American Medical Association - CPT Standard 2019
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- Book:CPT Standard 2019
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- Publisher:American Medical Association
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- Year:2018
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CPT Standard 2019: summary, description and annotation
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Correct reporting and billing of medical procedures and services begins with CPT 2019 Standard Edition. The AMA publishes the only CPT codebook with the official CPT coding guidelines developed by the CPT Editorial Panel.
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Revised code | |
New code | |
New or revised text | |
Reference to CPT Assistant, Clinical Examples in Radiology, and CPT Changes | |
Add-on code | |
Exemptions to modifier 51 | |
Product pending FDA approval | |
# | Out-of-numerical sequence code |
Telemedicine | |
 | Duplicate PLA test |
Increased Procedural Services | |
Unusual Anesthesia | |
Unrelated Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional During a Postoperative Period | |
Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service | |
Professional Component | |
Mandated Services | |
Preventive Services | |
Anesthesia by Surgeon | |
Bilateral Procedure | |
Multiple Procedures | |
Reduced Services | |
Discontinued Procedure | |
Surgical Care Only | |
Postoperative Management Only | |
Preoperative Management Only | |
Decision for Surgery | |
Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period | |
Distinct Procedural Service | |
Two Surgeons | |
Procedure Performed on Infants less than 4 kg | |
Surgical Team | |
Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional | |
Repeat Procedure by Another Physician or Other Qualified Health Care Professional | |
Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period | |
Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period | |
Assistant Surgeon | |
Minimum Assistant Surgeon | |
Assistant Surgeon (when qualified resident surgeon not available) | |
Reference (Outside) Laboratory | |
Repeat Clinical Diagnostic Laboratory Test | |
Alternative Laboratory Platform Testing | |
Synchronous Telemedicine Service Rendered via a Real-Time Interactive Audio and Video Telecommunications System | |
Habilitative Services | |
Rehabilitative Services | |
Multiple Modifiers |
1P | Performance Measure Exclusion Modifier due to Medical Reasons |
2P | Performance Measure Exclusion Modifier due to Patient Reasons |
3P | Performance Measure Exclusion Modifier due to System Reasons |
8P | Performance measure reporting modifieraction not performed, reason not otherwise specified |
P1 | A normal healthy patient |
P2 | A patient with mild systemic disease |
P3 | A patient with severe systemic disease |
P4 | A patient with severe systemic disease that is a constant threat to life |
P5 | A moribund patient who is not expected to survive without the operation |
P6 | A declared brain-dead patient whose organs are being removed for donor purposes |
Significant, Separately Identifiable Evaluation and Management Service by the Same Physician or Other Qualified Health Care Professional on the Same Day of the Procedure or Other Service | |
Multiple Outpatient Hospital E/M Encounters on the Same Date | |
Preventive Services | |
Bilateral Procedure | |
Reduced Services | |
Staged or Related Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period | |
Distinct Procedural Service | |
Discontinued Outpatient Procedure Prior to Anesthesia Administration | |
Discontinued Outpatient Procedure After Anesthesia Administration | |
Repeat Procedure or Service by Same Physician or Other Qualified Health Care Professional | |
Repeat Procedure by Another Physician or Other Qualified Health Care Professional | |
Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period | |
Unrelated Procedure or Service by the Same Physician or Other Qualified Health Care Professional During the Postoperative Period | |
Repeat Clinical Diagnostic Laboratory Test |
LT | Left side (used to identify procedures performed on the left side of the body) |
RT | Right side (used to identify procedures performed on the right side of the body) |
E1 | Upper left, eyelid |
E2 | Lower left, eyelid |
E3 | Upper right, eyelid |
E4 | Lower right, eyelid |
FA | Left hand, thumb |
F1 | Left hand, second digit |
F2 |
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