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18th October 2014, 07:48 AM
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Join Date: Apr 2013
Re: CPT code for admission to nursing home

CPT stands for the Current Procedural Terminology. It is a medical code set maintained by the American Medical Association through the CPT Editorial Panel. It describes medical, surgical, and diagnostic services. It is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes.

Types of code

Category I
Category II
Category III

Category I


Category I CPT Code(s). There are six main sections:

Codes for evaluation and management: 99201–99499

(99201–99215) Office/other outpatient services
(99217–99220) Hospital observation services
(99221–99239) Hospital inpatient services
(99241–99255) Consultations
(99281–99288) Emergency department services
(99291–99292) Critical care services
(99304–99318) Nursing facility services
(99324–99337) Domiciliary, rest home (boarding home) or custodial care services
(99339–99340) Domiciliary, rest home (assisted living facility), or home care plan oversight services
(99341–99350) Home health services
(99354–99360) Prolonged services
(99363–99368) Case management services
(99374–99380) Care plan oversight services
(99381–99429) Preventive medicine services
(99441–99444) Non-face-to-face physician services
(99450–99456) Special evaluation and management services
(99460–99465) Newborn care services
(99466–99480) Inpatient neonatal intensive, and pediatric/neonatal critical, care services
(99487–99489) Complex chronic care coordination services
(99495–99496) Transitional care management services
(99499) Other evaluation and management services

Codes for anesthesia: 00100–01999; 99100–99150
(00100–00222) head
(00300–00352) neck
(00400–00474) thorax
(00500–00580) intrathoracic
(00600–00670) spine and spinal cord
(00700–00797) upper abdomen
(00800–00882) lower abdomen
(00902–00952) perineum
(01112–01190) pelvis (except hip)
(01200–01274) upper leg (except knee)
(01320–01444) knee and popliteal area
(01462–01522) lower leg (below knee)
(01610–01682) shoulder and axillary
(01710–01782) upper arm and elbow
(01810–01860) forearm, wrist and hand
(01916–01936) radiological procedures
(01951–01953) burn excisions or debridement
(01958–01969) obstetric
(01990–01999) other procedures
(99100–99140) qualifying circumstances for anesthesia
(99143–99150) moderate (conscious) sedation

Codes for surgery: 10021–69990
(10021–10022) general
(10040–19499) integumentary system
(20000–29999) musculoskeletal system
(30000–32999) respiratory system
(33010–37799) cardiovascular system
(38100–38999) hemic and lymphatic systems
(39000–39599) mediastinum and diaphragm
(40490–49999) digestive system
(50010–53899) urinary system
(54000–55899) male genital system
(55920–55980) reproductive system and intersex
(56405–58999) female genital system
(59000–59899) maternity care and delivery
(60000–60699) endocrine system
(61000–64999) nervous system
(65091–68899) eye and ocular adnexa
(69000–69979) auditory system

Codes for Radiology: 70010-79999
(70010–76499) diagnostic imaging
(76506–76999) diagnostic ultrasound
(77001–77032) radiologic guidance
(77051–77059) breast mammography
(77071–77084) bone/joint studies
(77261–77799) radiation oncology
(78000–79999) nuclear medicine

Codes for pathology and laboratory: 80047–89398
(80047–80076) organ or disease-oriented panels
(80100–80103) drug testing
(80150–80299) therapeutic drug assays
(80400–80440) evocative/suppression testing
(80500–80502) consultations (clinical pathology)
(81000–81099) urinalysis
(82000–84999) chemistry
(85002–85999) hematology and coagulation
(86000–86849) immunology
(86850–86999) transfusion medicine
(87001–87999) microbiology
(88000–88099) anatomic pathology (postmortem)
(88104–88199) cytopathology
(88230–88299) cytogenetic studies
(88300–88399) surgical pathology
(88720–88741) in vivo (transcutaneous) lab procedures
(89049–89240) other procedures
(89250–89398) reproductive medicine procedures

Codes for medicine: 90281–99099; 99151–99199; 99500–99607
(90281–90399) immune globulins, serum or recombinant prods
(90465–90474) immunization administration for vaccines/toxoids
(90476–90749) vaccines, toxoids
(90801–90899) psychiatry
(90901–90911) biofeedback
(90935–90999) dialysis
(91000–91299) gastroenterology
(92002–92499) ophthalmology
(92502–92700) special otorhinolaryngologic services
(92950–93799) cardiovascular
(93875–93990) noninvasive vascular diagnostic studies
(94002–94799) pulmonary
(95004–95199) allergy and clinical immunology
(95250–95251) endocrinology
(95803–96020) neurology and neuromuscular procedures
(96101–96125) central nervous system assessments/tests (neuro-cognitive, mental status, speech testing)
(96150–96155) health and behavior assessment/intervention
(96360–96549) hydration, therapeutic, prophylactic, diagnostic injections and infusions, and chemotherapy and other highly complex drug or highly complex biologic agent administration
(96567–96571) photodynamic therapy
(96900–96999) special dermatological procedures
(97001–97799) physical medicine and rehabilitation
(97802–97804) medical nutrition therapy
(97810–97814) acupuncture
(98925–98929) osteopathic manipulative treatment
(98940–98943) chiropractic manipulative treatment
(98960–98962) education and training for patient self-management
(98966–98969) non-face-to-face nonphysician services
(99000–99091) special services, procedures and reports
(99170–99199) other services and procedures
(99500–99602) home health procedures/services
(99605–99607) medication therapy management services

Category II
(0001F-0015F) Composite measures
(0500F-0575F) Patient management
(1000F-1220F) Patient history
(2000F-2050F) Physical examination
(3006F-3573F) Diagnostic/screening processes or results
(4000F-4306F) Therapeutic, preventive or other interventions
(5005F-5100F) Follow-up or other outcomes
(6005F-6045F) Patient safety
(7010F-7025F) Structural Measures

Category III
Category III CPT Code(s) – Emerging technology (Category III codes: 0016T-0207T)


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