CPT & HCPCS Codes
Individual code guides with 2026 Medicare rates. 82 entries.
CPT 10060 reports incision and drainage of a simple or single cutaneous or subcutaneous abscess, such as a boil or paro…
CPT 11042: Debridement, Subcutaneous Tissue, First 20 sq cmCPT 11042 reports surgical debridement of subcutaneous tissue (including epidermis and dermis if performed) for the fir…
CPT 11721: Debridement of Nails, 6 or MoreCPT 11721 reports debridement of 6 or more nails (toenails or fingernails) by any method in a single session. In 2026 M…
CPT 12001: Simple Repair, Scalp/Neck/Axilla/Trunk 2.5 cm or LessCPT 12001 reports simple, single-layer repair of a superficial wound of the scalp, neck, axilla, external genitalia, tr…
CPT 17000: Destruction of Premalignant Lesion, First LesionCPT 17000 reports destruction of the first premalignant lesion, typically an actinic keratosis, by any method such as c…
CPT 20552: Trigger Point Injection, 1 or 2 MusclesCPT 20552 reports injection(s) of one or two muscles for trigger points, regardless of how many injections are given. I…
CPT 20610: Major Joint Injection/AspirationCPT 20610 reports arthrocentesis, aspiration, and/or injection of a major joint or bursa (shoulder, hip, knee, subacrom…
CPT 29881: Knee Arthroscopy with MeniscectomyCPT 29881 reports arthroscopic meniscectomy of the medial OR lateral compartment of the knee, including any meniscal sh…
CPT 43239: Upper Endoscopy (EGD) with BiopsyCPT 43239 reports an esophagogastroduodenoscopy (EGD) with biopsy, single or multiple, per session, examining the esoph…
CPT 45378: Diagnostic ColonoscopyCPT 45378 reports a diagnostic colonoscopy, examination of the entire colon to the cecum, with or without brushing or w…
CPT 64483: Transforaminal Epidural Injection, Lumbar/SacralCPT 64483 reports a transforaminal epidural injection of anesthetic and/or steroid at a single lumbar or sacral level, …
CPT 66984: Cataract Removal with IOL InsertionCPT 66984 reports routine extracapsular cataract removal with insertion of an intraocular lens prosthesis in one stage,…
CPT 70450: CT Head/Brain Without ContrastCPT 70450 reports computed tomography of the head or brain without contrast material. It is the first-line CT for head …
CPT 71046: Chest X-Ray, 2 ViewsCPT 71046 reports a radiologic examination of the chest, 2 views (frontal and lateral). It is the standard two-view che…
CPT 72148: MRI Lumbar Spine Without ContrastCPT 72148 reports magnetic resonance imaging of the lumbar spinal canal and contents without contrast material. It is t…
CPT 73030: Shoulder X-Ray, CompleteCPT 73030 reports a radiologic examination of the shoulder, complete, minimum of 2 views. It is the standard shoulder s…
CPT 74177: CT Abdomen and Pelvis With ContrastCPT 74177 reports computed tomography of the abdomen and pelvis with contrast material. It is a combined single-code st…
CPT 76700: Abdominal Ultrasound, CompleteCPT 76700 reports a complete ultrasound of the abdomen, real time with image documentation. A complete exam surveys the…
CPT 76942: Ultrasound Guidance for Needle PlacementCPT 76942 reports ultrasonic guidance for needle placement (biopsy, aspiration, injection, or localization), including …
CPT 77067: Screening Mammography, BilateralCPT 77067 reports bilateral screening mammography (a 2-view study of each breast), including computer-aided detection (…
CPT 80048: Basic Metabolic Panel (BMP)CPT 80048 is the basic metabolic panel, a bundle of 8 defined chemistry tests covering glucose, electrolytes, and kidne…
CPT 80053: Comprehensive Metabolic Panel (CMP)CPT 80053 is the comprehensive metabolic panel, a bundle of 14 defined chemistry tests covering glucose, electrolytes, …
CPT 80061: Lipid PanelCPT 80061 is the lipid panel, a bundle of three required tests: total cholesterol (82465), HDL cholesterol (83718), and…
CPT 81003: Urinalysis, Automated, Without MicroscopyCPT 81003 reports an automated dipstick urinalysis without microscopy, where a machine reads the reagent strip for anal…
CPT 82947: Glucose, Blood, QuantitativeCPT 82947 reports a quantitative blood glucose measured on a laboratory analyzer, except by reagent strip. It is a clin…
CPT 83036: Hemoglobin A1c (Glycosylated Hemoglobin)CPT 83036 reports a glycosylated hemoglobin (HbA1c) test, which reflects average blood glucose over roughly three month…
CPT 84443: Thyroid Stimulating Hormone (TSH)CPT 84443 reports a thyroid stimulating hormone (TSH) blood test, the first-line measure for evaluating thyroid functio…
CPT 85025: Complete Blood Count (CBC) with Automated DifferentialCPT 85025 is a complete blood count with automated differential WBC count and platelet count. It bundles the CBC indice…
