


CODE.MODE
CPT CODE SYMBOLS
New Procedure
Bullets denote new procedures.
Changed or Modified
Triangle (delta) symbols are used to indicate a substantial alteration in the procedure descriptor.
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Changed or Modified
Right and Left Facing Triangle symbols are used to indicate that changes in text have been made other than the procedure descriptors.
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Add-on Codes +
A Plus symbol denotes an add-on code, which is an additional or supplementary procedure in addition to the primary procedure being performed. Tip: Look for "each additional" or "(List separately to primary procedure."
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These Codes ARE:
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ALWAYS reported with primary
-
NEVER a stand-alone Code
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NEVER reported with Modifier -51
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These codes are listed in Appendix D.

Modifier -51 Exempt
The prohibition sign symbol is used to report codes that are exempt from modifier -51, but have not been designated as add-on procedures or services.
Appendix E lists these codes.
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Vaccines Pending FDA Approval
Lightning Bolt symbols are used to identify codes being tracked by the AMA to monitor the status for FDA approval for a dug.
These codes are listed in Appendix K.
Out-of-Sequence
Hashtag (#) symbols identifies codes out of numerical sequence.
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These codes are listed in Appendix N.
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Telemedicine Services
Star symbols identify codes that, when appended by modifier 95, can be used to report telemedicine services.
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ATTENTION:
The Bullseye symbol to denote codes with moderate sedation is NO LONGER USED in the CPT manual!
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This means that codes will reference the procedure only. Moderate sedation will need to be coded separately, even when it is performed with a procedure.
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