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Free CPT^® Code Look Up – Current Procedural Terminology Complete List

Look up CPT codes, modifiers, and see how each one is billed. From telehealth to CPT codes for Psychologist and beyond, this free resource will get you fast answers. This page is for informational purposes only. CPT^® codes and descriptions are copyright 2010 American Medical Association. All rights reserved. CPT^® is a registered trademark of the American Medical Association (AMA).

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Click a Category Below to Find Your CPT CODE:

Anesthesia CPT Codes Head – Neck – Thorax – Intrathoracic – Spine/Spinal Cord – Upper Abdomen – Lower Abdomen – Perenium – Pelvis – Upper Leg – Knee – Leg/Ankle/Foot – Shoulder/Axilla – Upper Arm/Elbow – Arm/Wrist/Hand – Radiological Procedure – Burns – Obstetric – Other Procedures

Surgery CPT Radiology (MRI/MRA, CT) Pathology and Laboratory Medicine Services Evaluation and Management Category II Codes Multianalyte Assay Laboratory Analyses Category III Codes Modifiers

Do you know the consequences of CPT® coding errors? Mistakes can cost your practice millions of dollars and tag you for an audit. It’s imperative that your medical coders use and understand the AMA’s CPT® code set.

Continue reading to learn about the changes.

What Is CPT® Coding?

Current Procedural Terminology (CPT®) codes facilitate the reporting of services provided to patients. CPT® codes describe unique medical, surgical, and diagnostic procedures, evaluations, or services. Entities that use this information include physicians, accreditation organizations, and health insurance providers.

Difference Between the Universal vs. International Code Set

CPT® coding is a universal code set created by the American Medical Association in 1966. The International Classifications of Diseases (ICD) code set are international codes.

In fact, 70% of health care payments worldwide use ICD codes for distribution. The ICD-10 set includes over 68,000 codes for infections and diseases.

CPT® Category Types

The CPT® code set has three different categories. These categories cover various types of CPT® codes.

Category I

This category has descriptors that focus on a clinical procedure or service. These descriptors use common standards, so all users assign codes in the same way.

Category I codes include 00100 to 99499. They’re categorized by procedure or service type and anatomy.

Category II

These codes are alphanumeric in format. They serve as supplemental codes for performance measurement. It’s up to the medical coder whether they wish to use these tracking codes or not.

Category III

Codes in this category are also alphanumeric in format. They’re temporary and used for new codes or those in development. Category III codes function for data collection and assessment.

The medical coder may use this code for new services or procedures that don’t meet current Category I criteria.

Proprietary Laboratory Analyses (PLA) Codes

Proprietary laboratories approved by the FDA provide these new CPT® code sets. They include, but aren’t limited to, Advanced Diagnostic Laboratory Tests and Clinical Diagnostic Laboratory Tests. These tests fall under the Protecting Access to Medicare Act of 2014.

How Are CPT® Codes Billed?

The medical billing agents submit CPT® codes to request reimbursement from insurance payers. The CPT® codes, along with ICD-9-CM or ICD-10-CM diagnostic codes, give a full picture of the patient visit. The ICD codes describe patient complaints and the CPT® codes report services provided.

Medical billers use CPT® coding manuals as a guide for proper coding of each patient’s visit. Incorrect CPT® coding may lead to loss of revenue for the medical practice and audits.

Upcoding, undercoding, or miscoding can also result in incorrect billing to the patient. This mistake may result in lost patient relationships as well.

How Do CPT® Codes Work?

CPT® codes provide information for several purposes. As described, they are integral to medical billing and claims processing.

Researchers use CPT ® codes for data collection. They aid in the development of medical guidelines and evaluation of healthcare utilization. These codes also provide another method for healthcare documentation.

Are CPT® Codes Required on Inpatient Claims?

The answer is no. Inpatient coders must convert CPT® codes to ICD-10-PCS codes for surgical or invasive procedures. The diagnoses are coded as ICD-10-CMs.

The Medicare Administrative Contractor then assigns discharges to the appropriate MS-DRG.

Common CPT® Code Modifiers

CPT® code modifiers allow medical coders to describe the healthcare professional’s rationale for providing a service or procedure. These modifiers vary according to specific CPT® billing codes. Examples of common CPT® code modifiers include the following.

Modifier 24:

Use this modifier when the same provider performs unrelated evaluation and management (E/M) during a post-operative period. It only applies when appending E/M codes.

Modifier 25:

Use this modifier when a specific procedure is performed, and then a separate, unrelated E/M service is provided during the same session. This also applies if both services occurred on the same day.

Modifier 55:

Use this modifier when a different provider performs post-operative management from the one who completed the procedure.

Modifier 59:

This is one of the most common modifiers used. Use this code for procedures or services that aren’t usually reported together. Only use this modifier when unable to find another appropriate one.

Modifier 79:

Use this code when a single provider completed unrelated procedures during a post-operative period.

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Which CPT® Codes Require a QW Modifier?

As of April 1, 2019, the Center for Medicare and Medicaid Services designated 13 new CLIA-waived tests. These tests are also waived by the FDA.

