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Checkpoint Describing CPT Coding Categories

Checkpoint Describing CPT Coding Categories - the...

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CPT codes are divided into three categories: Category I, Category II, and Category III. Three keywords for these three code categories are temporary, common and optional. Category one is the most frequently used so it can be thought of as common codes. Category II are optional codes and Category III are temporary codes. Codes in Category I have five digits and no decimals. Category I codes represent procedures that are most commonly performed and are consistent with current medical procedures. Doctors and outpatient providers use these codes the most. Codes in Category I are updated on a yearly basis and are divided into 6 sections. Evaluation and Management Anesthesiology Surgery Radiology Pathology and Laboratory Medicine An example of a category I code would be: 99204 Office visit for evaluation and management of a new patient. Category II goals are used to track the performance of a medical goal. Category II codes are optional and are not paid for by insurance companies. They help in
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Unformatted text preview: the development of providing support for the continuity of care of a patient. Category II codes have four digits and then a letter in place of the 5th number. An example of a Category II code would be: 0004F Tobacco use cessation intervention, counseling Category III codes are temporary codes for emerging technology, services, and procedures. These codes have four numbers and a letter in place of the 5th number. A temporary code can become a permanent code if the service that it identifies becomes medically accepted and commonly used. An example of a Category III code is : 0041T: Urinalysis infectious agent detection. I think that the best way to remember these code levels is to think of how important that they are. Level I are the common codes that will be used a majority of the time. Category II are optional and help track progress. While Category III are for new and emerging medical technology and procedures....
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