CPT 85610: Prothrombin Time (PT/INR)CPT 85610 reports a prothrombin time (PT), the clotting test used to monitor warfarin therapy; the INR is a calculated …
CPT 88305: Surgical Pathology, Level IV (Tissue Exam)CPT 88305 reports a Level IV surgical pathology examination of a single tissue specimen, with gross and microscopic eva…
CPT 90471: Immunization Administration (First Vaccine)CPT 90471 reports the administration of a single or first vaccine by injection. It bills the immunization service, not …
CPT 90686: Influenza Vaccine (IIV4, 0.5 mL)CPT 90686 is the influenza vaccine product code (quadrivalent inactivated, IIV4, preservative-free, 0.5 mL). Vaccine pr…
CPT 90715: Tdap Vaccine (Tetanus, Diphtheria, Pertussis)CPT 90715 is the Tdap vaccine product code (tetanus, diphtheria, acellular pertussis) for adolescents and adults. It ca…
CPT 93000: Electrocardiogram, CompleteCPT 93000 reports a routine electrocardiogram (ECG/EKG) with at least 12 leads, complete — including the tracing, inter…
CPT 93306: Transthoracic Echo With Doppler, CompleteCPT 93306 reports a complete transthoracic echocardiogram with 2D and M-mode imaging, plus spectral Doppler AND color f…
CPT 96372: Therapeutic, Prophylactic, or Diagnostic Injection (SC/IM)CPT 96372 reports the administration of a therapeutic, prophylactic, or diagnostic injection given subcutaneously or in…
CPT 97010: Hot and Cold Packs (Bundled)CPT 97010 reports application of hot or cold packs. On the Medicare fee schedule it carries status B — bundled — so it …
CPT 97110: Therapeutic ExerciseCPT 97110 reports therapeutic exercise to develop strength, endurance, range of motion, or flexibility, billed in 15-mi…
CPT 97112: Neuromuscular ReeducationCPT 97112 reports neuromuscular reeducation — retraining movement, balance, coordination, kinesthetic sense, posture, a…
CPT 97140: Manual Therapy TechniquesCPT 97140 reports manual therapy techniques — joint mobilization, manipulation, manual lymphatic drainage, and manual t…
CPT 97161: Physical Therapy Evaluation, Low ComplexityCPT 97161 reports a low-complexity physical therapy evaluation — a stable presentation with a limited history and 1-2 e…
CPT 97165: Occupational Therapy Evaluation, Low ComplexityCPT 97165 reports a low-complexity occupational therapy evaluation — a brief occupational profile, an assessment identi…
CPT 97530: Therapeutic ActivitiesCPT 97530 reports therapeutic activities — dynamic, functional tasks such as lifting, reaching, bending, or carrying to…
CPT 98940: Chiropractic Manipulative Treatment, 1-2 RegionsCPT 98940 reports chiropractic manipulative treatment (CMT) of one to two spinal regions. It is untimed, billed once pe…
CPT 99202: New Patient Office Visit, StraightforwardCPT 99202 reports a new patient office or outpatient visit with straightforward medical decision making or 15-29 minute…
CPT 99203: New Patient Office Visit, Low ComplexityCPT 99203 reports a new patient office or outpatient visit with low medical decision making or 30-44 minutes of total t…
CPT 99204: New Patient Office Visit, Moderate ComplexityCPT 99204 reports a new patient office or outpatient visit with moderate medical decision making or 45-59 minutes of to…
CPT 99205: New Patient Office Visit, High ComplexityCPT 99205 reports a new patient office or outpatient visit with high medical decision making or 60-74 minutes of total …
CPT 99211: Established Patient Office Visit, MinimalCPT 99211 reports a minimal established patient office visit that may not require a physician's presence, often a nurse…
CPT 99212: Established Patient Office Visit, StraightforwardCPT 99212 reports an established patient office or outpatient visit with straightforward medical decision making or 10-…
CPT 99213: Established Patient Office Visit, Low ComplexityCPT 99213 reports an established patient office or outpatient visit with low medical decision making or 20-29 minutes o…
CPT 99214: Established Patient Office Visit, Moderate ComplexityCPT 99214 reports an established patient office or outpatient visit with moderate medical decision making or 30-39 minu…
CPT 99215: Established Patient Office Visit, High ComplexityCPT 99215 reports an established patient office or outpatient visit with high medical decision making or 40-54 minutes …
CPT 99417: Prolonged Outpatient E/M, Each 15 MinutesCPT 99417 is a prolonged services add-on for each additional 15 minutes of office or outpatient E/M beyond a level-5 vi…
CPT 99421: Online Digital E/M, 5-10 MinutesCPT 99421 reports a patient-initiated online digital E/M (e-visit) with 5-10 minutes of cumulative provider time over a…
CPT 99422: Online Digital E/M, 11-20 MinutesCPT 99422 reports a patient-initiated online digital E/M (e-visit) with 11-20 minutes of cumulative provider time over …
