


CODE.MODE
MEDICINE
Medicine Codes
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Medicine Codes are one of the six sections of the CPT Category I codes and range from 90281-99607.
Guidelines
Add-on Codes +
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An add-on code is an additional or supplementary procedure in addition to the primary procedure being performed. These are designated with the + symbol and are listed in Appendix D. Tip: Look for "each additional" or "(List separately to primary procedure."
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ALWAYS reported with primary
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NEVER a stand-alone Code
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NEVER reported with Modifier -51
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Separate Procedures
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Codes designated as "separate procedure" are NOT reported in addition to the code for the total procedure or service of which it is considered an integral component.
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Codes designated as "separate procedure" MAY be reported by itself or in addition to another procedure / service by adding Modifer -59 to the "separate procedure" code IF they are carried out independently or considered unrelated or distinct. (Examples include a different session or encounter, a different procedure or surgery, different site/organ system, separate incision/excision, separate lesion, separate injury, or area of injury in extensive injuries.)
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Unlisted Procedure / Service
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Unlisted codes are reported for services that are not included in the CPT book. If reporting such a service, the appropriate "Unlisted Procedure" code may be used to indicate the service, identifying it as a "Special Report."
Special Report
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Some services that are new, rarely provided, variable, or unusual require a special report. These reports must include pertinent information, including a description of the following: ​
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nature, extent, & need for procedure
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time, effort, & equipment necessary
Imaging Guidance
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Guidelines for image documentation for Radiology (Including nuclear Medicine and Diagnostic Ultrasound) will apply when imaging or imaging supervision and interpretation is included in a procedure.
RANGE
90281-99607
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SUBSECTIONS
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Immune Globulins, Serum or Recombinant Products
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Immunization Administration for Vaccines/Toxoids
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Vaccines, Toxoids
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Psychiatry
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Biofeedback
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Dialysis
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Gastroenterology
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Opthalmology
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Special Otorhinolaryngologic Services
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Cardiovascular
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Noninvasive Vascular Diagnostic Studies
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Pulmonary
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Allery & Clinical Immunology
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Endocrinology
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Neurology and Neruomuscular Procedures
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Medical Genetics & Genetic Counseling Services
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Central Nervous System Assessments/ Tests
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Health and Behavior Assessment/ Intervention
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Hydration, Therapeutic, Prophyactic, Diagnostis Injections & Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration
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Photostatic Therapy
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Special Dermatological Procedures
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Physical Medicine & Rehabilitation
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Medical Nutrition Therapy
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Acupuncture
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Osteopathic Manipulative Treatment
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Chiropractic Manipulative Treatment
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Education and Training for Patient Self-management
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Non-Face-To-Face Non-physician Services
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Special Services, procedures & Reports
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Qualifying Circumstances for Anesthesia
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Moderate (Conscious) Sedation
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Other Services & Procedures
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Home Health Procedures/ Services
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Medication Therapy Management Services
MODIFIERS
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- CPT Category I Modifiers
- Anesthesia Modifiers
HELPFUL LINKS
Supplied Materials
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Supplies and materials exceeding those usually included may be listed separately.
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