to code for primary procedure)CPT4
- 93571Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress; initial vessel (List separately in addition to code for primary proCPT4
- 93572Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress; each additional vessel (List separately in addition to code for priCPT4
- 93580Percutaneous transcatheter closure of congenital interatrial communication (ie, Fontan fenestration, atrial septal defect) with implantCPT4
- 93581Percutaneous transcatheter closure of a congenital ventricular septal defect with implantCPT4
- 93582Percutaneous transcatheter closure of patent ductus arteriosusCPT4
- 93583Percutaneous transcatheter septal reduction therapy (eg, alcohol septal ablation) including temporary pacemaker insertion when performedCPT4
- 93590Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, mitral valveCPT4
- 93591Percutaneous transcatheter closure of paravalvular leak; initial occlusion device, aortic valveCPT4
- 93592Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure)CPT4
- 93600Bundle of His recordingCPT4
- 93602Intra-atrial recordingCPT4
- 93603Right ventricular recordingCPT4
- 93609Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure)CPT4
- 93610Intra-atrial pacingCPT4
- 93612Intraventricular pacingCPT4
- 93613Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure)CPT4
- 93616Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacingCPT4
- 93618Induction of arrhythmia by electrical pacingCPT4
- 93619Comprehensive electrophysiologic evaluation with right atrial pacing and recording, right ventricular pacing and recording, His bundle recording, including insertion and repositioning of multiple electrode catheters, without induction or attempted inductiCPT4
- 93620Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording, right ventricular pacing and recording, His bundCPT4
- 93621Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separatelCPT4
- 93622Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primCPT4
- 93623Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure)CPT4
- 93631Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correctionCPT4
- 93640Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantCPT4
- 93641Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination) at time of initial implantCPT4
- 93642Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing and pacing for arrhythmia termination, and programming or rCPT4
- 93644Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation, induction of arrhythmia, evaluation of sensing for arrhythmia termination, and programming or reprogramming of sensing or therapeutic paCPT4
- 93650Intracardiac catheter ablation of atrioventricular node function, atrioventricular conduction for creation of complete heart block, with or without temporary pacemaker placementCPT4
- 93653Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of an arrhythmia with right atrial pacing and recording, right ventricular pacing and recording (when nCPT4
- 93654Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of an arrhythmia with right atrial pacing and recording, right ventricular pacing and recording (when nCPT4
- 93655Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism, including repeat diagnostic maneuvers, to treat a spontaneous or induced arrhythmia (List separately in addition to code for primaryCPT4
- 93656Comprehensive electrophysiologic evaluation including transseptal catheterizations, insertion and repositioning of multiple electrode catheters with induction or attempted induction of an arrhythmia including left or right atrial pacing/recording when necCPT4
- 93657Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure)CPT4
- 93660Evaluation of cardiovascular function with tilt table evaluation, with continuous ECG monitoring and intermittent blood pressure monitoring, with or without pharmacological interventionCPT4
- 93662Intracardiac echocardiography during therapeutic/diagnostic intervention, including imaging supervision and interpretation (List separately in addition to code for primary procedure)CPT4
- 93668Peripheral arterial disease (PAD) rehabilitation, per sessionCPT4
- 93701Bioimpedance-derived physiologic cardiovascular analysisCPT4
- 93702Bioimpedance spectroscopy (BIS), extracellular fluid analysis for lymphedema assessment(s)CPT4
- 93724Electronic analysis of antitachycardia pacemaker system (includes electrocardiographic recording, programming of device, induction and termination of tachycardia via implanted pacemaker, and interpretation of recordings)CPT4
- 93740Temperature gradient studiesCPT4
- 93750Interrogation of ventricular assist device (VAD), in person, with physician or other qualified health care professional analysis of device parameters (eg, drivelines, alarms, power surges), review of device function (eg, flow and volume status, septum staCPT4
- 93784Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; including recording, scanning analysis, interpretation and reportCPT4
- 93786Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; recording onlyCPT4
- 93788Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; scanning analysis with reportCPT4
- 93790Ambulatory blood pressure monitoring, utilizing report-generating software, automated, worn continuously for 24 hours or longer; review with interpretation and reportCPT4
- 93792Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional, face-to-face, including use and care of the INR monitor, obtaining blood sampCPT4
- 93793Anticoagulant management for a patient taking warfarin, must include review and interpretation of a new home, office, or lab international normalized ratio (INR) test result, patient instructions, dosage adjustment (as needed), and scheduling of additionaCPT4
- 93797Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session)CPT4
- 93798Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session)CPT4
- 93799Unlisted cardiovascular service or procedureCPT4
- 93880Duplex scan of extracranial arteries; complete bilateral studyCPT4
- 93882Duplex scan of extracranial arteries; unilateral or limited studyCPT4
- 93886Transcranial Doppler study of the intracranial arteries; complete studyCPT4
- 93888Transcranial Doppler study of the intracranial arteries; limited studyCPT4
- 93890Transcranial Doppler study of the intracranial arteries; vasoreactivity studyCPT4
- 93892Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injectionCPT4
- 93893Transcranial Doppler study of the intracranial arteries; emboli detection with intravenous microbubble injectionCPT4
- 93922Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording CPT4
- 93923Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressureCPT4
- 93924Noninvasive physiologic studies of lower extremity arteries, at rest and following treadmill stress testing, (ie, bidirectional Doppler waveform or volume plethysmography recording and analysis at rest with ankle/brachial indices immediately after and at CPT4
- 93925Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral studyCPT4
- 93926Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited studyCPT4
- 93930Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral studyCPT4
- 93931Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited studyCPT4
- 93965Noninvasive physiologic studies of extremity veins, complete bilateral study (eg, Doppler waveform analysis with responses to compression and other maneuvers, phleborheography, impedance plethysmography)CPT4
- 93970Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral studyCPT4
- 93971Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited studyCPT4
- 93975Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; complete studyCPT4
- 93976Duplex scan of arterial inflow and venous outflow of abdominal, pelvic, scrotal contents and/or retroperitoneal organs; limited studyCPT4
- 93978Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; complete studyCPT4
- 93979Duplex scan of aorta, inferior vena cava, iliac vasculature, or bypass grafts; unilateral or limited studyCPT4
- 93980Duplex scan of arterial inflow and venous outflow of penile vessels; complete studyCPT4
- 93981Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited studyCPT4
- 93985Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral studyCPT4
- 93986Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral studyCPT4
- 93990Duplex scan of hemodialysis access (including arterial inflow, body of access and venous outflow)CPT4
- 93998Unlisted noninvasive vascular diagnostic studyCPT4
- 94002Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, initial dayCPT4
- 94003Ventilation assist and management, initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation, each subsequent dayCPT4
- 94005Home ventilator management care plan oversight of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living) requiring review of status, review of laboratories and other studies and revision of orders and respiratory care planCPT4
- 94010Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilationCPT4
- 94011Measurement of spirometric forced expiratory flows in an infant or child through 2 years of ageCPT4
- 94013Measurement of lung volumes (ie, functional residual capacity [FRC], forced vital capacity [FVC], and expiratory reserve volume [ERV]) in an infant or child through 2 years of ageCPT4
- 94016Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or other qualified health care professionalCPT4
- 94060Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administrationCPT4
- 94070Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)CPT4
- 94150Vital capacity, total (separate procedure)CPT4
- 94200Maximum breathing capacity, maximal voluntary ventilationCPT4
- 94250Expired gas collection, quantitative, single procedure (separate procedure)CPT4
- 94375Respiratory flow volume loopCPT4
- 94450Breathing response to hypoxia (hypoxia response curve)CPT4
- 94452High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care professionalCPT4
- 94453High altitude simulation test (HAST), with interpretation and report by a physician or other qualified health care professional; with supplemental oxygen titrationCPT4
- 94617Exercise test for bronchospasm, including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s)CPT4
- 94618Pulmonary stress testing (eg, 6-minute walk test), including measurement of heart rate, oximetry, and oxygen titration, when performedCPT4
- 94620Pulmonary stress testing; simple (eg, 6-minute walk test, prolonged exercise test for bronchospasm with pre- and post-spirometry and oximetry)CPT4
