CPT Code Directory

CCM clinical staff time, first 20 min

CCM, each additional 20 min

CCM, physician/QHP time, first 30 min

CCM, physician/QHP, each additional 30 min

Complex CCM, clinical staff, first 60 min

Complex CCM, each additional 30 min

PCM, physician/QHP, first 30 min

PCM, physician/QHP, each additional 30 min

PCM, clinical staff, first 30 min

PCM, clinical staff, each additional 30 min

RPM, initial setup & patient education

RPM, device supply & data transmission (16-30 days)

RPM, treatment management, first 20 min

RPM, treatment management, each additional 20 min

RPM, data collection & interpretation by physician

RPM, device supply & data transmission (2-15 days)

RPM, clinical management (10-19 min)

RTM, initial setup & patient education

RTM, respiratory device supply (16+ days)

RTM, respiratory device supply (2-15 days)

RTM, musculoskeletal device supply (16+ days)

RTM, musculoskeletal device supply (2-15 days)

RTM, treatment management, first 20 min

RTM, treatment management, each additional 20 min

RTM, management (10-19 min)

RTM supply CBT (16-30 days)

RTM supply CBT (2-15 days)

APCM Level 1 (1 chronic condition)

APCM Level 2 (2+ chronic conditions)

APCM Level 3 (2+ conditions, QMB/Dual Eligible)

General BHI, clinical staff time, 20 min

CoCM, initial month, first 70 min

CoCM, subsequent months, first 60 min

CoCM, each additional 30 min

BHI by Psychologist/CSW, 20 min

BHI with APCM - Initial (70 min)

BHI with APCM - Subsequent (60 min)

BHI with APCM - General (20 min)

CoCM limited time (30 min)

New patient, 15-29 min

New patient, 30-44 min

New patient, 45-59 min

New patient, 60-74 min

Established patient, 10-19 min

Established patient, 20-29 min

Established patient, 30-39 min

Established patient, 40-54 min

Nurse visit, minimal

Initial hospital care, low (40 min)

Initial hospital care, mod (55 min)

Initial hospital care, high (75 min)

Subsequent hospital care, low (25 min)

Subsequent hospital care, mod (35 min)

Subsequent hospital care, high (50 min)

Hospital discharge, <31 min

Hospital discharge, >30 min

ED visit, straightforward

ED visit, low

ED visit, moderate

ED visit, high

ED visit, high (life threat)

Critical care, 30-74 min

Critical care, each add 30 min

Home visit, new patient, low (20 min)

Home visit, new patient, mod (30 min)

Home visit, new patient, mod-high (60 min)

Home visit, new patient, high (75 min)

Home visit, est patient, low (20 min)

Home visit, est patient, mod (20-30 min)

Home visit, est patient, moderate (40 min)

Home visit, est patient, high (60 min)

Office visit complexity add-on (Longitudinal care)

Pelvic examination (List separately in addition to E/M)

Prolonged outpatient E/M (CMS), each 15 min

Brief emotional/behavioral assessment (e.g., PHQ-9)

Administration of SDOH risk assessment

Smoking cessation counseling (3-10 min)

Annual depression screening (5-15 min)

Annual alcohol misuse screening (5-15 min)

COVID-19 vaccine administration, single dose

Influenza vaccine administration

Initial annual wellness visit

Subsequent annual wellness visit

Advance care planning; first 30 minutes

Psychotherapy, 30 minutes with patient

Psychotherapy, 30 min add-on (performed with E/M)

Psychotherapy, 45 min add-on (performed with E/M)

Psychotherapy, 60 minutes with patient

Psychotherapy, 45 minutes with patient

Family psychotherapy (without the patient present), 50 min

Family psychotherapy (with patient present), 50 min

Neurobehavioral status exam, per hr

Echocardiography, transthoracic (TTE)

Intravitreal injection of a pharmacologic agent

Arthroplasty, knee, condyle and plateau

Colonoscopy, flexible; with biopsy

Arthrocentesis, aspiration and/or injection, major joint/bursa

CT thorax, diagnostic; without contrast material

Polysomnography; age 6 years or older, sleep staging

Destruction of benign lesions other than skin tags; up to 14

Collection of venous blood by venipuncture

Screening mammography, bilateral (2-view study of each breast)

Injection(s); single tendon sheath, or ligament

MRI joint of upper extremity, without contrast material

YAG laser capsulotomy

Cataract surgery with IOL insertion, 1 stage

Facet joint injection, cervical or thoracic, 1 level

CT abdomen and pelvis; with contrast

MRI brain; without contrast, followed by with

Unlisted molecular pathology procedure

Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae

Oxygen concentrator, single delivery port

Unclassified drugs

Rural health clinic or FQHC, care management service

TCM, moderate complexity (14 days)

TCM, high complexity (7 days)

Urgent care center global service