CPT® CODING MADE EASY
Table of Contents
On the CD, each of the following items is a jump link to the respective section. The CD
product also provides three additional levels of the Table of Contents down to
sub-sections of individual CPT code explanations. All items at all levels
of the Table of Contents are jump links.
License Agreement, Copyright and Disclaimer
How To Use This Guide
How to Use the Electronic Features
Part I Evaluation and Management
CPT Coding for Evaluation and Management Services
Office or Other Outpatient Services
Hospital Observation Services
Hospital Inpatient Services
Consultations
Emergency Department Services
Pediatric Critical Care Patient Transport
Critical Care Services
Inpatient Neonatal and Pediatric Critical Care Services
Inpatient Pediatric Critical Care
Inpatient Neonatal Critical Care
Intensive (Non-Critical) Low Birth Weight Services
Nursing Facility Services
Domiciliary, Rest Home (eg, Boarding Home), or Custodial Care Services
Home Services
Prolonged Services
Case Management Services
Care Plan Oversight Services
Preventive Medicine Services
Newborn Care
Special Evaluation and Management Services
CMS (Centers for Medicare & Medicaid
Services) Documentation Guidelines for
Evaluation Management Services
Part II Anesthesia
Anesthesia Essentials
Part III Surgery
General
Integumentary System
Musculoskeletal System
Respiratory System
Cardiovascular System
Hemic and Lymphatic Systems
Digestive System
Urinary System
Male Genital System
Female Genital System
Maternity Care and Delivery
Endocrine System
Nervous System
Eye and Accessory Parts (Ocular Adnexa)
Auditory System
Operating Microscope
Part IV Radiology
Understanding Important Concepts for Coding "Diagnostic Radiology
(Diagnostic Imaging)" and "Diagnostic Ultrasound" Services
Diagnostic Radiology (Diagnostic Imaging)
Diagnostic Ultrasound
Interventional Radiology
Part V Pathology and Laboratory
Urinalysis
Hematology and Coagulation
Immunology
Anatomic Pathology
Part VI Medicine
Therapeutic or Diagnostic Infusions
Therapeutic, Prophylactic or Diagnostic Injections
Ophthalmology
Special Otorhinolaryngologic Services
Cardiovascular
Pulmonary
Allergy and Clinical Immunology
Chemotherapy Administration
Photodynamic Therapy
Special Dermatologic Procedures
Sedation With or Without Analgesic (Conscious Sedation)
APPENDIX I: MODIFIERS
Reporting Methods
Provider-specific Modifiers
APPENDIX II: 2005 CPT Codes, Descriptors,
Modifiers, Guidelines
Evaluation and Management (E/M) Services Guidelines
Evaluation and Management Codes
Anesthesia Guidelines
Anesthesia Codes
Surgery Guidelines
Surgery Codes
Radiology Guidelines (Including Nuclear Medicine and Diagnostic Ultrasound)
Radiology Codes
Pathology and Laboratory Guidelines
Pathology and Laboratory Codes
Medicine Guidelines
Medicine Codes
Category II Codes
Category III Codes
CPT Appendix A: Modifiers
CPT Appendix B: Summary of Additions, Deletions, and Revisions
CPT Appendix D: Summary of CPT Add-on Codes
CPT Appendix E: Summary of CPT Codes Exempt from Modifier 51
CPT Appendix F: Summary of CPT Codes Exempt from Modifier 63
CPT Appendix G: Summary of CPT Codes which Include Conscious Sedation
CPT Appendix I: Genetic Testing Code Modifiers
APPENDIX III: 2005 HCPCS Level II
UNDERSTANDING THE HCPCS CODING SYSTEM
Modifiers
Ambulance and Other Transportation Services A0000–A0999
Medical, Surgical and Other Supplies A4000–A8999
Miscellaneous and Investigational A9000–A9999
Enteral and Parenteral Therapy Supplies B4000–B4999
Outpatient Hospital PPS Temporary Codes C1000–C9999
Dental Services D0000–D9999
Durable Medical Equipment E0000–E9999
Temporary Codes for Professional Procedures/Services G0000–G9999
Medicaid State Agencies' Alcohol, Drug, Mental Health H0000–H9999
Drugs and Biologicals J0000–J9999
K Codes-Temporary Codes for DMERCs Products/Supplies K0000–K9999
Orthotics and Prosthetics L0000–L9999
Medical Services M0000–M9999
Laboratory and Pathology Services P2000–P9999
Temporary Codes for Procedures, Services, Supplies Q0000–Q9999
Radiology/Diagnostic Services R0000–R0076
Non-Medicare Codes for Blue Cross Blue Shield and Other
Medicaid State Agencies Codes T1000–T9999
Vision Services V0000–V5364
APPENDIX IV: 2005 National Correct Coding Manual
Introduction
Chapter 1: General Correct Coding Policies
Chapter 2: Anesthesia Services
Chapter 3: Surgery: Integumentary System
Chapter 4: Surgery: Musculoskeletal System
Chapter 5: Surgery: Respiratory, Cardiovascular, Hemic and Lymphatic
Systems
Chapter 6: Surgery: Digestive System
Chapter 7: Surgery: Urinary, Male Genital, Female Genital, Maternity Care
and Delivery Systems
Chapter 8: Surgery: Endocrine Nervous, Eye and Ocular Adnexa, Auditory
Systems
Chapter 9: Radiology Services
Chapter 10: Pathology Laboratory Services
Chapter 11: Medicine Evaluation and Management Services
Chapter 12: Supplemental Services
Chapter 13: Category III Codes
Table of Figures
Bibliography