These 13 new QW modifiers include:

• 80305-QW: American Screening Corporation, Inc., Precision DX Quick Cup M300
• 80305-QW: American Screening Corporation, Inc., Precision DX Quick Cup M2000
• 80305-QW: American Screening LLC, Precision DX Quick Cup Tests
• 80305-QW: American Screening LLC, Precision Plus Quick Cup Tests
• 80305-QW: Jant Pharmacal Corp. Accutest VALUPAK Drug Screen Cup
• 80305-QW: McKesson Medical-Surgical Inc. McKesson Multi Panel Drugs of abuse Test Cup
• 80305-QW: McKesson Medical-Surgical, Mckesson Drugs of abuse PPX Test Cup
• 83036-QW: Alere Technologies AS, Afinion 2 Analyzer
• 83036-QW: Alere Technologies AS, AS100 Analyzer
• 86618-QW: Quidel Sofia 2 {Fingerstick whole blood}
• 87634-QW: Mesa Biotech Accula (Accula RSV Test)
• 87804-QW: Polymedco Inc., Poly stat Flu A&B {for use with nasal and nasopharyngeal swabs}

The coder must include the QW modifier in order for the test to receive the waived designation.

Examples of CPT® Code Updates

The list of CPT® code set continues to evolve as new services arise. The following is a sample of some of the new codes.

• Blue Light Cystoscopy codes: 52204, 52214 and 52224
• Biofeedback codes: 90912 and 90913
• Psychotherapy codes: 97129 and 97130
• Telehealth codes: 99421-99423
• TTE “rest” echo complete: 93306
• Level 3 office or other outpatient established office patient visit: 99213
• Level 4 office consult: 99244
• Routine venipuncture: 36415
• New patient office or other outpatient services: 99203

Use CPT® code 85025 for complete CBC lab tests. This test includes a Hgb, Hct, RBC, WBC, platelet count, and automated differential WBC count.

Effective April 10, 2020, codes 86318, 86328, and 86769 have been revised. They represent the new industry standard codes for the novel coronaries antibody tests. Medical coders must manually upload the code descriptors into their EHR system.

How to Find the Best Medical Billing Service

All medical coders must use the current CPT® code set to ensure precise reporting of services. Are you interested in outsourcing this task?

Conducting a worthwhile search for medical billing services can represent a daunting task. Medical Billing Service Review narrows the list for you. We provide easy-to-read tables comparing the top agencies.

When you find a business that looks like a possible fit, select the company’s icon to learn more. Click here now to compare the best medical billing services.

List of All CPT Codes

Anesthesia CPT Codes: 00100-01999

Head
00100 salivary gland
00102 repair of cleft lip
00103 blepharoplasty
00104 electroshock
00120 ear surgery
00124 ear exam
00126 tympanotomy
00140 procedures on eye
00142 lens surgery
00144 corneal transplant
00145 vitreoretinal surgery
00147 iridectomy
00148 eye exam
00160 nose/sinus surgery
00162 radical nose/sinus surgery
00164 biopsy of nose
00170 intraoral surgery
00172 cleft palate repair
00174 pharyngeal surgery
00176 radical intraoral surgery
00190 face/skull bone surgery
00192 radical facial bone/skull surgery
00210 cranial surgery
00211 cran surg, hemotoma
00212 skull drainage
00214 skull drainage
00215 skull repair/fract
00216 head vessel surgery
00218 intracranial procedures in sitting position
00220 cerebrospinal fluid shunting procedures
00222 intracranial nerve surgery

Neck
00300 head/neck/ptrunk
00320 neck organ, 1 & over 0
00322 biopsy of thyroid 0
00326 larynx/trach, < 1 yr
00350 neck vessel surgery
00352 simple ligation neck vessel

Thorax
00400 skin, ext/per/atrunk
00500 esophageal surgery
00520 closed chest procedures
00522 chest lining biopsy
00524 chest drainage
00528 chest partition view w/o 1 lung vent
00529 chest partition w/ 1 lung vent
00530 pacemaker insertion
00532 vascular access
00534 cardioverter/defib
00537 cardiac electrophys
00539 trach-bronch reconst
00540 chest surgery
00541 chest surgery utilizing one lung vent
00542 release of lung
00546 lung, chest wall surgery
00548 trachea, bronchi surgery
00550 sternal debridement
00560 heart surgery w/o pump
00561 heart surgery w/ pump < age 1
00562 anesth heart surgery w/pmp age 1+
00563 heart surgery w/arrest
00566 cabg w/o pump
00567 cabg w/pump
00580 heart/lung transplant

Intrathoracic
00500 esophageal surgery
00520 closed chest procedures
00522 chest lining biopsy
00524 chest drainage
00528 chest partition view w/o 1 lung vent
00529 chest partition w/ 1 lung vent
00530 pacemaker insertion
00532 vascular access
00534 cardioverter/defib
00537 cardiac electrophys
00539 trach-bronch reconst
00540 chest surgery
00541 one lung ventilation
00542 release of lung?
00546 lung,chest wall surg
00548 trachea,bronchi surg?
00550 sternal debridement
00560 heart surg w/o pump
00561 heart surgery w/ pump < age 1
00562 anesth hrt surg w/pmp age 1+
00563 heart Surg W/Arrest
00566 cabg w/o pump
00567 cabg w/pump
00580 heart/lung transplant

Spine/Spinal Cord
00600 cervical spine, cord surgery
00604 cervical spine and cord surgery in sitting position
00620 thoracic spine, cord surgery
00625 thoracic spine, cord surgery transthoracic w/o 1 lung vent
00626 thoracic spine, cord surgery transthoracic w/ 1 lung vent
00630 lumbar spine, cord surgery
00632 removal of nerves
00635 lumbar puncture
00640 spine manipulation or closed procedures on spine
00670 extensive spine, cord surgery

Upper Abdomen
00700 upper anterior abdominal wall surgery
00702 percutaneous liver biopsy
00730 upper posterior abdominal wall surgery
00731 anesthesia for upper gi endoscopic procedures, endoscope introduced proximal to duodenum; not otherwise specified
00732 ERCP
00750 repair of hernia
00752 repair lumbar and ventral hernia
00754 omphalocele
00756 transabdominal repair diaphragmatic hernia
00770 blood vessel repair
00790 surgery upper abdomen
00792 hemorr/excise liver
00794 pancreas removal
00796 for liver transplant 0
00797 surgery for obesity

Lower Abdomen
00800 lower anterior abdominal surgery
00802 fat layer removal
00811 anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; not otherwise specified
00812 screening colonoscopy
00813 anesthesia for combined upper and lower gi endoscopic procedures, endoscope introduced both proximal to and distal to the duodenum
00820 lower posterior abdominal surgery
00830 repair of hernia
00832 repair ventral and incisional hernia
00834 hernia repair<  1 yr 00836 anesth hernia repair preemie
00840 surgery lower abdomen
00842 amniocentesis
00844 pelvis surgery
00846 radical hysterectomy
00848 pelvic organ surgery
00851 tubal ligation
00860 surgery of abdomen
00862 kidney/ureter surgery
00864 removal of bladder
00865 removal of prostate
00866 removal of adrenal
00868 kidney transplant
00870 bladder stone surgery
00872 kidney stone destruction w/ water bath
00873 kidney stone destruction w/o water bath
00880 abdomen vessel surgery
00882 major vein ligation

Perenium
00902 anorectal
00904 radical perineal surgery
00906 removal of vulva
00908 removal of prostate
00910 bladder surgery
00912 bladder tumor surgery
00914 removal of prostate
00916 bleeding control
00918 stone removal
00920 male genitalia surgery
00921 vasectomy
00922 sperm duct surgery
00924 testis exploration
00926 radical orchiectomy, inguinal
00928 radical orchiectomy, abdominal
00930 testis suspension
00932 amputation of penis
00934 penis, nodes removal
00936 penis, nodes removal
00938 insert penis device
00940 vaginal procedures
00942 surgery on vag/urethral
00944 vaginal hysterectomy
00948 repair of cervix
00950 vaginal endoscopy
00952 hysteroscope/graph

Pelvis
01112 bone aspirate/bx
01120 pelvis surgery
01130 body cast procedure
01140 amputation at pelvis 0
01150 pelvic tumor surgery
01160 closed pelvis procedure
01170 open pelvis surgery
01173 fx repair, pelvis

Upper Leg
01200 closed hip joint procedure
01202 arthroscopy of hip
01210 open hip joint surgery
01212 hip disarticulation
01214 hip arthroplasty
01215 revise hip repair
01220 closed femur procedure, upper 2/3
01230 surgery of femur upper 2/3
01232 amputation of femur
01234 radical femur surgery
01250 procedures on nerve, muscles, tendon, fascia and bursae of upper leg
01260 all procedures on veins of upper leg
01270 all procedures on arteries of upper leg
01272 artery ligation
01274 artery embolectomy

Knee
01320 procedures on nerves, muscles, tendons, fascia, and bursae of knee and/or popliteal area 01340 closed procedures on femur, lower 1/3
01360 open surgery on femur lower 1/3
01380 knee joint procedure
01382 dx knee arthroscopy
01390 closed procedure upper ends tibia, fibula and/or patella
01392 open surgery on upper ends of tibia, fibula, and/or patella
01400 arthroscopic knee joint surgery
01402 knee arthroplasty
01404 amputation at knee
01420 knee joint casting
01430 knee veins surgery
01432 knee vessel surgery
01440 knee arteries surgery
01442 knee artery surgery
01444 knee artery repair

Leg/Ankle/Foot
01462 closed procedure on lower leg, ankle, foot
01464 ankle/ft arthroscopy
01470 procedures on nerves, muscles, tendons, and fascia of lower leg, ankle, foot
01472 achilles tendon surgery
01474 lower leg surgery
01480 open procedures on bones of lower leg, ankle, foot
01482 radical leg surgery
01484 lower leg revision
01486 ankle replacement
01490 lower leg casting
01500 leg arteries surgery
01502 lower leg embolectomy
01520 lower leg vein surgery
01522 lower leg thrombectomy

Shoulder/Axilla
01610 procedures on nerves, muscles, tendons, fascia, and bursae of shoulder and axilla
01620 closed procedure on shoulder
01622 anes dx shoulder arthro
01630 open or surgical arthroscopic procedures on shoulder joint
01634 shoulder disarticulation
01636 forequarter amput
01638 shoulder replacement
01650 shoulder artery surgery
01652 shoulder vessel surgery
01654 shoulder vessel surgery
01656 arm-leg vessel surgery
01670 shoulder vein surgery
01680 shoulder casting

Upper Arm/ Elbow
01710 procedures on nerves muscles, tendons, fascia, and bursae of upper arm and elbow
01712 upper arm tendon surgery
01714 upper arm tendon surgery
01716 biceps tendon repair
01730 closed procedures on humerus and elbow
01732 dx elbow arthroscopy
01740 open or arthroscopic procedures on elbow
01742 humerus surgery
01744 humerus repair
01756 radical humerus surgery
01758 humeral lesion surgery
01760 elbow replacement
01770 upper arm artery surgery
01772 upper arm embolectomy
01780 upper arm vein surgery
01782 upper arm vein repair

Arm/Wrist/Hand
01810 procedures on nerves, muscles, tendons, fascia and bursae of forearm, wrist and hand
01820 closed procedure on radius, ulna, wrist or hand bones
01829 dx wrist arthroscopy
01830 open or surgical arthroscopic procedure on distal radius, distal ulna, wrist, or hand joints
01832 total wrist replacement
01840 lower arm artery surgery
01842 lower arm embolectomy
01844 vascular shunt surgery
01850 lower arm vein surgery
01852 lower arm vein repair
01860 lower arm casting

