CPT Professional 2024 (Oct 25, 2023)_(1640162844)_(American Medical Association)

CPT® 2024 Professional Edition is the definitive American Medical Association (AMA)-authored resource to help health care professionals correctly report and bill medical procedures and services. Health care professionals want accurate reporting of services rendered and reimbursement. Payers want efficient claims processing. Correct reporting and billing of medical procedures and services begins with CPT® 2024 Professional Edition . Only the AMA, with the help of physicians and other experts in the health care community, creates and maintains the Current Procedural Terminology (CPT®) code set. No other codebook has the accurate, complete official guidelines for the latest and current procedural terminology for procedures and services to help you code and report medical services and procedures properly. The AMA also takes the copyright protection of its content very seriously and is committed to providing the most effective anti-piracy efforts for its authors and readers, such as inclusion of the Amazon Anti Privacy Sticker and nonintrusive light-yellow dots on almost every page to reduce print reproduction in accordance with current copyright rules and laws. Recognizing that racism is a threat to the advancement of health equity and a barrier to appropriate medical care, as well as the power of images in contributing and limiting what bodies physicians, medical professionals, and students learn to see and define as normal and standard, the CPT 2024 Professional Edition will feature diversity-related illustrations to counter a deep-seated, culturally, and systemically biased norm. These diversity-related images continue advancing inclusive and equitable representation of a diverse range of skin tones in our medical educational resources for everyone who uses our codebook in their daily work, practice, and education. Inside Front Cover Place-of-Service Codes for Professional Claims Title Page Copyright Disclaimer and Notices Use of Copyright Protection Technology in CPT® Professional 2024 Codebook About CPT Maintenance and Authorship of the CPT Code Set AMA CPT Staff AMA CPT Advisory Committee AMA Health Care Professionals Advisory Committee (HCPAC) Contents Introduction Release of CPT Codes Section Numbers and Their Sequences Instructions for Use of the CPT Codebook Format of the Terminology Requests to Update the CPT Nomenclature Application Submission Requirements General Criteria for Category I, II, and III Codes Category-Specific Requirements Audio-Video (Appendix P) and Audio-Only (Appendix T) Telemedicine Services Criteria Guidelines Add-on Codes Modifiers Place of Service and Facility Reporting Unlisted Procedure or Service Results, Testing, Interpretation, and Report Special Report Time Code Symbols Alphabetical Reference Index Use of Anti-Piracy Technology in CPT Professional 2024 Codebook CPT 2024 in Electronic Formats References to AMA Resources Illustrated Anatomical and Procedural Review Prefixes, Suffixes, and Roots Numbers Surgical Procedures Conditions Directions and Positions Additional References Medical Dictionaries Anatomy References Lists of Illustrations Anatomical Illustrations Procedural Illustrations Evaluation and Management Tables Legend for CPT® Code Symbols Evaluation and Management (E/M) Services Guidelines E/M Guidelines Overview Classification of Evaluation and Management (E/M) Services Levels of E/M Services Unlisted Service Special Report Evaluation and Management Office or Other Outpatient Services Hospital Observation Services Hospital Inpatient and Observation Care Services Consultations Emergency Department Services Critical Care Services Nursing Facility Services Domiciliary, Rest Home (eg, Boarding Home), or Custodial Care Services Domiciliary, Rest Home (eg, Assisted Living Facility), or Home Care Plan Oversight Services Home or Residence Services Prolonged Services Case Management Services Care Plan Oversight Services Preventive Medicine Services Non-Face-to-Face Services Special Evaluation and Management Services Newborn Care Services Delivery/Birthing Room Attendance and Resuscitation Services Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care Services Cognitive Assessment and Care Plan Services Care Management Services Psychiatric Collaborative Care Management Services Transitional Care Management Services Advance Care Planning General Behavioral Health Integration Care Management Other Evaluation and Management Services Anesthesia Guidelines Time Reporting Anesthesia Services Supplied Materials Separate or Multiple Procedures Unlisted Service or Procedure Special Report Anesthesia Modifiers Qualifying Circumstances Anesthesia Head Neck Thorax (Chest Wall and Shoulder Girdle) Intrathoracic Spine and Spinal Cord Upper Abdomen Lower Abdomen Perineum Pelvis (Except Hip) Upper Leg (Except Knee) Knee and Popliteal Area Lower Leg (Below Knee, Includes Ankle and