- 94621Cardiopulmonary exercise testing, including measurements of minute ventilation, CO2 production, O2 uptake, and electrocardiographic recordingsCPT4
- 94640Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure bCPT4
- 94642Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxisCPT4
- 94644Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hourCPT4
- 94645Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure)CPT4
- 94660Continuous positive airway pressure ventilation (CPAP), initiation and managementCPT4
- 94664Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB deviceCPT4
- 94667Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; initial demonstration and/or evaluationCPT4
- 94668Manipulation chest wall, such as cupping, percussing, and vibration to facilitate lung function; subsequentCPT4
- 94669Mechanical chest wall oscillation to facilitate lung function, per sessionCPT4
- 94680Oxygen uptake, expired gas analysis; rest and exercise, direct, simpleCPT4
- 94681Oxygen uptake, expired gas analysis; including CO2 output, percentage oxygen extractedCPT4
- 94690Oxygen uptake, expired gas analysis; rest, indirect (separate procedure)CPT4
- 94726Plethysmography for determination of lung volumes and, when performed, airway resistanceCPT4
- 94727Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumesCPT4
- 94728Airway resistance by oscillometryCPT4
- 94729Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)CPT4
- 94750Pulmonary compliance study (eg, plethysmography, volume and pressure measurements)CPT4
- 94760Noninvasive ear or pulse oximetry for oxygen saturation; single determinationCPT4
- 94761Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg, during exercise)CPT4
- 94762Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure)CPT4
- 94770Carbon dioxide, expired gas determination by infrared analyzerCPT4
- 94780Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, with interpretation and report; 60 minutesCPT4
- 94781Car seat/bed testing for airway integrity, for infants through 12 months of age, with continual clinical staff observation and continuous recording of pulse oximetry, heart rate and respiratory rate, with interpretation and report; each additional full 30CPT4
- 94799Unlisted pulmonary service or procedureCPT4
- 95004Percutaneous tests (scratch, puncture, prick) with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of testsCPT4
- 95012Nitric oxide expired gas determinationCPT4
- 95017Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal), sequential and incremental, with venoms, immediate type reaction, including test interpretation and report, specify number of testsCPT4
- 95018Allergy testing, any combination of percutaneous (scratch, puncture, prick) and intracutaneous (intradermal), sequential and incremental, with drugs or biologicals, immediate type reaction, including test interpretation and report, specify number of testsCPT4
- 95024Intracutaneous (intradermal) tests with allergenic extracts, immediate type reaction, including test interpretation and report, specify number of testsCPT4
- 95027Intracutaneous (intradermal) tests, sequential and incremental, with allergenic extracts for airborne allergens, immediate type reaction, including test interpretation and report, specify number of testsCPT4
- 95028Intracutaneous (intradermal) tests with allergenic extracts, delayed type reaction, including reading, specify number of testsCPT4
- 95044Patch or application test(s) (specify number of tests)CPT4
- 95060Ophthalmic mucous membrane testsCPT4
- 95065Direct nasal mucous membrane testCPT4
- 95070Inhalation bronchial challenge testing (not including necessary pulmonary function tests), with histamine, methacholine, or similar compoundsCPT4
- 95076Ingestion challenge test (sequential and incremental ingestion of test items, eg, food, drug or other substance); initial 120 minutes of testingCPT4
- 95079Ingestion challenge test (sequential and incremental ingestion of test items, eg, food, drug or other substance); each additional 60 minutes of testing (List separately in addition to code for primary procedure)CPT4
- 95115Professional services for allergen immunotherapy not including provision of allergenic extracts; single injectionCPT4
- 95117Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injectionsCPT4
- 95120Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; single injectionCPT4
- 95125Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 2 or more injectionsCPT4
- 95130Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; single stinging insect venomCPT4
- 95131Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 2 stinging insect venomsCPT4
- 95132Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 3 stinging insect venomsCPT4
- 95133Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional, including provision of allergenic extract; 4 stinging insect venomsCPT4
- 95144Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, single dose vial(s) (specify number of vials)CPT4
- 95145Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); single stinging insect venomCPT4
- 95146Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 2 single stinging insect venomsCPT4
- 95147Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 3 single stinging insect venomsCPT4
- 95148Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 4 single stinging insect venomsCPT4
- 95149Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 5 single stinging insect venomsCPT4
- 95165Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses)CPT4
- 95170Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole body extract of biting insect or other arthropod (specify number of doses)CPT4
- 95180Rapid desensitization procedure, each hour (eg, insulin, penicillin, equine serum)CPT4
- 95199Unlisted allergy/clinical immunologic service or procedureCPT4
- 95249Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment, sensor placement, hook-up, calibration of monitor, patient training, and printout of recordingCPT4
- 95250Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equipment, sensor placement, hook-up, calibration of monitorCPT4
- 95251Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis, interpretation and reportCPT4
- 95700Electroencephalogram (EEG) continuous recording, with video when performed, setup, patient education, and takedown when performed, administered in person by EEG technologist, minimum of 8 channelsCPT4
- 95705Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, 2-12 hours; unmonitoredCPT4
- 95708Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, each increment of 12-26 hours; unmonitoredCPT4
- 95709Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, each increment of 12-26 hours; with intermittent monitoring and maintenanceCPT4
- 95710Electroencephalogram (EEG), without video, review of data, technical description by EEG technologist, each increment of 12-26 hours; with continuous, real-time monitoring and maintenanceCPT4
- 95711Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; unmonitoredCPT4
- 95712Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; with intermittent monitoring and maintenanceCPT4
- 95713Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, 2-12 hours; with continuous, real-time monitoring and maintenanceCPT4
- 95714Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; unmonitoredCPT4
- 95715Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; with intermittent monitoring and maintenanceCPT4
- 95716Electroencephalogram with video (VEEG), review of data, technical description by EEG technologist, each increment of 12-26 hours; with continuous, real-time monitoring and maintenanceCPT4
- 95717Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation and report, 2-12 hours of EEG recording; without videoCPT4
- 95718Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation and report, 2-12 hours of EEG recording; with video (VEEG)CPT4
- 95719Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, each increment of greater than 12 hours, up to 26 hours of EEG recording, interpretCPT4
- 95720Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, each increment of greater than 12 hours, up to 26 hours of EEG recording, interpretCPT4
- 95721Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary report, complete study; greater than 36 hours, up to 60CPT4
- 95722Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary report, complete study; greater than 36 hours, up to 60CPT4
- 95723Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary report, complete study; greater than 60 hours, up to 84CPT4
- 95724Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary report, complete study; greater than 60 hours, up to 84CPT4
- 95726Electroencephalogram (EEG), continuous recording, physician or other qualified health care professional review of recorded events, analysis of spike and seizure detection, interpretation, and summary report, complete study; greater than 84 hours of EEG reCPT4
- 95782Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, attended by a technologistCPT4
- 95783Polysomnography; younger than 6 years, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bi-level ventilation, attended by a technologistCPT4
- 95800Sleep study, unattended, simultaneous recording; heart rate, oxygen saturation, respiratory analysis (eg, by airflow or peripheral arterial tone), and sleep timeCPT4
- 95801Sleep study, unattended, simultaneous recording; minimum of heart rate, oxygen saturation, and respiratory analysis (eg, by airflow or peripheral arterial tone)CPT4
- 95803Actigraphy testing, recording, analysis, interpretation, and report (minimum of 72 hours to 14 consecutive days of recording)CPT4
- 95805Multiple sleep latency or maintenance of wakefulness testing, recording, analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepinessCPT4
- 95806Sleep study, unattended, simultaneous recording of, heart rate, oxygen saturation, respiratory airflow, and respiratory effort (eg, thoracoabdominal movement)CPT4
- 95807Sleep study, simultaneous recording of ventilation, respiratory effort, ECG or heart rate, and oxygen saturation, attended by a technologistCPT4
- 95808Polysomnography; any age, sleep staging with 1-3 additional parameters of sleep, attended by a technologistCPT4
- 95810Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologistCPT4
- 95811Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologistCPT4