Radiological Procedure
01916 dx arteriography
01920 catheterize heart
01922 cat or MRI scan
01924 anes, ther interven rad, art
01925 anes, ther interven rad, carotid
01926 anes, ther interven rad, hrt/cran arterv
01930 anes, ther interven rad, vei
01931 anes, ther interven rad, tip
01932 anes, ther interven rad, thoracic vein
01933 anes, ther interven rad, cran vein
01935 percutaneous image dx procedure spine and spinal cord
01936 percutaneous image therapeutic spine and spinal cord

Burns
01951 burn, less 4 percent
01952 burn, 4-9 percent
01953 each additional 9%

Obstetric
01958 antepartum manipul
01960 vaginal delivery
01961 cs delivery
01962 emer hysterectomy
01963 cesarean hysterectomy without any labor analgesia/anesthesia care
01965 incomplete or missed abortion
01966 induced abortion
01967 neuraxial labor analgesia/anesthesia for planned vaginal delivery
01968 cesarean delivery following neuraxial labor analgesia/anesthesia
01969 cesarean hysterectomy following neuraxial labor analgesia/anesthesia

Other Procedures
01990 physiological support for harvesting of organ(s) from brain-dead patient
01991 nerve block/inj
01992 n block/inj, prone
01996 daily hospital management of epidural or subarachnoid continuous drug administration
01999 unlisted anesth procedure

Surgery CPT Codes: 10021-69990

12001 – B1:B88- RPR S/N/AX/GEN/TRNK 2.5CM/<

10060 – DRAINAGE OF SKIN ABSCESS

12011 – RPR F/E/E/N/L/M 2.5 CM/<

12002 – RPR S/N/AX/GEN/TRNK2.6-7.5CM

11042 – DEBRIDE SKIN/TISSUE

19083 – BX BREAST 1ST LESION US IMAG

12013 – RPR F/E/E/N/L/M 2.6-5.0 CM

16020 – DRESS/DEBRID P-THICK BURN, S

19081 – BX BREAST 1ST LESION STRTCTC

12004 – RPR S/N/AX/GEN/TRK7.6-12.5CM

20610 – DRAIN/INJECT, JOINT/BURSA

29581 – APPLY MULTLAY COMPRS LWR LEG

29125 – APPLY FOREARM SPLINT

29515 – APPLICATION LOWER LEG SPLINT

20552 – INJ TRIGGER POINT, 1/2 MUSCL

29105 – APPLY LONG ARM SPLINT

29881 – KNEE ARTHROSCOPY/SURGERY

20680 – REMOVAL OF SUPPORT IMPLANT

29126 – APPLY FOREARM SPLINT

23430 – REPAIR BICEPS TENDON

36600 – WITHDRAWAL OF ARTERIAL BLOOD

30901 – CONTROL OF NOSEBLEED

31624 – DX BRONCHOSCOPE/LAVAGE

31500 – INSERT EMERGENCY AIRWAY

36430 – BLOOD TRANSFUSION SERVICE

31623 – DX BRONCHOSCOPE/BRUSH

32557 – INSERT CATH PLEURA W/ IMAGE

31622 – DX BRONCHOSCOPE/WASH

36000 – PLACE NEEDLE IN VEIN

32405 – PERCUT BX LUNG/MEDIASTINUM

43239 – UPPER GI ENDOSCOPY, BIOPSY

45385 – LESION REMOVAL COLONOSCOPY

43235 – UPPR GI ENDOSCOPY, DIAGNOSIS

45380 – COLONOSCOPY AND BIOPSY

45378 – DIAGNOSTIC COLONOSCOPY

47562 – LAPAROSCOPIC CHOLECYSTECTOMY

44970 – LAPAROSCOPY, APPENDECTOMY

49650 – LAP ING HERNIA REPAIR INIT

49505 – PRP I/HERN INIT REDUC >5 YR

43244 – UPPER GI ENDOSCOPY/LIGATION

59025 – FETAL NON-STRESS TEST

51702 – INSERT TEMP BLADDER CATH

52332 – CYSTOSCOPY AND TREATMENT

50590 – FRAGMENTING OF KIDNEY STONE

55700 – BIOPSY OF PROSTATE

58661 – LAPAROSCOPY, REMOVE ADNEXA

52356 – CYSTO/URETERO W/LITHOTRIPSY

58558 – HYSTEROSCOPY, BIOPSY

52204 – CYSTOSCOPY W/BIOPSY(S)