CPT 99423: Online Digital E/M, 21 or More MinutesCPT 99423 reports a patient-initiated online digital E/M (e-visit) with 21 or more minutes of cumulative provider time …
CPT 99439: Chronic Care Management, Each Additional 20 MinutesCPT 99439 is an add-on for each additional 20 minutes of clinical staff time in non-complex chronic care management (CC…
CPT 99453: Remote Patient Monitoring Setup and EducationCPT 99453 is a one-time remote patient monitoring (RPM) setup code covering initial device setup and patient education …
CPT 99454: Remote Patient Monitoring Device Supply, 16-30 DaysCPT 99454 covers the RPM device supply with daily recordings or programmed alert transmissions over a 30-day period, re…
CPT 99457: Remote Patient Monitoring Treatment Management, First 20 MinutesCPT 99457 reports the first 20 minutes of remote patient monitoring (RPM) treatment management per calendar month, requ…
CPT 99458: Remote Patient Monitoring Treatment Management, Each Additional 20 MinutesCPT 99458 is an add-on for each additional 20 minutes of remote patient monitoring (RPM) treatment management per calen…
CPT 99484: General Behavioral Health Integration Care ManagementCPT 99484 reports at least 20 minutes of clinical staff time per calendar month providing general behavioral health int…
CPT 99487: Complex Chronic Care Management, First 60 MinutesCPT 99487 reports the first 60 minutes of clinical staff time in complex chronic care management (CCM) per calendar mon…
CPT 99489: Complex Chronic Care Management, Each Additional 30 MinutesCPT 99489 is an add-on for each additional 30 minutes of clinical staff time in complex chronic care management (CCM), …
CPT 99490: Chronic Care Management, First 20 MinutesCPT 99490 reports the first 20 minutes of clinical staff time, directed by a physician or QHP, delivering non-complex c…
CPT 99491: Chronic Care Management, Physician First 30 MinutesCPT 99491 reports the first 30 minutes of chronic care management provided personally by a physician or QHP per calenda…
CPT 99492: Initial Psychiatric Collaborative Care ManagementCPT 99492 reports the first 70 minutes of psychiatric Collaborative Care Model (CoCM) services in the initial month, de…
CPT 99493: Subsequent Psychiatric Collaborative Care ManagementCPT 99493 reports the first 60 minutes of psychiatric Collaborative Care Model (CoCM) services in a subsequent month, d…
CPT 99494: Psychiatric Collaborative Care, Each Additional 30 MinutesCPT 99494 is an add-on for each additional 30 minutes of psychiatric Collaborative Care Model (CoCM) care-manager time …
CPT 99495: Transitional Care Management, Moderate ComplexityCPT 99495 reports moderate-complexity transitional care management (TCM) after discharge, requiring contact within 2 bu…
CPT 99496: Transitional Care Management, High ComplexityCPT 99496 reports high-complexity transitional care management (TCM) after discharge, requiring contact within 2 busine…
HCPCS G0402: Initial Preventive Physical Exam (Welcome to Medicare)HCPCS G0402 is the Initial Preventive Physical Examination (IPPE), the once-per-lifetime "Welcome to Medicare" visit av…
HCPCS G0438: Initial Annual Wellness VisitHCPCS G0438 is the initial Medicare Annual Wellness Visit (AWV), billed once per lifetime after the first 12 months of …
HCPCS G0439: Subsequent Annual Wellness VisitHCPCS G0439 is the subsequent Medicare Annual Wellness Visit (AWV), billed every 12 months after the initial AWV. In 20…
HCPCS G2211: Visit Complexity Add-On for Longitudinal E/M CareHCPCS G2211 is an add-on for the inherent visit complexity of an office/outpatient E/M when the provider is the continu…
HCPCS G2212: Prolonged Outpatient E/M for Medicare, Each 15 MinutesHCPCS G2212 is Medicare's prolonged services add-on for each additional 15 minutes of office or outpatient E/M beyond a…
HCPCS J0585: OnabotulinumtoxinA (Botox) InjectionHCPCS J0585 reports onabotulinumtoxinA (Botox), per 1 unit — a neurotoxin used for chronic migraine, dystonia, spastici…
HCPCS J0696: Ceftriaxone Sodium InjectionHCPCS J0696 reports injectable ceftriaxone sodium, per 250 mg — a broad-spectrum cephalosporin antibiotic. As a Part B …
HCPCS J1100: Dexamethasone Sodium Phosphate InjectionHCPCS J1100 reports injectable dexamethasone sodium phosphate, per 1 mg — a corticosteroid used for inflammation, aller…
HCPCS J1885: Ketorolac Tromethamine InjectionHCPCS J1885 reports injectable ketorolac tromethamine, per 15 mg — an NSAID for short-term acute pain. As a Part B drug…
HCPCS J3301: Triamcinolone Acetonide InjectionHCPCS J3301 reports injectable triamcinolone acetonide (not otherwise specified), per 10 mg — a corticosteroid for join…
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