- 95812Electroencephalogram (EEG) extended monitoring; 41-60 minutesCPT4
- 95813Electroencephalogram (EEG) extended monitoring; 61-119 minutesCPT4
- 95816Electroencephalogram (EEG); including recording awake and drowsyCPT4
- 95819Electroencephalogram (EEG); including recording awake and asleepCPT4
- 95822Electroencephalogram (EEG); recording in coma or sleep onlyCPT4
- 95824Electroencephalogram (EEG); cerebral death evaluation onlyCPT4
- 95827Electroencephalogram (EEG); all night recordingCPT4
- 95829Electrocorticogram at surgery (separate procedure)CPT4
- 95830Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recordingCPT4
- 95831Muscle testing, manual (separate procedure) with report; extremity (excluding hand) or trunkCPT4
- 95832Muscle testing, manual (separate procedure) with report; hand, with or without comparison with normal sideCPT4
- 95833Muscle testing, manual (separate procedure) with report; total evaluation of body, excluding handsCPT4
- 95834Muscle testing, manual (separate procedure) with report; total evaluation of body, including handsCPT4
- 95836Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter, including recording, with interpretation and written report, up to 30 daysCPT4
- 95851Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine)CPT4
- 95852Range of motion measurements and report (separate procedure); hand, with or without comparison with normal sideCPT4
- 95857Cholinesterase inhibitor challenge test for myasthenia gravisCPT4
- 95860Needle electromyography; 1 extremity with or without related paraspinal areasCPT4
- 95861Needle electromyography; 2 extremities with or without related paraspinal areasCPT4
- 95865Needle electromyography; larynxCPT4
- 95866Needle electromyography; hemidiaphragmCPT4
- 95867Needle electromyography; cranial nerve supplied muscle(s), unilateralCPT4
- 95868Needle electromyography; cranial nerve supplied muscles, bilateralCPT4
- 95869Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12)CPT4
- 95870Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral), other than thoracic paraspinal, cranial nerve supplied muscles, or sphinctersCPT4
- 95872Needle electromyography using single fiber electrode, with quantitative measurement of jitter, blocking and/or fiber density, any/all sites of each muscle studiedCPT4
- 95873Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)CPT4
- 95874Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure)CPT4
- 95875Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s)CPT4
- 95885Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; limited (List separately in addition to code for primary procedure)CPT4
- 95886Needle electromyography, each extremity, with related paraspinal areas, when performed, done with nerve conduction, amplitude and latency/velocity study; complete, five or more muscles studied, innervated by three or more nerves or four or more spinal levCPT4
- 95887Needle electromyography, non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction, amplitude and latency/velocity study (List separately in addition to code for primary procedure)CPT4
- 95903Nerve conduction, amplitude and latency/velocity study, each nerve; motor, with F-wave studyCPT4
- 95905Motor and/or sensory nerve conduction, using preconfigured electrode array(s), amplitude and latency/velocity study, each limb, includes F-wave study when performed, with interpretation and reportCPT4
- 95907Nerve conduction studies; 1-2 studiesCPT4
- 95908Nerve conduction studies; 3-4 studiesCPT4
- 95909Nerve conduction studies; 5-6 studiesCPT4
- 95910Nerve conduction studies; 7-8 studiesCPT4
- 95911Nerve conduction studies; 9-10 studiesCPT4
- 95912Nerve conduction studies; 11-12 studiesCPT4
- 95913Nerve conduction studies; 13 or more studiesCPT4
- 95921Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function), including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval, Valsalva ratio, and 30:15 ratioCPT4
- 95922Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function), including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuver and at least 5 minutes of passive tiltCPT4
- 95923Testing of autonomic nervous system function; sudomotor, including 1 or more of the following: quantitative sudomotor axon reflex test (QSART), silastic sweat imprint, thermoregulatory sweat test, and changes in sympathetic skin potentialCPT4
- 95924Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tiltCPT4
- 95925Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper limbsCPT4
- 95926Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in lower limbsCPT4
- 95927Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in the trunk or headCPT4
- 95928Central motor evoked potential study (transcranial motor stimulation); upper limbsCPT4
- 95929Central motor evoked potential study (transcranial motor stimulation); lower limbsCPT4
- 95930Visual evoked potential (VEP) checkerboard or flash testing, central nervous system except glaucoma, with interpretation and reportCPT4
- 95933Orbicularis oculi (blink) reflex, by electrodiagnostic testingCPT4
- 95937Neuromuscular junction testing (repetitive stimulation, paired stimuli), each nerve, any 1 methodCPT4
- 95938Short-latency somatosensory evoked potential study, stimulation of any/all peripheral nerves or skin sites, recording from the central nervous system; in upper and lower limbsCPT4
- 95939Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbsCPT4
- 95940Continuous intraoperative neurophysiology monitoring in the operating room, one on one monitoring requiring personal attendance, each 15 minutes (List separately in addition to code for primary procedure)CPT4
- 95941Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby) or for monitoring of more than one case while in the operating room, per hour (List separately in addition to code for primary procedure)CPT4
- 95943Simultaneous, independent, quantitative measures of both parasympathetic function and sympathetic function, based on time-frequency analysis of heart rate variability concurrent with time-frequency analysis of continuous respiratory activity, with mean heCPT4
- 95950Monitoring for identification and lateralization of cerebral seizure focus, electroencephalographic (eg, 8 channel EEG) recording and interpretation, each 24 hoursCPT4
- 95951Monitoring for localization of cerebral seizure focus by cable or radio, 16 or more channel telemetry, combined electroencephalographic (EEG) and video recording and interpretation (eg, for presurgical localization), each 24 hoursCPT4
- 95953Monitoring for localization of cerebral seizure focus by computerized portable 16 or more channel EEG, electroencephalographic (EEG) recording and interpretation, each 24 hours, unattendedCPT4
- 95955Electroencephalogram (EEG) during nonintracranial surgery (eg, carotid surgery)CPT4
- 95956Monitoring for localization of cerebral seizure focus by cable or radio, 16 or more channel telemetry, electroencephalographic (EEG) recording and interpretation, each 24 hours, attended by a technologist or nurseCPT4
- 95957Digital analysis of electroencephalogram (EEG) (eg, for epileptic spike analysis)CPT4
- 95958Wada activation test for hemispheric function, including electroencephalographic (EEG) monitoringCPT4
- 95961Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified healthCPT4
- 95962Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface, or of depth electrodes, to provoke seizures or identify vital brain structures; each additional hour of attendance by a physician or other qualifieCPT4
- 95965Magnetoencephalography (MEG), recording and analysis; for spontaneous brain magnetic activity (eg, epileptic cerebral cortex localization)CPT4
- 95966Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, single modality (eg, sensory, motor, language, or visual cortex localization)CPT4
- 95967Magnetoencephalography (MEG), recording and analysis; for evoked magnetic fields, each additional modality (eg, sensory, motor, language, or visual cortex localization) (List separately in addition to code for primary procedure)CPT4
- 95970Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimCPT4
- 95971Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimCPT4
- 95972Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimCPT4
- 95974Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measuremeCPT4
- 95975Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude, pulse duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient compliance measuremeCPT4
- 95976Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimCPT4
- 95977Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimCPT4
- 95978Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, battery status, electrode selectability and polarity, impedance and patient compliance measurements), complex deep brain neurostimulator pulseCPT4
- 95979Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, battery status, electrode selectability and polarity, impedance and patient compliance measurements), complex deep brain neurostimulator pulseCPT4
- 95981Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient measurements) gastric nCPT4
- 95982Electronic analysis of implanted neurostimulator pulse generator system (eg, rate, pulse amplitude and duration, configuration of wave form, battery status, electrode selectability, output modulation, cycling, impedance and patient measurements) gastric nCPT4
- 95983Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimCPT4
- 95984Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg, contact group[s], interleaving, amplitude, pulse width, frequency [Hz], on/off cycling, burst, magnet mode, dose lockout, patient selectable parameters, responsive neurostimCPT4
- 95990Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performedCPT4
- 95991Refilling and maintenance of implantable pump or reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requiring skill of a physician or other qualified health care pCPT4
- 95992Canalith repositioning procedure(s) (eg, Epley maneuver, Semont maneuver), per dayCPT4
- 95999Unlisted neurological or neuromuscular diagnostic procedureCPT4
- 96000Comprehensive computer-based motion analysis by video-taping and 3D kinematicsCPT4
- 96001Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walkingCPT4
- 96002Dynamic surface electromyography, during walking or other functional activities, 1-12 musclesCPT4
- 96004Review and interpretation by physician or other qualified health care professional of comprehensive computer-based motion analysis, dynamic plantar pressure measurements, dynamic surface electromyography during walking or other functional activities, and CPT4