58563 – HYSTEROSCOPY, ABLATION

64483 – INJ FORAMEN EPIDURAL L/S

64493 – INJ PARAVERT F JNT L/S 1 LEV

62323 – NJX INTERLAMINAR LMBR/SAC

62321 – NJX INTERLAMINAR CRV/THRC

64400 – N BLOCK INJ, TRIGEMINAL

64490 – INJ PARAVERT F JNT C/T 1 LEV

64721 – CARPAL TUNNEL SURGERY

63650 – IMPLANT NEUROELECTRODES

64450 – N BLOCK, OTHER PERIPHERAL

62270 – SPINAL FLUID TAP, DIAGNOSTIC

71046 X-RAY EXAM CHEST 2 VIEWS

71045 X-RAY EXAM CHEST 1 VIEW

70450 CT HEAD/BRAIN W/O DYE

77063 BREAST TOMOSYNTHESIS BI

74177 CT ABD & PELV W/CONTRAST

71250 CT THORAX W/O DYE

74176 CT ABD & PELVIS W/O CONTRAST

76705 ECHO EXAM OF ABDOMEN

72100 X-RAY EXAM L-S SPINE 2/3 VWS

73630 X-RAY EXAM OF FOOT

85576 85576 PLATELET FUNCTION SCREEN

85002 BLEEDING TIME

85379 D DIMER (QUANT)

83516 *ANTIPARIETAL CELL AB

86384 *NBT REDUCTION

85008 PERIPHERAL SMEAR REVIEW

85009 MANUAL DIFF BUFFY COAT

82172 *APOLIPOPROTEIN

83883 *A2

97120 THERAPEUTIC EXERCISES

93306 TTE W/DOPPLER COMPLETE

93320 DOPPLER ECHO EXAM HEART

93005 ELECTROCARDIOGRAM TRACING

96372 THER/PROPH/DIAG INJ SC/IM

95811 POLYSOM 6/>YRS CPAP 4/> PARM

94060 EVALUATION OF WHEEZING

95810 POLYSOM 6/> YRS 4/> PARAM

93971 CARDIAC REHAB/MONITOR

93971 EXTREMITY STUDY

Radiology Procedures CPT Codes:70010-79999

MRI/MRA

MRI Head, Neck, Spine

Protocol or Area of Interest:

