What is a Category I CPT code?

What is a Category I CPT code?

Most CPT® codes are Category I codes. These represent existing services or procedures widely used and, when appropriate, approved by the Food and Drug Administration (FDA). With few exceptions, Category I codes, typically denoted by five numeric characters, are arranged in numerical order.

What is the description of CPT code 17999?

Coding Guidance Laser hair removal services should be submitted with CPT code 17999, unlisted procedure, skin, mucous membrane and subcutaneous tissue.

What must happen before a code can be added as a category 1 code?

Specific criteria for Category I codes The procedure or service is performed with frequency consistent with the intended clinical use (i.e., a service for a common condition should have high volume). The procedure or service is consistent with current medical practice.

How many digits are in Category I codes?

five digit
Category I CPT codes describe a procedure of service identified with a five digit CPT code and descriptor.

What is the CPT code 27652?

CPT® Code 27652 in section: Repair, primary, open or percutaneous, ruptured Achilles tendon.

How do I bill Medicare unlisted CPT codes?

An unlisted code should be reported using the standard CMS-1500 form. Today, Medicare and most payors require that the CMS-1500 form be submitted electronically to facilitate expedient claim submission and, in a best-case scenario, expedient reimbursement.

What is the difference between 17000 and 17110?

17000 is for the first lesion. If up to 14 lesions are fulgerated you would use 17000 (first lesion) AND 17003 (2nd thru 14) and for 15 or more you would only use code 17004. Code 17110 is used just once for up to 14 lesions, if 15 or more then you would use 17111.

What is the purpose of a CPT Category I code descriptor?

Category 1 is the section coders usually identify with when talking about CPT and are five-digit numeric codes that identify a procedure or service that is approved by the Food and Drug Administration (FDA), performed by healthcare professionals nationwide, and is proven and documented.

What the difference between ICD 10 and CPT?

The ICD-10 procedural coding system (ICD-10-PCS) is used by facilities (e.g., hospital) to code procedures. CPT codes are, and will continue to be, used by physicians (and other providers) to report professional services. The two systems are unique and very different.

What is the difference between ICD codes and CPT codes?

CPT codes refer to the treatment being given, while ICD codes refer to the problem that the treatment is aiming to resolve. The two work hand-in-hand to quickly provide payors specific information about what service was performed (the CPT code) and why (the ICD code).

What is the difference between a primary and secondary tendon repair?

Delayed primary repair: A repair performed within 24 hours to two weeks of the injury. Secondary repair: A repair performed after two weeks of injury. Primary repairs usually involve direct surgical correction of the injury, while secondary repairs may include tendon grafts or other more complex procedures.

What is Achilles tendon debridement?

This outpatient procedure is designed to repair a damaged Achilles tendon. During the procedure, injured and scarred tissue is removed. This can reduce or eliminate the pain of tendinitis.

When should unlisted codes be used?

If no such procedure or service exists, then report the service using the appropriate unlisted procedure or service code.” Use of an unlisted code is common when a physician performs a new procedure or utilizes new technology when no other CPT code adequately describes the procedure or service.