Foot) Shoulder and Axilla Upper Arm and Elbow Forearm, Wrist, and Hand Radiological Procedures Burn Excisions or Debridement Obstetric Other Procedures Surgery Guidelines Services CPT Surgical Package Definition Follow-Up Care for Diagnostic Procedures Follow-Up Care for Therapeutic Surgical Procedures Supplied Materials Reporting More Than One Procedure/Service Separate Procedure Unlisted Service or Procedure Special Report Imaging Guidance Surgical Destruction Foreign Body/Implant Definition Surgery General Integumentary System Musculoskeletal System Respiratory System Cardiovascular System Hemic and Lymphatic Systems Mediastinum and Diaphragm Digestive System Urinary System Male Genital System Reproductive System Procedures Intersex Surgery Female Genital System Maternity Care and Delivery Endocrine System Nervous System Eye and Ocular Adnexa Auditory System Operating Microscope Radiology Guidelines (Including Nuclear Medicine and Diagnostic Ultrasound) Subject Listings Separate Procedures Unlisted Service or Procedure Special Report Supervision and Interpretation, Imaging Guidance Administration of Contrast Material(s) Written Report(s) Foreign Body/Implant Definition Radiology Diagnostic Radiology (Diagnostic Imaging) Diagnostic Ultrasound Radiologic Guidance Breast, Mammography Bone/Joint Studies Radiation Oncology Nuclear Medicine Pathology and Laboratory Guidelines Services in Pathology and Laboratory Separate or Multiple Procedures Unlisted Service or Procedure Special Report Pathology and Laboratory Organ or Disease-Oriented Panels Drug Assay Therapeutic Drug Assays Evocative/Suppression Testing Pathology Clinical Consultations Urinalysis Molecular Pathology Genomic Sequencing Procedures and Other Molecular Multianalyte Assays Multianalyte Assays with Algorithmic Analyses Chemistry Hematology and Coagulation Immunology Transfusion Medicine Microbiology Anatomic Pathology Cytopathology Cytogenetic Studies Surgical Pathology In Vivo (eg, Transcutaneous) Laboratory Procedures Other Procedures Reproductive Medicine Procedures Proprietary Laboratory Analyses Medicine Guidelines Add-on Codes Separate Procedures Unlisted Service or Procedure Special Report Imaging Guidance Supplied Materials Foreign Body/Implant Definition Medicine Immune Globulins, Serum or Recombinant Products Immunization Administration for Vaccines/Toxoids Vaccines, Toxoids Psychiatry Biofeedback Dialysis Gastroenterology Ophthalmology Special Otorhinolaryngologic Services Cardiovascular Noninvasive Vascular Diagnostic Studies Pulmonary Allergy and Clinical Immunology Endocrinology Neurology and Neuromuscular Procedures Medical Genetics and Genetic Counseling Services Adaptive Behavior Services Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing) Health Behavior Assessment and Intervention Behavior Management Services Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration Photodynamic Therapy Special Dermatological Procedures Physical Medicine and Rehabilitation Medical Nutrition Therapy Acupuncture Osteopathic Manipulative Treatment Chiropractic Manipulative Treatment Education and Training for Patient Self-Management Non-Face-to-Face Nonphysician Services Special Services, Procedures and Reports Qualifying Circumstances for Anesthesia Moderate (Conscious) Sedation Other Services and Procedures Home Health Procedures/Services Medication Therapy Management Services Category II Codes Modifiers Composite Codes Patient Management Patient History Physical Examination Diagnostic/Screening Processes or Results Therapeutic, Preventive, or Other Interventions Follow-up or Other Outcomes Patient Safety Structural Measures Nonmeasure Code Listing Category III Codes Appendix A—Modifiers Appendix B—Summary of Additions, Deletions, and Revisions Appendix C—Clinical Examples Appendix D—Summary of CPT Add-on Codes Appendix E—Summary of CPT Codes Exempt from Modifier 51 Appendix F—Summary of CPT Codes Exempt from Modifier 63 Appendix G—Summary of CPT Codes That Include Moderate (Conscious) Sedation Appendix H—Alphabetical Clinical Topics Listing (AKA – Alphabetical Listing) Appendix I—Genetic Testing Code Modifiers Appendix J—Electrodiagnostic Medicine Listing of Sensory, Motor, and Mixed Nerves Appendix K—Product Pending FDA Approval Appendix L—Vascular Families Appendix M—Renumbered CPT Codes–Citations Crosswalk Appendix N—Summary of Resequenced CPT Codes Appendix O—Multianalyte Assays with Algorithmic Analyses and Proprietary Laboratory Analyses Appendix P—CPT Codes That May Be Used for Synchronous Real-Time Interactive Audio-Video Telemedicine Services Appendix Q—Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) Vaccines Appendix R—Digital Medicine–Services Taxonomy Appendix S—Artificial Intelligence Taxonomy for Medical Services and Procedures Appendix T—CPT Codes That May Be Used for Synchronous Real-Time Interactive Audio-Only Telemedicine Services Index Annual Code Set Release Cycle Inside Back Cover Backcover