MRI Brain w/o 70551

MRI Brain w/ 70552

MRI Brain w/ & w/o 70553

MRI Epilepsy Surgery Protocol 70551

MRI w/o (Orbit, Face, Neck) 70540

MRI w/ (Orbit, Face, Neck) 70542

MRI w/ & w/o (Orbit, Face, Neck) 70543

MRI Spine Cervical w/o 72141

MRI Spine Cervical w/ 72142

MRI Spine Cervical w/ & w/o 72156

MRI Spine Thoracic w/o 72146

MRI Spine Thoracic w/ 72147

MRI Spine Thoracic w/ & w/o 72157

MRI Spine Lumbar w/o 72148

MRI Spine Lumbar w/ 72149

MRI Spine Lumbar w/ & w/o 72158

Complete Spine w/o 72141, 72146, 72148

Complete Spine w/ 72142, 72147, 72149

Complete Spine w/ & w/o 72156, 72157, 72158

MRI Chest, Abdomen, Pelvis

MRI Chest w/o 71550

MRI Chest w/ & w/o 71552

MRI Abdomen w/o 74181

MRI FERRISCAN 74181

MRI Abdomen w/ & w/o 74183

MRI Enterography w/o 74181, 72195

MRI Enterography w/ 74182, 72196

MRI Enterography w/ & w/o 74183, 72197

MRI Pelvis w/o (i.e. Hip) 72195

MRI Pelvis w/ & w/o (i.e. Hip) 72197

MRI Renal Study (Abd/Pel) 74183, 72197

MRI Abd/Pelvis w/o 74181, 72195

Brachial Plexus w/o “Shoulder” Neuro 72141, 73221

MRI Fetal-1st gestation 74712

MRI Fetal-each addtl’ gestation 74713

MRI Shoulder, Elbow, Wrist, Knee, Ankle

Upper Extremity Joint w/o 73221

Upper Extremity Joint w/ 73222

Upper Extremity Joint w/ & w/o 73223

Lower Extremity Joint w/o 73721

Lower Extremity Joint w/ 73722

Lower Extremity Joint w/ & w/o 73723

MRI Humerus, Forearm, Femur, Tibia,

Fibula, Foot

Upper Extremity w/o 73218

Lower Extremity w/o 73718

Lower Extremity w/ & w/o 73720

Arthrograms

Elbow 73085, 24220, 73222

Hip 73525, 27093, 73722

Shoulder 73040, 23350, 73222

Wrist 73115, 25246, 73222

MR Angiography, Venography, Cardiac

Head w/o MRA or MRV 70544

Head w/ MRA or MRV 70545

Head w/ & w/o MRA or MRV 70546

Neck w/o MRA or MRV 70547

Neck w/ MRA or MRV 70548

Abdomen MRA or MRV 74185

Pelvis MRA or MRV 72198

Lower Extremity MRA or MRV 73725

Upper Extremity MRA or MRV 73225

Cardiac MRI—Egleston Only

Chest MRA or MRV 71555

Spectroscopy 76390

MRI Heart w/ & w/o contrast 75561

MRI Heart w/o contrast 75557

MRI Heart w/ & w/o, w/ Stress 75563

MRI Heart w/o, w/ Stress 75559

MRI Velocity Flow Mapping 75565

CT

Head, Face, Neck, Sinus, 3D

CT Head w/o contrast 70450

CT Head w/ contrast 70460

CT Head w/ & w/o contrast 70470

CT Orbit/Sella/Ear w/o contrast 70480

CT Orbit/Sella/Ear w/ contrast 70481

CT Neck w/ contrast 70491

CT Maxillofacial/Sinus w/o contrast 70486

CT Maxillofacial w/ contrast 70487

3D Volume Rendering/Recon (PC) 76377

Spine

CT Cervical Spine w/o contrast 72125

CT Thoracic Spine w/o contrast 72128

CT Lumbar Spine w/o contrast 72131

Abdomen, Pelvis, Chest

Abd/Pel w/ (Entire Abd Cavity) 74177

Abd/Pel w/o (Entire Abd Cavity) 74176

Abd/Pel w/ & w/o (Entire Abd Cavity) 74178

Chest/Abd/Pel w/ 74177, 71260

CT Abdomen w/o contrast 74150

CT Abdomen w/ contrast 74160

CT Chest w/o contrast 71250

CT Chest w/ contrast 71260

CT Limited Hip w/o contrast (Spica) 76380

CT Pelvis w/o contrast 72192

Extremities

L R CT Upper Extremity w/o 73200

L R CT Lower Extremity w/o 73700

Angiography

CT Angiography Head 70496

CT Angiography Neck 70498

CT Angiography Chest 71275

CT Angiography Abdomen 74175

Pathology and Laboratory Procedures CPT Codes: 80047-89398

Organ or Disease-oriented Panels	80047 – 80076
Drug Testing	80100 – 80104
Therapeutic Drug Assays	80150 – 80299
Evocative/ Suppression testing	80400 – 80440
Consultations (Clinical Pathology)	80500 – 80502
Urinalysis	81000 – 81099
Molecular Pathology	81200 – 81479
Multianalyte Assays with Algorithmic Analyses	81500 – 81599
Chemistry	82000 – 84999
Hematology and Coagulation	85002 – 85999
Immunology	86000 – 86849
Tranfusion Medicine	86850 – 86999
Microbiology	87001 – 87999
Anatomic Pathology	88000 – 88099
Cytopathology	88104 – 88199
Cytogenic Studies	88230 – 88299
Surgical Pathology	88300 – 88399
In Vivo Laboratory Procedures	88720 – 88749
Other Procedures	89049 – 89240
Reproductive Medicine Procedures	89250 – 89398

Medicine Services and Procedures CPT Codes: 90281-99607

90460-90474 Immunization Administration for Vaccines/Toxoids90281-90399 Immune Globulins, Serum or Recombinant Products

90476-90756 Vaccines, Toxoids

90785-90899 Psychiatry Services and Procedures

90901-90913 Biofeedback Services and Procedures

90935-90999 Dialysis Services and Procedures

91010-91299 Gastroenterology Procedures

92002-92499 Ophthalmology Services and Procedures

92502-92700 Special Otorhinolaryngologic Services and Procedures

92920-93799 Cardiovascular Procedures

93880-93998 Non-Invasive Vascular Diagnostic Studies

94002-94799 Pulmonary Procedures

95004-95199 Allergy and Clinical Immunology Procedures

95249-95251 Endocrinology Services

95700-96020 Neurology and Neuromuscular Procedures

96040 Medical Genetics and Genetic Counseling Services

96105-96146 Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing)

96156-96171 Health and Behavior Assessment/Intervention Procedures

96360-96549 Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration

96567-96574 Photodynamic Therapy Procedures

96900-96999 Special Dermatological Procedures

97151-97158 Adaptive Behavior Services

97161-97799 Physical Medicine and Rehabilitation Evaluations

97802-97804 Medical Nutrition Therapy Procedures

97810-97814 Acupuncture Procedures

98925-98929 Osteopathic Manipulative Treatment Procedures

98940-98943 Chiropractic Manipulative Treatment Procedures

98960-98962 Education and Training for Patient Self-Management

98966-98972 Non-Face-to-Face Non-physician Services

99000-99091 Special Services, Procedures and Reports

99100-99140 Qualifying Circumstances for Anesthesia

99151-99157 Moderate (Conscious) Sedation

99170-99199 Other Medicine Services and Procedures

99500-99602 Home Health Procedures and Services

99605-99607 Medication Therapy Management Services

Evaluation and Management Services CPT Codes: 99201-99499

99201-99215 Office or Other Outpatient Services99201-99215

99217-99226 Hospital Observation Services

99221-99239 Hospital Inpatient Services

99241-99255 Consultation Services

99281-99288 Emergency Department Services

99291-99292 Critical Care Services

99304-99318 Nursing Facility Services

99324-99337 Domiciliary, Rest Home (eg, Boarding Home), or Custodial Care Services

99339-99340 Domiciliary, Rest Home (eg, Assisted Living Facility), or Home Care Plan Oversight Services

99341-99350 Home Services

99354-99416 Prolonged Services

99366-99368 Case Management Services

99374-99380 Care Plan Oversight Services

99381-99429 Preventive Medicine Services

99441-99458 Non-Face-to-Face Services

99450-99458 Special Evaluation and Management Services

99460-99463 Newborn Care Services

99464-99465 Delivery/Birthing Room Attendance and Resuscitation Services

99466-99486 Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care Services

99483-99486 Cognitive Assessment and Care Plan Services

99484 General Behavioral Health Integration Care Management

99487-99491 Care Management Evaluation and Management Services

99492-99494 Psychiatric Collaborative Care Management Services

99495-99496 Transitional Care Evaluation and Management Services

99497-99498 Advance Care Planning Evaluation and Management Services

99499 Other Evaluation and Management Services

Category II Codes: 0001F-9007F

0500F-0584F Patient Management0001F-0015F Composite Measures

1000F-1505F Patient History

2000F-2060F Physical Examination

3006F-3776F Diagnostic/Screening Processes or Results

4000F-4563F Therapeutic, Preventive or Other Interventions

5005F-5250F Follow-up or Other Outcomes

6005F-6150F Patient Safety

7010F-7025F Structural Measures

9001F-9007F Non-Measure Claims Based Reporting

Multianalyte Assay CPT Codes: 0002M-0009M

001: Multianalyte Assays with Algorithmic Analyses (MAAAs) are procedures that utilize multiple results derived from panels of analyses of various types, including molecular pathology assays, fluorescent in situ hybridization assays, and non-nucleic acid based assays (eg, proteins, polypeptides, lipids, carbohydrates). Algorithmic analysis using the results of these assays as well as other patient information (if used) is then performed and typically reported as a numeric score(s) or as a probability. MAAAs are typically unique to a single clinical laboratory or manufacturer. The results of individual component procedure(s) that are inputs to the MAAAs may be provided on the associated laboratory report; however, these assays are not separately reported using additional codes.

