The most current listing of CPT II codes can be found on the AMA Web site at
The information on the Web site lists the revised, new or deleted codes, the performance measurement set to which the code belongs, and the release and implementation dates.
Category I is the section that coders usually identify with when talking about CPT. The Category II codes are intended to facilitate the collection of information about the quality of care delivered by coding a number of services or test results that support performance measures. 0005F Tobacco use cessation intervention, pharmacologic therapy 6. They are also intended to decrease the time spent by physicians and other health professionals on chart review to verify that the measures were preformed.
CPT or Current Procedural Terminology is maintained by the American Medical Association.
Updates are generally issued annually, however, clarifications may be made periodically to provide guidance to the provider community.
The PMAG comprises performance measurement experts representing the Agency of Healthcare Research and Quality (AHRQ), the American Medical Association (AMA), the Centers for Medicare and Medicaid Services (CMS), the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the National Committee for Quality Assurance (NCQA) and the Physician Consortium for Performance Improvement.
The Category II codes are released annually as part of the general CPT code set and are published twice a year, Jan.1 and July 1, on the AMA Web site.
Each year a new edition of CPT is released at which time new code are issued and other codes are retired (deleted).
These changes from the prior edition are noted in current edition.
It is also important to know when codes from another system, such as HCPCS Level II, are required. Medicine Examples of Category I codes include: 99253 Initial inpatient consultation 11770 Excision of pilonidal cyst or sinus; simple 33512 Coronary artery bypass, vein only, four coronary venous grafts 62270 Spinal puncture, lumbar, diagnostic 76498 Unlisted diagnostic radiographic procedures 78205 Liver imaging (SPECT) 86900 Blood typing, ABO 93010 Electrocardiogram, routine ECG with at least 12 leads; tracing only without interpretation or report Category II Codes Category II codes are supplemental tracking codes that are intended to be used for performance measurement. 0009F Anginal symptoms and level of activity, assessed 10.
Category I Codes Category I codes are the five-digit numeric codes included in the main body of CPT. In compliance with ongoing changes being made because of HIPAA regulations, these codes provide a method for reporting performance measures. 0004F Tobacco use cessation intervention, counseling 5. 0010F Anginal symptoms and level of activity, assessed using a standardized instrument. 0011F Oral anti-platelet therapy, prescribed (e.g., aspirin, clopidogrel/Plavix, or a combination of aspirin and dipyridamole/Aggrenox) The use of the Category II codes is expected to decrease the time spent abstracting a record.
It is important to note here that all 11 current Category II codes are being deleted effective Jan.
1, 2005 and will be replaced by 14 codes for tracking similar and additional performance measures.
Category III: Temporary codes for emerging technology, services and procedures.