- 96020Neurofunctional testing selection and administration during noninvasive imaging functional brain mapping, with test administered entirely by a physician or other qualified health care professional (ie, psychologist), with review of test results and reportCPT4
- 96040Medical genetics and genetic counseling services, each 30 minutes face-to-face with patient/familyCPT4
- 96100Psychological testing (includes psychodiagnostic assessment of personality, psychopathology, emotionality, intellectual abilities, eg, WAIS-R, Rorschach, MMPI) with interpretation and report, per hour (Deprecated)CPT4
- 96101Psychological testing (includes psychodiagnostic assessment of emotionality, intellectual abilities, personality and psychopathology, eg, MMPI, Rorschach, WAIS), per hour of the psychologist's or physician's time, both face-to-face time administering testCPT4
- 96102Psychological testing (includes psychodiagnostic assessment of emotionality, intellectual abilities, personality and psychopathology, eg, MMPI and WAIS), with qualified health care professional interpretation and report, administered by technician, per hoCPT4
- 96103Psychological testing (includes psychodiagnostic assessment of emotionality, intellectual abilities, personality and psychopathology, eg, MMPI), administered by a computer, with qualified health care professional interpretation and reportCPT4
- 96105Assessment of aphasia (includes assessment of expressive and receptive speech and language function, language comprehension, speech production ability, reading, spelling, writing, eg, by Boston Diagnostic Aphasia Examination) with interpretation and reporCPT4
- 96110Developmental screening (eg, developmental milestone survey, speech and language delay screen), with scoring and documentation, per standardized instrumentCPT4
- 96111Developmental testing, (includes assessment of motor, language, social, adaptive, and/or cognitive functioning by standardized developmental instruments) with interpretation and reportCPT4
- 96112Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health careCPT4
- 96113Developmental test administration (including assessment of fine and/or gross motor, language, cognitive level, social, memory and/or executive functions by standardized developmental instruments when performed), by physician or other qualified health careCPT4
- 96116Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professioCPT4
- 96118Neuropsychological testing (eg, Halstead-Reitan Neuropsychological Battery, Wechsler Memory Scales and Wisconsin Card Sorting Test), per hour of the psychologist's or physician's time, both face-to-face time administering tests to the patient and time intCPT4
- 96119Neuropsychological testing (eg, Halstead-Reitan Neuropsychological Battery, Wechsler Memory Scales and Wisconsin Card Sorting Test), with qualified health care professional interpretation and report, administered by technician, per hour of technician timeCPT4
- 96120Neuropsychological testing (eg, Wisconsin Card Sorting Test), administered by a computer, with qualified health care professional interpretation and reportCPT4
- 96121Neurobehavioral status exam (clinical assessment of thinking, reasoning and judgment, [eg, acquired knowledge, attention, language, memory, planning and problem solving, and visual spatial abilities]), by physician or other qualified health care professioCPT4
- 96125Standardized cognitive performance testing (eg, Ross Information Processing Assessment) per hour of a qualified health care professional's time, both face-to-face time administering tests to the patient and time interpreting these test results and prepariCPT4
- 96127Brief emotional/behavioral assessment (eg, depression inventory, attention-deficit/hyperactivity disorder [ADHD] scale), with scoring and documentation, per standardized instrumentCPT4
- 96130Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and repoCPT4
- 96131Psychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning and repoCPT4
- 96132Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning andCPT4
- 96133Neuropsychological testing evaluation services by physician or other qualified health care professional, including integration of patient data, interpretation of standardized test results and clinical data, clinical decision making, treatment planning andCPT4
- 96136Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; first 30 minutesCPT4
- 96137Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional, two or more tests, any method; each additional 30 minutes (List separately in addition to code for primary procedure)CPT4
- 96138Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; first 30 minutesCPT4
- 96139Psychological or neuropsychological test administration and scoring by technician, two or more tests, any method; each additional 30 minutes (List separately in addition to code for primary procedure)CPT4
- 96146Psychological or neuropsychological test administration, with single automated, standardized instrument via electronic platform, with automated result onlyCPT4
- 96150Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient; initial assessmentCPT4
- 96151Health and behavior assessment (eg, health-focused clinical interview, behavioral observations, psychophysiological monitoring, health-oriented questionnaires), each 15 minutes face-to-face with the patient; re-assessmentCPT4
- 96152Health and behavior intervention, each 15 minutes, face-to-face; individualCPT4
- 96153Health and behavior intervention, each 15 minutes, face-to-face; group (2 or more patients)CPT4
- 96154Health and behavior intervention, each 15 minutes, face-to-face; family (with the patient present)CPT4
- 96155Health and behavior intervention, each 15 minutes, face-to-face; family (without the patient present)CPT4
- 96156Health behavior assessment, or re-assessment (ie, health-focused clinical interview, behavioral observations, clinical decision making)CPT4
- 96158Health behavior intervention, individual, face-to-face; initial 30 minutesCPT4
- 96159Health behavior intervention, individual, face-to-face; each additional 15 minutes (List separately in addition to code for primary service)CPT4
- 96160Administration of patient-focused health risk assessment instrument (eg, health hazard appraisal) with scoring and documentation, per standardized instrumentCPT4
- 96161Administration of caregiver-focused health risk assessment instrument (eg, depression inventory) for the benefit of the patient, with scoring and documentation, per standardized instrumentCPT4
- 96164Health behavior intervention, group (2 or more patients), face-to-face; initial 30 minutesCPT4
- 96165Health behavior intervention, group (2 or more patients), face-to-face; each additional 15 minutes (List separately in addition to code for primary service)CPT4
- 96167Health behavior intervention, family (with the patient present), face-to-face; initial 30 minutesCPT4
- 96168Health behavior intervention, family (with the patient present), face-to-face; each additional 15 minutes (List separately in addition to code for primary service)CPT4
- 96170Health behavior intervention, family (without the patient present), face-to-face; initial 30 minutesCPT4
- 96360Intravenous infusion, hydration; initial, 31 minutes to 1 hourCPT4
- 96361Intravenous infusion, hydration; each additional hour (List separately in addition to code for primary procedure)CPT4
- 96365Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); initial, up to 1 hourCPT4
- 96366Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)CPT4
- 96367Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance, up to 1 hour (List separately in addition to code for primary procedure)CPT4
- 96368Intravenous infusion, for therapy, prophylaxis, or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure)CPT4
- 96369Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial, up to 1 hour, including pump set-up and establishment of subcutaneous infusion site(s)CPT4
- 96370Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure)CPT4
- 96372Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscularCPT4
- 96373Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intra-arterialCPT4
- 96374Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drugCPT4
- 96375Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)CPT4
- 96376Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure)CPT4
- 96377Application of on-body injector (includes cannula insertion) for timed subcutaneous injectionCPT4
- 96379Unlisted therapeutic, prophylactic, or diagnostic intravenous or intra-arterial injection or infusionCPT4
- 96401Chemotherapy administration, subcutaneous or intramuscular; non-hormonal anti-neoplasticCPT4
- 96402Chemotherapy administration, subcutaneous or intramuscular; hormonal anti-neoplasticCPT4
- 96405Chemotherapy administration; intralesional, up to and including 7 lesionsCPT4
- 96406Chemotherapy administration; intralesional, more than 7 lesionsCPT4
- 96409Chemotherapy administration; intravenous, push technique, single or initial substance/drugCPT4
- 96411Chemotherapy administration; intravenous, push technique, each additional substance/drug (List separately in addition to code for primary procedure)CPT4
- 96413Chemotherapy administration, intravenous infusion technique; up to 1 hour, single or initial substance/drugCPT4
- 96415Chemotherapy administration, intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure)CPT4
- 96416Chemotherapy administration, intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours), requiring use of a portable or implantable pumpCPT4
- 96417Chemotherapy administration, intravenous infusion technique; each additional sequential infusion (different substance/drug), up to 1 hour (List separately in addition to code for primary procedure)CPT4
- 96420Chemotherapy administration, intra-arterial; push techniqueCPT4
- 96425Chemotherapy administration, intra-arterial; infusion technique, initiation of prolonged infusion (more than 8 hours), requiring the use of a portable or implantable pumpCPT4
- 96440Chemotherapy administration into pleural cavity, requiring and including thoracentesisCPT4
- 96446Chemotherapy administration into the peritoneal cavity via indwelling port or catheterCPT4
- 96450Chemotherapy administration, into CNS (eg, intrathecal), requiring and including spinal punctureCPT4
