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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

  • 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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