002: The format for the code descriptors of MAAAs usually include (in order):

003: Disease type (eg, oncology, autoimmune, tissue rejection),

004: Material(s) analyzed (eg, DNA, RNA, protein, antibody),

005: Number of markers (eg, number of genes, number of proteins),

006: Methodology(ies) (eg, microarray, real-time [RT]-PCR, in situ hybridization [ISH], enzyme linked immunosorbent assays [ELISA]),

007: Number of functional domains (if indicated),

008: Specimen type (eg, blood, fresh tissue, formalin-fixed paraffin-embedded),

009: Algorithm result type (eg, prognostic, diagnostic),

010: Report (eg, probability index, risk score)

011: In contrast to GSPs and other molecular multianalyte assays, the assays in this section represent algorithmically combined results of analyses of multiple analytes to obtain a risk score or other value which in itself represents a new and distinct medical property that is of independent medical significance relative to the individual component test results in clinical context in which the assay is performed.

012: MAAAs, including those that do not have a Category I code, may be found in Appendix O. MAAAs that do not have a Category I code are identified in Appendix O by a four-digit number followed by the letter “M.” The Category I MAAA codes that are included in this subsection are also included in Appendix O. All MAAA codes are listed in Appendix O along with the procedure’s proprietary name. In order to report a MAAA code, the analysis performed must fulfill the code descriptor and, if proprietary, must be the test represented by the proprietary name listed in Appendix O.

013: When a specific MAAA procedure is not listed below or in Appendix O, the procedure must be reported using the Category I MAAA unlisted code (81599).

014: These codes encompass all analytical services required (eg, cell lysis, nucleic acid stabilization, extraction, digestion, amplification, hybridization, and detection) in addition to the algorithmic analysis itself. Procedures that are required prior to cell lysis (eg, microdissection, codes 88380 and 88381) should be reported separately.

Laboratory Analyses CPT Codes: 0001U-0003U

0089U

0090U 

0091U

0092U

0093U

0094U

0095U

0096U

0097U

0098U

Category III Codes: 0042T-0468T

0042T-0184T Various Services – Category III Codes

0191T-0232T Remote Real-Time Interactive Video-conferenced Critical Care Services and Other Undefined Category Codes

0234T-0317T Atherectomy (Open or Percutaneous) for Supra-Inguinal Arteries and Other Undefined Category Codes

0329T-0358T Imaging, Testing, Implantation and Other Services

0362T-0373T Adaptive Behavior Assessments

0376T-0386T Other Procedures and Assessments

0394T-0423T Pacemaker – Leadless and Pocketless System

0424T-0468T Phrenic Nerve Stimulation System Procedures

0469T-0478T Imaging, evaluation, programming and recording procedures

0479T-0480T Laser ablation procedures

0481T Blood products transfusion procedure

0483T-0484T Cardiac diagnostic imaging and surgical procedures

0485T-0487T Diagnostic procedures

0488T Behavior Analysis

0489T-0493T Cellular regeneration, evaluation study and ablation procedures

0494T-0496T Organ transplantation procedures

0497T-0498T Cardiac imaging procedures

0499T Procedures performed on Urethra

0500T Human Papillomavirus (HPV) analysis

0501T-0504T Coronary artery disease (CAD) analysis

0505T-0508T Other Diagnostic and Therapeutic Procedures

0509T-0514T Vision Studies, Implants and Therapies

0515T-0523T Cardiac Device Implantation, Analysis and Removal Procedures

0524T Ablation Procedures

0525T-0532T Intracardiac Ischemia Monitoring Procedures

0533T-0536T Movement Disorder Analysis

0537T-0540T Cellular Therapy Procedures

0541T-0542T Cardiac Muscle Imaging

0543T-0545T Cardiac Valve Repair Procedures

0546T-0547T Radiofrequency Spectrometry Assessment and Bone Quality Testing Procedures