- 96521Refilling and maintenance of portable pumpCPT4
- 96522Refilling and maintenance of implantable pump or reservoir for drug delivery, systemic (eg, intravenous, intra-arterial)CPT4
- 96523Irrigation of implanted venous access device for drug delivery systemsCPT4
- 96542Chemotherapy injection, subarachnoid or intraventricular via subcutaneous reservoir, single or multiple agentsCPT4
- 96549Unlisted chemotherapy procedureCPT4
- 96567Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s), per dayCPT4
- 96570Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronchoscopy procedures of lung and gastrointestinal tract)CPT4
- 96573Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professioCPT4
- 96574Debridement of premalignant hyperkeratotic lesion(s) (ie, targeted curettage, abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/aCPT4
- 96900Actinotherapy (ultraviolet light)CPT4
- 96902Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts, or structural hair shaft abnormalityCPT4
- 96904Whole body integumentary photography, for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi, or patients with a personal or familial history of melanomaCPT4
- 96910Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet BCPT4
- 96912Photochemotherapy; psoralens and ultraviolet A (PUVA)CPT4
- 96920Laser treatment for inflammatory skin disease (psoriasis); total area less than 250 sq cmCPT4
- 96921Laser treatment for inflammatory skin disease (psoriasis); 250 sq cm to 500 sq cmCPT4
- 96922Laser treatment for inflammatory skin disease (psoriasis); over 500 sq cmCPT4
- 96999Unlisted special dermatological service or procedureCPT4
- 97001Physical therapy evaluationCPT4
- 97002Physical therapy re-evaluationCPT4
- 97003Occupational therapy evaluationCPT4
- 97004Occupational therapy re-evaluationCPT4
- 97005Athletic training evaluationCPT4
- 97006Athletic training re-evaluationCPT4
- 97010Application of a modality to 1 or more areas; hot or cold packsCPT4
- 97012Application of a modality to 1 or more areas; traction, mechanicalCPT4
- 97014Application of a modality to 1 or more areas; electrical stimulation (unattended)CPT4
- 97016Application of a modality to 1 or more areas; vasopneumatic devicesCPT4
- 97018Application of a modality to 1 or more areas; paraffin bathCPT4
- 97020Application of a modality to one or more areas; microwave (Deprecated)CPT4
- 97022Application of a modality to 1 or more areas; whirlpoolCPT4
- 97024Application of a modality to 1 or more areas; diathermy (eg, microwave)CPT4
- 97026Application of a modality to 1 or more areas; infraredCPT4
- 97028Application of a modality to 1 or more areas; ultravioletCPT4
- 97032Application of a modality to 1 or more areas; electrical stimulation (manual), each 15 minutesCPT4
- 97033Application of a modality to 1 or more areas; iontophoresis, each 15 minutesCPT4
- 97034Application of a modality to 1 or more areas; contrast baths, each 15 minutesCPT4
- 97035Application of a modality to 1 or more areas; ultrasound, each 15 minutesCPT4
- 97036Application of a modality to 1 or more areas; Hubbard tank, each 15 minutesCPT4
- 97039Unlisted modality (specify type and time if constant attendance)CPT4
- 97110Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibilityCPT4
- 97112Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular reeducation of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activitiesCPT4
- 97113Therapeutic procedure, 1 or more areas, each 15 minutes; aquatic therapy with therapeutic exercisesCPT4
- 97116Therapeutic procedure, 1 or more areas, each 15 minutes; gait training (includes stair climbing)CPT4
- 97124Therapeutic procedure, 1 or more areas, each 15 minutes; massage, including effleurage, petrissage and/or tapotement (stroking, compression, percussion)CPT4
- 97127Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schCPT4
- 97129Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schCPT4
- 97130Therapeutic interventions that focus on cognitive function (eg, attention, memory, reasoning, executive function, problem solving, and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg, managing time or schCPT4
- 97139Unlisted therapeutic procedure (specify)CPT4
- 97140Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutesCPT4
- 97150Therapeutic procedure(s), group (2 or more individuals)CPT4
- 97151Behavior identification assessment, administered by a physician or other qualified health care professional, each 15 minutes of the physician's or other qualified health care professional's time face-to-face with patient and/or guardian(s)/caregiver(s) adCPT4
- 97153Adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with one patient, each 15 minutesCPT4
- 97154Group adaptive behavior treatment by protocol, administered by technician under the direction of a physician or other qualified health care professional, face-to-face with two or more patients, each 15 minutesCPT4
- 97155Adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, which may include simultaneous direction of technician, face-to-face with one patient, each 15 minutesCPT4
- 97156Family adaptive behavior treatment guidance, administered by physician or other qualified health care professional (with or without the patient present), face-to-face with guardian(s)/caregiver(s), each 15 minutesCPT4
- 97158Group adaptive behavior treatment with protocol modification, administered by physician or other qualified health care professional, face-to-face with multiple patients, each 15 minutesCPT4
- 97161Physical therapy evaluation: low complexity, requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements fCPT4
- 97162Physical therapy evaluation: moderate complexity, requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures inCPT4
- 97163Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures CPT4
- 97164Re-evaluation of physical therapy established plan of care, requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment iCPT4
- 97165Occupational therapy evaluation, low complexity, requiring these components: An occupational profile and medical and therapy history, which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An CPT4
- 97166Occupational therapy evaluation, moderate complexity, requiring these components: An occupational profile and medical and therapy history, which includes an expanded review of medical and/or therapy records and additional review of physical, cognitive, orCPT4
- 97167Occupational therapy evaluation, high complexity, requiring these components: An occupational profile and medical and therapy history, which includes review of medical and/or therapy records and extensive additional review of physical, cognitive, or psychCPT4
- 97168Re-evaluation of occupational therapy established plan of care, requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in conCPT4
- 97169Athletic training evaluation, low complexity, requiring these components: A history and physical activity profile with no comorbidities that affect physical activity; An examination of affected body area and other symptomatic or related systems addressingCPT4
- 97172Re-evaluation of athletic training established plan of care requiring these components: An assessment of patient's current functional status when there is a documented change; and A revised plan of care using a standardized patient assessment instrument aCPT4
- 97530Therapeutic activities, direct (one-on-one) patient contact (use of dynamic activities to improve functional performance), each 15 minutesCPT4
- 97532Development of cognitive skills to improve attention, memory, problem solving (includes compensatory training), direct (one-on-one) patient contact, each 15 minutesCPT4
- 97533Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands, direct (one-on-one) patient contact, each 15 minutesCPT4
- 97535Self-care/home management training (eg, activities of daily living (ADL) and compensatory training, meal preparation, safety procedures, and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact, each 15 minutesCPT4
- 97537Community/work reintegration training (eg, shopping, transportation, money management, avocational activities and/or work environment/modification analysis, work task analysis, use of assistive technology device/adaptive equipment), direct one-on-one contCPT4
- 97542Wheelchair management (eg, assessment, fitting, training), each 15 minutesCPT4
- 97545Work hardening/conditioning; initial 2 hoursCPT4
- 97546Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure)CPT4
- 97597Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), woundCPT4
- 97598Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm), including topical application(s), woundCPT4
- 97602Removal of devitalized tissue from wound(s), non-selective debridement, without anesthesia (eg, wet-to-moist dressings, enzymatic, abrasion, larval therapy), including topical application(s), wound assessment, and instruction(s) for ongoing care, per sessCPT4
- 97605Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area less thCPT4
- 97606Negative pressure wound therapy (eg, vacuum assisted drainage collection), utilizing durable medical equipment (DME), including topical application(s), wound assessment, and instruction(s) for ongoing care, per session; total wound(s) surface area greaterCPT4
- 97607Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongCPT4
- 97608Negative pressure wound therapy, (eg, vacuum assisted drainage collection), utilizing disposable, non-durable medical equipment including provision of exudate management collection system, topical application(s), wound assessment, and instructions for ongCPT4
- 97610Low frequency, non-contact, non-thermal ultrasound, including topical application(s), when performed, wound assessment, and instruction(s) for ongoing care, per dayCPT4
- 97750Physical performance test or measurement (eg, musculoskeletal, functional capacity), with written report, each 15 minutesCPT4
- 97755Assistive technology assessment (eg, to restore, augment or compensate for existing function, optimize functional tasks and/or maximize environmental accessibility), direct one-on-one contact, with written report, each 15 minutesCPT4
- 97760Orthotic(s) management and training (including assessment and fitting when not otherwise reported), upper extremity(ies), lower extremity(ies) and/or trunk, initial orthotic(s) encounter, each 15 minutesCPT4
- 97761Prosthetic(s) training, upper and/or lower extremity(ies), initial prosthetic(s) encounter, each 15 minutesCPT4
- 97762Checkout for orthotic/prosthetic use, established patient, each 15 minutesCPT4
- 97763Orthotic(s)/prosthetic(s) management and/or training, upper extremity(ies), lower extremity(ies), and/or trunk, subsequent orthotic(s)/prosthetic(s) encounter, each 15 minutesCPT4
- 97799Unlisted physical medicine/rehabilitation service or procedureCPT4
- 97802Medical nutrition therapy; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutesCPT4
- 97803Medical nutrition therapy; re-assessment and intervention, individual, face-to-face with the patient, each 15 minutesCPT4
- 97804Medical nutrition therapy; group (2 or more individual(s)), each 30 minutesCPT4
- 97810Acupuncture, 1 or more needles; without electrical stimulation, initial 15 minutes of personal one-on-one contact with the patientCPT4
- 97811Acupuncture, 1 or more needles; without electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needle(s) (List separately in addition to code for primary procedure)CPT4
- 97813Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patientCPT4
- 97814Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needle(s) (List separately in addition to code for primary procedure)CPT4
- 98925Osteopathic manipulative treatment (OMT); 1-2 body regions involvedCPT4
- 98926Osteopathic manipulative treatment (OMT); 3-4 body regions involvedCPT4
- 98927Osteopathic manipulative treatment (OMT); 5-6 body regions involvedCPT4
- 98928Osteopathic manipulative treatment (OMT); 7-8 body regions involvedCPT4
- 98929Osteopathic manipulative treatment (OMT); 9-10 body regions involvedCPT4
- 98940Chiropractic manipulative treatment (CMT); spinal, 1-2 regionsCPT4
- 98941Chiropractic manipulative treatment (CMT); spinal, 3-4 regionsCPT4
- 98942Chiropractic manipulative treatment (CMT); spinal, 5 regionsCPT4
- 98943Chiropractic manipulative treatment (CMT); extraspinal, 1 or more regionsCPT4
- 98960Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; individual patientCPT4
- 98961Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; 2-4 patientsCPT4
- 98962Education and training for patient self-management by a qualified, nonphysician health care professional using a standardized curriculum, face-to-face with the patient (could include caregiver/family) each 30 minutes; 5-8 patientsCPT4
- 98966Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nCPT4
- 98967Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nCPT4
- 98968Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient, parent, or guardian not originating from a related assessment and management service provided within the previous 7 days nCPT4
- 98969Online assessment and management service provided by a qualified nonphysician health care professional to an established patient or guardian, not originating from a related assessment and management service provided within the previous 7 days, using the ICPT4
- 98970Qualified nonphysician health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutesCPT4
- 98971Qualified nonphysician health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutesCPT4
- 98972Qualified nonphysician health care professional online digital assessment and management, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutesCPT4
- 99000Handling and/or conveyance of specimen for transfer from the office to a laboratoryCPT4
- 99001Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated)CPT4
- 99002Handling, conveyance, and/or any other service in connection with the implementation of an order involving devices (eg, designing, fitting, packaging, handling, delivery or mailing) when devices such as orthotics, protectives, prosthetics are fabricated bCPT4
- 99024Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedureCPT4
- 99050Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed (eg, holidays, Saturday or Sunday), in addition to basic serviceCPT4
- 99051Service(s) provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic serviceCPT4
- 99053Service(s) provided between 10:00 PM and 8:00 AM at 24-hour facility, in addition to basic serviceCPT4
- 99054Services requested on Sundays and holidays in addition to basic service (Deprecated)CPT4
- 99058Service(s) provided on an emergency basis in the office, which disrupts other scheduled office services, in addition to basic serviceCPT4
- 99060Service(s) provided on an emergency basis, out of the office, which disrupts other scheduled office services, in addition to basic serviceCPT4
- 99070Supplies and materials (except spectacles), provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs, trays, supplies, or materials provided)CPT4
- 99071Educational supplies, such as books, tapes, and pamphlets, for the patient's education at cost to physician or other qualified health care professionalCPT4
- 99072Additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other non-facility service(s), when performed during a public health emergency as defined by law, due to respiratory-transmitted infecti...CPT4
- 99078Physician or other qualified health care professional qualified by education, training, licensure/regulation (when applicable) educational services rendered to patients in a group setting (eg, prenatal, obesity, or diabetic instructions)CPT4
- 99080Special reports such as insurance forms, more than the information conveyed in the usual medical communications or standard reporting formCPT4
- 99082Unusual travel (eg, transportation and escort of patient)CPT4
- 99090Analysis of clinical data stored in computers (eg, ECGs, blood pressures, hematologic data)CPT4
- 99091Collection and interpretation of physiologic data (eg, ECG, blood pressure, glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional, qualified by education, trainCPT4
- 99100Anesthesia for patient of extreme age, younger than 1 year and older than 70 (List separately in addition to code for primary anesthesia procedure)CPT4
- 99135Anesthesia complicated by utilization of controlled hypotension (List separately in addition to code for primary anesthesia procedure)CPT4
- 99140Anesthesia complicated by emergency conditions (specify) (List separately in addition to code for primary anesthesia procedure)CPT4
- 99143Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the preCPT4
- 99144Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the preCPT4
- 99145Moderate sedation services (other than those services described by codes 00100-01999) provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the preCPT4
- 99148Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the seCPT4
- 99149Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the seCPT4
- 99150Moderate sedation services (other than those services described by codes 00100-01999), provided by a physician or other qualified health care professional other than the health care professional performing the diagnostic or therapeutic service that the seCPT4
- 99151Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the mCPT4
- 99152Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the mCPT4
- 99153Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports, requiring the presence of an independent trained observer to assist in the mCPT4
- 99155Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minCPT4
- 99156Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minCPT4
- 99157Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additionaCPT4
- 99170Anogenital examination, magnified, in childhood for suspected trauma, including image recording when performedCPT4
- 99172Visual function screening, automated or semi-automated bilateral quantitative determination of visual acuity, ocular alignment, color vision by pseudoisochromatic plates, and field of vision (may include all or some screening of the determination[s] for cCPT4
- 99173Screening test of visual acuity, quantitative, bilateralCPT4
- 99174Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with remote analysis and reportCPT4
- 99175Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poisonCPT4
- 99177Instrument-based ocular screening (eg, photoscreening, automated-refraction), bilateral; with on-site analysisCPT4
- 99183Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy, per sessionCPT4
- 99184Initiation of selective head or total body hypothermia in the critically ill neonate, includes appropriate patient selection by review of clinical, imaging and laboratory data, confirmation of esophageal temperature probe location, evaluation of amplitudeCPT4
- 99188Application of topical fluoride varnish by a physician or other qualified health care professionalCPT4
- 99190Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hourCPT4
- 99191Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutesCPT4
- 99192Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutesCPT4
- 99195Phlebotomy, therapeutic (separate procedure)CPT4
- 99199Unlisted special service, procedure or reportCPT4
- 99201Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination oCPT4
- 99202Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 15-29 minutes of total CPT4
- 99203Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 30-44 minutes of total timCPT4
- 99204Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 45-59 minutes of totaCPT4
- 99205Office or other outpatient visit for the evaluation and management of a new patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 60-74 minutes of total tiCPT4
- 99211Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal.CPT4
- 99212Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection, 10-19 minutes CPT4
- 99213Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection, 20-29 minutes of CPT4
- 99214Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection, 30-39 minuteCPT4
- 99215Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection, 40-54 minutes ofCPT4
- 99217Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from outpatient hospital observation status if the discharge is on other than the initial date of observation status. To rCPT4
- 99218Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or oCPT4
- 99219Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordinatCPT4
- 99220Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination CPT4
- 99221Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforward or of CPT4
- 99222Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordinationCPT4
- 99223Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of CPT4
- 99224Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; Problem focused examination; Medical decision making that is straightforward or ofCPT4
