CPT & HCPCS Code Directory

Office visit for an established patient, low complexity, 20 minutes

Office visit for an established patient, moderate complexity, 30 minutes

Chronic care management by clinical staff, first 20 minutes per month

Office visit for an established patient, high complexity, 40 minutes

Subsequent hospital or observation care, moderate complexity, 35 minutes

Office visit for a new patient, low complexity, 30 minutes

Subsequent hospital or observation care, high complexity, 50 minutes

Office visit for a new patient, straightforward complexity, 15 minutes

Office visit for an established patient, may not require a physician

Office visit for an established patient, straightforward, 10 minutes

Office visit for a new patient, high complexity, 60 minutes

Office visit for a new patient, moderate complexity, 45 minutes

Initial hospital or observation care, high complexity, 75 minutes

Initial hospital or observation care, moderate complexity, 55 minutes

Emergency department visit, high complexity decision making

Emergency department visit, moderate complexity decision making

Advance care planning discussion with patient, first 30 minutes

Initial hospital or observation care, low complexity, 40 minutes

Transitional care management with face-to-face visit within 7 days

Transitional care management with face-to-face visit within 14 days

Emergency department visit, low complexity decision making

Remote physiological monitoring device supply, 16-30 days

Online digital evaluation and management service, 11-20 minutes

Remote physiological monitoring setup and patient education

Remote physiological monitoring treatment management, first 20 minutes

Complex chronic care management, first 60 minutes per month

Subsequent hospital or observation care, low complexity, 25 minutes

Hospital or observation discharge management, 30 minutes or less

Online digital evaluation and management service, 5-10 minutes

Hospital or observation discharge management, more than 30 minutes

Emergency department visit, may not require physician involvement

Emergency department visit, straightforward decision making

Online digital evaluation and management service, 21 or more minutes

Chronic care management by clinical staff, each additional 30 minutes

Remote physiological monitoring treatment management, each add 20 minutes

Complex chronic care management, each additional 30 minutes per month

Chronic care management by physician, first 30 minutes per month

Advance care planning discussion with patient, each additional 30 minutes

Physical therapy evaluation, low complexity, typically 20 minutes

Destruction of benign skin lesions such as warts, up to 14 lesions

Electrocardiogram (ECG) with tracing, interpretation, and report

Colonoscopy with tissue biopsy of the colon lining

Diagnostic colonoscopy examining the entire colon

Injection under the skin or into muscle for therapy, prevention, or diagnosis

Electrocardiogram (ECG) interpretation and report only

Surgery to remove unhealthy tissue down to subcutaneous level, first 20 sq cm or less

Vaccine administration by injection, single or first dose

Drainage or injection of a large joint or bursa without ultrasound guidance

Injection into the lumbar or sacral epidural space with imaging

Transthoracic echocardiogram with Doppler and color flow, complete

Therapeutic activities to improve functional performance

Neuromuscular reeducation for movement, balance, or coordination

Manual therapy techniques to one or more body regions

Therapeutic exercises to build strength, flexibility, or endurance

Upper GI scope exam with brushing or washing for diagnosis

Destruction of benign skin lesions such as warts, 15 or more lesions

Upper GI scope exam with one or more tissue samples

Colonoscopy with removal of a polyp or lesion by snare

Standard cataract removal with intraocular lens placement

Comprehensive eye exam for an established patient, one or more visits

Computerized imaging of the retina at back of eye

Chiropractic spinal manipulation of 3-4 regions

Injection into lumbar or sacral epidural space, first level

Incision and drainage of a simple or single skin abscess

Vaccine administration with counseling, first or only component, by physician

Shoulder arthroscopy with subacromial decompression of impinged tissue

Drainage or injection of a large joint or bursa with ultrasound guidance

Surgery to remove unhealthy tissue down to muscle or fascia, first 20 sq cm or less

Surgery to remove unhealthy tissue down to bone, first 20 sq cm or less

IV push injection for therapy, prevention, or diagnosis

IV push injection of a new additional drug or substance (add-on)

Phone assessment and management by non-physician, 5-10 minutes

Phone assessment and management by non-physician, 11-20 minutes

Phone assessment and management by non-physician, 21-30 minutes

Incision and drainage of a complicated or multiple skin abscesses

Trimming or paring of a single benign thickened skin lesion such as a callus or corn

Debridement of thickened or damaged nails, 6 or more nails

Simple wound repair of scalp, neck, axillae, genitalia, or trunk, 2.5 cm or less

Simple wound repair of scalp, neck, axillae, genitalia, or trunk, 2.6-7.5 cm

Injection into one or two trigger points in muscle

Injection into three or more trigger points in muscle

Surgery using arthroscope in knee to remove medial or lateral meniscus

Injection into the cervical or thoracic epidural space with imaging

Injection into lumbar or sacral epidural space, each additional

Injection of medication into the inner eye (intravitreal)

Vaccine administration by injection, each additional dose

Eye exam for an established patient, intermediate level

Physical therapy evaluation, moderate complexity, typically 30 minutes

Physical therapy evaluation, high complexity, typically 45 minutes

Physical therapy re-evaluation of established plan of care

Chiropractic spinal manipulation of 1-2 regions

Chiropractic spinal manipulation of 5 regions

CT scan of the head or brain without contrast dye

MRI of the lumbar spine (lower back) without contrast

MRI of a joint in the lower extremity without contrast

CT scan of the abdomen and pelvis with contrast

MRI of a joint in the upper extremity without contrast

CT scan of the midface and jaw area without contrast

Chest X-ray, 2 views (front and side)

X-ray of the lower back and sacrum, 2 or 3 views

CT scan of the abdomen and pelvis without contrast

Ultrasound exam of the abdomen, complete study of all organs

Individual psychotherapy, 38-52 minutes face-to-face with patient

Individual psychotherapy, 53+ minutes face-to-face with patient

Psychiatric diagnostic evaluation with medical services

Family therapy session with the patient present, 50 minutes

Psychiatric diagnostic evaluation without medical services

Individual psychotherapy, 16-37 minutes face-to-face with patient

Family therapy session without the patient present, 50 minutes

Brief emotional or behavioral assessment with scoring

Psychological or neuropsychological testing by physician or qualified professional, first 30 min

Group psychotherapy session

Psychological test evaluation by physician or qualified professional, first hour

Complex e/m visit add on

Initial preventive exam

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit