Create an account
Category I Codes
Represent services and procedures widely used by many health care professionals in clinical practice in multiple locations and have been approved by the FDA
used for procedures that are always performed during the same operative session as another surgery in addition to the primary service/procedure and is never performed separately
Provide the means by which the reporting physician can indicate that a service or procedure that has been performed has been altered by some specific circumstance but not changed in its definition or code
Never used alone; rather they are always reported in addition to a primary procedure code
The CPT Index is arranged in alphabetical order by
Main terms, which are further divided by subterms
Level II Codes
National codes; codes for physician and non-physician services not found in the CPT (Level I)
Is for the Durable Medical Equipment category which covers reusable medical equipment ordered by the physician for use in the home, such as wheel chairs or portable oxygen tanks
Ex. E Section
Level III Codes
Were used locally or regionally and have been eliminated by the CMS since the implementation of HIPAA
Attached to the code of the E/M service provided to a patient during the postoperative period to indicate that the service is not part of the postoperative care which is usually part of a package of services of the surgery performed
Is attached to the procedure to indicate that the physician provided only the professional component
Used to indicate that the service provided was required by a third party payer, governmental, legislative, or regulatory body
Used when more than one procedure is performed during the same surgical episode; one code doesn't describe all of the procedures performed; and the secondary procedure is not minor or incidental to the major procedure
Used to explain that the procedure or service done during a postoperative period was planned at the time of the orginal procedure
To report a circumstance in which the physician returns to the operating room to address a complication stemming from the initial procedure
Used to indicate that the procedure or service provided during the postoperative period was not associated with the initial procedure
Used to indicate that the procedure was done by an outside laboratory and not by the reporting facility or clinic
Used to report a procedure or service that has more than one modifier but the third-party payer does not allow the additon of multiple modifiers to the code
Are listed first in the CPT manual because they are used by all the different specialties
Evaluation & Management (E/M) Codes
History of Present illness (HPI)
A chronological account of the development of the complaint from the first sign or symptom that the patient experienced to the present
Review of Systems (ROS)
The inventory of the constitutional symptoms regarding the various body systems
Past, Family and Social History (PFSH)
Consists of the patient's personal experiences with illnesses, surgeries and injuries; information of illnesses predominant in the family; patient's educational background, occupation, marital status, and other factors
Please allow access to your computer’s microphone to use Voice Recording.
Having trouble? Click here for help.
We can’t access your microphone!
Click the icon above to update your browser permissions and try again
Reload the page to try again!Reload
Press Cmd-0 to reset your zoom
Press Ctrl-0 to reset your zoom
It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.
Please upgrade Flash or install Chrome
to use Voice Recording.
For more help, see our troubleshooting page.
Your microphone is muted
For help fixing this issue, see this FAQ.
Star this term
You can study starred terms together