- 99225Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moCPT4
- 99226Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or cCPT4
- 99231Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Medical decision making that is straightforward or oCPT4
- 99232Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderCPT4
- 99233Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coorCPT4
- 99234Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination;CPT4
- 99235Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision maCPT4
- 99236Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision maCPT4
- 99238Hospital discharge day management; 30 minutes or lessCPT4
- 99239Hospital discharge day management; more than 30 minutesCPT4
- 99241Office consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicianCPT4
- 99242Office consultation for a new or established patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care CPT4
- 99243Office consultation for a new or established patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other quaCPT4
- 99244Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicCPT4
- 99245Office consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physiciansCPT4
- 99251Inpatient consultation for a new or established patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other physicCPT4
- 99252Inpatient consultation for a new or established patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of caCPT4
- 99253Inpatient consultation for a new or established patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of low complexity. Counseling and/or coordination of care with other physicians, other CPT4
- 99254Inpatient consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other phyCPT4
- 99255Inpatient consultation for a new or established patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physiciCPT4
- 99263Follow-up inpatient consultation for an established patient which requires at least two of these three key components: a detailed interval history; a detailed examination; medical decision making of high complexity. Counseling and/or coord... (Deprecated)CPT4
- 99281Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of careCPT4
- 99282Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/oCPT4
- 99283Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of moderate complexity. Counseling CPT4
- 99284Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with oCPT4
- 99285Emergency department visit for the evaluation and management of a patient, which requires these 3 key components within the constraints imposed by the urgency of the patient's clinical condition and/or mental status: A comprehensive history; A comprehensiCPT4
- 99288Physician or other qualified health care professional direction of emergency medical systems (EMS) emergency care, advanced life supportCPT4
- 99291Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutesCPT4
- 99292Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service)CPT4
- 99304Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and Medical decision making that is straightforwarCPT4
- 99305Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coorCPT4
- 99306Initial nursing facility care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordinaCPT4
- 99307Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. CouCPT4
- 99308Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making CPT4
- 99309Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. CounselingCPT4
- 99310Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of high complexity. CounCPT4
- 99312Subsequent nursing facility care, per day, for the evaluation and management of a new or established patient, which requires at least two of these three key components: an expanded problem focused interval history; an expanded problem focu... (Deprecated)CPT4
- 99315Nursing facility discharge day management; 30 minutes or lessCPT4
- 99316Nursing facility discharge day management; more than 30 minutesCPT4
- 99318Evaluation and management of a patient involving an annual nursing facility assessment, which requires these 3 key components: A detailed interval history; A comprehensive examination; and Medical decision making that is of low to moderate complexity. CouCPT4
- 99324Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordinationCPT4
- 99325Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. CounseliCPT4
- 99326Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of carCPT4
- 99327Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordinatCPT4
- 99328Domiciliary or rest home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination CPT4
- 99334Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. CoCPT4
- 99335Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision makingCPT4
- 99336Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. CounselinCPT4
- 99337Domiciliary or rest home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high comCPT4
- 99339Individual physician supervision of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living facility) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plCPT4
- 99340Individual physician supervision of a patient (patient not present) in home, domiciliary or rest home (eg, assisted living facility) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plCPT4
- 99341Home visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making. Counseling and/or coordination of care with other CPT4
- 99342Home visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; and Medical decision making of low complexity. Counseling and/or coordinatiCPT4
- 99343Home visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physiciCPT4
- 99344Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with othCPT4
- 99345Home visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other pCPT4
- 99347Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Straightforward medical decision making. Counseling and/or coorCPT4
- 99348Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of low complexity. CPT4
- 99349Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of moderate complexity. Counseling and/or coordinatioCPT4
- 99350Home visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive examination; Medical decision making of moderate to high complexity. Counseling CPT4
- 99354Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; first hour (List separately in addition to code for outpatient Evaluation and Management or psychotherapy service, except with office or CPT4
- 99355Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; each additional 30 minutes (List separately in addition to code for prolonged service)CPT4
- 99356Prolonged service in the inpatient or observation setting, requiring unit/floor time beyond the usual service; first hour (List separately in addition to code for inpatient or observation Evaluation and Management service)CPT4
- 99357Prolonged service in the inpatient or observation setting, requiring unit/floor time beyond the usual service; each additional 30 minutes (List separately in addition to code for prolonged service)CPT4
- 99358Prolonged evaluation and management service before and/or after direct patient care; first hourCPT4
- 99359Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (List separately in addition to code for prolonged service)CPT4
- 99360Standby service, requiring prolonged attendance, each 30 minutes (eg, operative standby, standby for frozen section, for cesarean/high risk delivery, for monitoring EEG)CPT4
- 99363Anticoagulant management for an outpatient taking warfarin, physician review and interpretation of International Normalized Ratio (INR) testing, patient instructions, dosage adjustment (as needed), and ordering of additional tests; initial 90 days of therCPT4
- 99364Anticoagulant management for an outpatient taking warfarin, physician review and interpretation of International Normalized Ratio (INR) testing, patient instructions, dosage adjustment (as needed), and ordering of additional tests; each subsequent 90 daysCPT4
- 99366Medical team conference with interdisciplinary team of health care professionals, face-to-face with patient and/or family, 30 minutes or more, participation by nonphysician qualified health care professionalCPT4
- 99367Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by physicianCPT4
- 99368Medical team conference with interdisciplinary team of health care professionals, patient and/or family not present, 30 minutes or more; participation by nonphysician qualified health care professionalCPT4
- 99374Supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer's facility) requiring complex and multidisciplinary care modalities involving regular development and/or revisionCPT4
- 99375Supervision of a patient under care of home health agency (patient not present) in home, domiciliary or equivalent environment (eg, Alzheimer's facility) requiring complex and multidisciplinary care modalities involving regular development and/or revisionCPT4
- 99377Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of relateCPT4
- 99378Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review of relateCPT4
- 99379Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review CPT4
- 99380Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual, review of subsequent reports of patient status, review CPT4
- 99381Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosCPT4
- 99382Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosCPT4
- 99383Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosCPT4
- 99384Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosCPT4
- 99385Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosCPT4
- 99386Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosCPT4
- 99387Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnosCPT4
- 99391Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagCPT4
- 99392Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagCPT4
- 99393Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagCPT4
- 99394Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagCPT4
- 99395Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagCPT4
- 99396Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagCPT4
- 99397Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagCPT4
- 99401Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutesCPT4
- 99402Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutesCPT4
- 99403Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutesCPT4