0548T-0551T Incontinence Management Procedures

0552T-0553T Laser Therapy and Implant Procedures

0554T-0557T Bone Strength And Fracture Risk Assessment

0558T Computed Tomography Analysis

0559T-0562T Anatomic Model And Guide Creation

0563T-0568T Chemo Drug Essay, Implant and Other Procedures

0563T Procedures on Eye Glands

0569T-0580T Cardiac Procedures with Evaluation on Valves and ICD System

0581T-0582T Ablation Procedures

0583T Procedures Peformed on Ear

0584T-0586T Islet Cell Transplant Procedure

0587T-0590T Neurostimulation Procedures

0591T-0593T Health And Well-Being Coaching

Modifiers: cpt-modifiers

Type of modifier	Modifiers listed
Additional Healthcare Common Procedure Coding System (HCPCS) Modifiers	AE, AF, AG, AI, AK, AM, AO, AT, AZ, BL, CA, CB, CG, CR, CS, CT, DA, ER, ET, FB, FC, FX, FY, G7, GC, GE, GG, GJ, GU, J1, J2, J3, JC, JC, JD, JG, JW, KX, L1, M2, PD, PI, PO, PN, PS, PT, Q0, Q1, Q3, Q4, Q5, Q6, QQ, RD, RE, SC, SF, SS, SW, TB, TC, TS, UJ, UN, UP, UQ, UR, US, X1, X2, X3, X4, X5, XE, XP, XS, XU, ZA, ZB, ZC
Advance Beneficiary Notice of Noncoverage (ABN) Modifiers	GA, GX, GY, GZ
Advanced Diagnostic Imaging Appropriate Use Modifiers	MA, MB, MC, MD, ME, MF, MG, MG, MH, QQ
Ambulance Modifiers	D, E, G, H, I, J, N, P, R, S, X, GM, QL, QM, QN
Anatomical Modifiers (Coronary Artery, Eye Lid, Finger, Side of Body, Toe)	E1, E2, E3, E4, FA,F1,F2,F4, F5, F6, F7, F8, F9, LC, LD, LM, LT, RC, RI, RT, TA, T1, T2, T3, T4, T5, T6, T7, T8, T9 Note: These modifiers should be used in place of modifier 59 whenever possible.
Anesthesia Modifiers	AA, AD, G8, G9, P1, P2, P3, P4, P5,P6, QK, QS, QY, QX, QZ, 23, 33
Assistant at Surgery Modifiers	AS, 80, 81, 82
End Stage Renal Disease (ESRD) and Erythropoiesis Stimulating Agent (ESA) Modifiers	AX, EA, EB, EC, AY, ED, EE, EJ, EM, G1, G2, G3, G4, G5, G6, GS, JA, JB, JE, V5, V6, V7, V8, V9
Global Surgery Modifiers	24, 25, 54, 55, 57, 58, 78, 79 Note: Modifiers 24, 25, 57 apply to evaluation and management services
Hospice Modifiers	GV, GW
Laboratory Modifiers	90, 91, 92, LR, QW
Other Current Procedural Terminology (CPT) Modifiers	26, 27, 33, 59, 76, 77, 95, 96, 97
Podiatry Modifiers	Q7, Q8, Q9
Quality Reporting Incentive Programs Modifiers	1P, 2P, 3P, 8P, AQ, AR, MA, MB, MC, MD, ME, MF, MG, MH, X1, X2, X3, X4, X5
Surgical Modifiers	22, 50, 51, 52, 53, 62, 66, 73, 74, PA, PB, PC
Telehealth Services Modifiers	GQ, GT, G0 (zero)
Therapy Modifiers	GN, GO, GP, KX, CO, CQ

CPT Codes: The Basics

CPT (Current Procedural Terminology) codes are five-digit codes used by healthcare providers to describe medical, surgical, and diagnostic services and procedures. These codes are used to bill insurance companies and government healthcare programs, such as Medicare and Medicaid, for the services provided to patients.

Here is an overview of what you need to know about CPT codes:

1. Purpose of CPT codes: The main purpose of CPT codes is to standardize the way healthcare services are described so that insurance companies and government healthcare programs can accurately reimburse healthcare providers for the services they provide.
2. How CPT codes are created: CPT codes are created and maintained by the American Medical Association (AMA), a professional organization for physicians in the United States. The AMA updates the codes annually to reflect changes in medical procedures and technologies.
3. Types of CPT codes: There are three main types of CPT codes: evaluation and management codes, which describe office visits and other medical services; surgical codes, which describe procedures performed in a surgical setting; and diagnostic codes, which describe diagnostic procedures, such as imaging tests and laboratory tests.
4. Using CPT codes correctly: It is important to use the correct CPT code for each service provided, as incorrect coding can result in denied claims or incorrect reimbursement. Healthcare providers should be familiar with the latest version of the CPT codes and understand how to use them correctly.
5. Importance of accurate documentation: Accurate documentation is crucial when using CPT codes, as insurance companies and government healthcare programs use the documentation to determine the appropriate reimbursement for the services provided. Healthcare providers should keep detailed records of all services provided, including the date, time, and description of each service, as well as any relevant diagnostic or treatment codes.

In conclusion, CPT codes play a critical role in the reimbursement of healthcare services and procedures. Understanding the purpose and use of these codes is essential for healthcare providers to ensure they are accurately reimbursed for the services they provide. By staying up-to-date with the latest version of the CPT codes and documenting services accurately, healthcare providers can ensure they are using these codes correctly and receive the appropriate reimbursement for the services they provide.

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How do I find my CPT codes?

CPT codes are numerical codes that are used to identify medical procedures and services provided by healthcare providers. These codes are used by insurance companies to determine the reimbursement amount for these services.

If you are a healthcare provider, you can find CPT codes by consulting the American Medical Association’s (AMA) Current Procedural Terminology (CPT) manual. The manual is updated annually and can be purchased from the AMA or other medical supply companies. The CPT manual contains a comprehensive list of codes and descriptions for medical procedures and services.

If you are a patient and need to find the CPT code for a specific medical service, you can ask your healthcare provider for the code. You can also check with your insurance provider to see if they have a list of commonly used CPT codes for different medical services.

It’s important to note that not all medical procedures and services have a specific CPT code. In these cases, your healthcare provider may use a “miscellaneous” or “unlisted” code to describe the service. If you have any questions about CPT codes, it’s best to consult with your healthcare provider or insurance provider.

Are CPT codes only for Medicare?

No, CPT codes are not only for Medicare. The Current Procedural Terminology (CPT) codes are used by healthcare providers and insurance companies to describe medical, surgical, and diagnostic services and procedures. CPT codes are developed and maintained by the American Medical Association (AMA) and are recognized by most insurance companies, including Medicare, Medicaid, and private insurance providers. Healthcare providers use CPT codes to bill for their services, and insurance companies use the codes to determine reimbursement rates.

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