- 99404Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutesCPT4
- 99406Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutesCPT4
- 99407Smoking and tobacco use cessation counseling visit; intensive, greater than 10 minutesCPT4
- 99408Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; 15 to 30 minutesCPT4
- 99409Alcohol and/or substance (other than tobacco) abuse structured screening (eg, AUDIT, DAST), and brief intervention (SBI) services; greater than 30 minutesCPT4
- 99411Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 30 minutesCPT4
- 99412Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 60 minutesCPT4
- 99415Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; first hourCPT4
- 99416Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting, direct patient contact with physician supervision; each additCPT4
- 99417Prolonged office or other outpatient evaluation and management service(s) beyond the minimum required time of the primary procedure which has been selected using total time, requiring total time with or without direct patient contact beyond the usual servCPT4
- 99420Administration and interpretation of health risk assessment instrument (eg, health hazard appraisal)CPT4
- 99421Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 5-10 minutesCPT4
- 99422Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 11-20 minutesCPT4
- 99423Online digital evaluation and management service, for an established patient, for up to 7 days, cumulative time during the 7 days; 21 or more minutesCPT4
- 99429Unlisted preventive medicine serviceCPT4
- 99436Attendance at delivery (when requested by delivering physician) and initial stabilization of newbornCPT4
- 99439Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions place the patient at significant risk of death, acuCPT4
- 99441Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service proCPT4
- 99442Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service proCPT4
- 99443Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service proCPT4
- 99444Online evaluation and management service provided by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient or guardian, not originating from a related E/M service proviCPT4
- 99446Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report to the patient's treating/requesting physician or other qualified health care profeCPT4
- 99447Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report to the patient's treating/requesting physician or other qualified health care profeCPT4
- 99448Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report to the patient's treating/requesting physician or other qualified health care profeCPT4
- 99449Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a verbal and written report to the patient's treating/requesting physician or other qualified health care profeCPT4
- 99450Basic life and/or disability examination that includes: Measurement of height, weight, and blood pressure; Completion of a medical history following a life insurance pro forma; Collection of blood sample and/or urinalysis complying with chain of custody CPT4
- 99451Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician, including a written report to the patient's treating/requesting physician or other qualified health care professional, 5 CPT4
- 99452Interprofessional telephone/Internet/electronic health record referral service(s) provided by a treating/requesting physician or other qualified health care professional, 30 minutesCPT4
- 99453Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; set-up and patient education on use of equipmentCPT4
- 99454Remote monitoring of physiologic parameter(s) (eg, weight, blood pressure, pulse oximetry, respiratory flow rate), initial; device(s) supply with daily recording(s) or programmed alert(s) transmission, each 30 daysCPT4
- 99455Work related or medical disability examination by the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commensurate with the patient's condition; Formulation of a diCPT4
- 99456Work related or medical disability examination by other than the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commensurate with the patient's condition; FormulatCPT4
- 99457Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; first 20 minutesCPT4
- 99458Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; each additional 20 minCPT4
- 99460Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infantCPT4
- 99461Initial care, per day, for evaluation and management of normal newborn infant seen in other than hospital or birthing centerCPT4
- 99462Subsequent hospital care, per day, for evaluation and management of normal newbornCPT4
- 99463Initial hospital or birthing center care, per day, for evaluation and management of normal newborn infant admitted and discharged on the same dateCPT4
- 99464Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newbornCPT4
- 99465Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac outputCPT4
- 99466Critical care face-to-face services, during an interfacility transport of critically ill or critically injured pediatric patient, 24 months of age or younger; first 30-74 minutes of hands-on care during transportCPT4
- 99467Critical care face-to-face services, during an interfacility transport of critically ill or critically injured pediatric patient, 24 months of age or younger; each additional 30 minutes (List separately in addition to code for primary service)CPT4
- 99468Initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or youngerCPT4
- 99469Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or youngerCPT4
- 99471Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of ageCPT4
- 99472Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of ageCPT4
- 99473Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device calibrationCPT4
- 99474Self-measured blood pressure using a device validated for clinical accuracy; separate self-measurements of two readings one minute apart, twice daily over a 30-day period (minimum of 12 readings), collection of data reported by the patient and/or caregiveCPT4
- 99475Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of ageCPT4
- 99476Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of ageCPT4
- 99477Initial hospital care, per day, for the evaluation and management of the neonate, 28 days of age or younger, who requires intensive observation, frequent interventions, and other intensive care servicesCPT4
- 99478Subsequent intensive care, per day, for the evaluation and management of the recovering very low birth weight infant (present body weight less than 1500 grams)CPT4
- 99479Subsequent intensive care, per day, for the evaluation and management of the recovering low birth weight infant (present body weight of 1500-2500 grams)CPT4
- 99480Subsequent intensive care, per day, for the evaluation and management of the recovering infant (present body weight of 2501-5000 grams)CPT4
- 99483Assessment of and care planning for a patient with cognitive impairment, requiring an independent historian, in the office or other outpatient, home or domiciliary or rest home, with all of the following required elements: Cognition-focused evaluation incCPT4
- 99484Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month, with the following required elements: initial assessment or folCPT4
- 99485Supervision by a control physician of interfacility transport care of the critically ill or critically injured pediatric patient, 24 months of age or younger, includes two-way communication with transport team before transport, at the referring facility aCPT4
- 99487Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions place the patient at significant risk of deCPT4
- 99489Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions place the patient at significant risk of deCPT4
- 99490Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months, or until the death of the patient, chronic conditions place the patient at significant risk of death, acuCPT4
- 99491Chronic care management services, provided personally by a physician or other qualified health care professional, at least 30 minutes of physician or other qualified health care professional time, per calendar month, with the following required elements: CPT4
- 99492Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health cCPT4
- 99493Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health careCPT4
- 99494Initial or subsequent psychiatric collaborative care management, each additional 30 minutes in a calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other quCPT4
- 99495Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge Medical decision making of at least moderate complexityCPT4
- 99496Transitional Care Management Services with the following required elements: Communication (direct contact, telephone, electronic) with the patient and/or caregiver within 2 business days of discharge Medical decision making of high complexity during the sCPT4
- 99497Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; first 30 minutes, face-to-face with CPT4
- 99498Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms, when performed), by the physician or other qualified health care professional; each additional 30 minutes (List sepCPT4
- 99499Unlisted evaluation and management serviceCPT4
- 99500Home visit for prenatal monitoring and assessment to include fetal heart rate, non-stress test, uterine monitoring, and gestational diabetes monitoringCPT4
- 99501Home visit for postnatal assessment and follow-up careCPT4
- 99503Home visit for respiratory therapy care (eg, bronchodilator, oxygen therapy, respiratory assessment, apnea evaluation)CPT4
- 99509Home visit for assistance with activities of daily living and personal careCPT4
- 99510Home visit for individual, family, or marriage counselingCPT4
- 99600Unlisted home visit service or procedureCPT4
- 99601Home infusion/specialty drug administration, per visit (up to 2 hours)CPT4
- 99602Home infusion/specialty drug administration, per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure)CPT4
- 99605Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, new patientCPT4
- 99606Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; initial 15 minutes, established patientCPT4
- 99607Medication therapy management service(s) provided by a pharmacist, individual, face-to-face with patient, with assessment and intervention if provided; each additional 15 minutes (List separately in addition to code for primary service)CPT4