Foreword |
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viii | |
Using This Book |
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ix | |
The Symbols |
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ix | |
The Rationale |
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ix | |
Reading the Clinical Examples |
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x | |
Summary of Additions, Deletions, and Revisions and Indexes |
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x | |
CPT Codebook Conventions and Styles |
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x | |
Introduction |
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1 | (2) |
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Instructions for Use of the CPT Codebook |
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1 | (1) |
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2 | (1) |
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2 | (1) |
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Evaluation and Management |
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3 | (17) |
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Summary of Additions, Deletions, and Revisions |
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3 | (17) |
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Evaluation and Management (E/M) Services Guidelines |
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20 | (53) |
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20 | (1) |
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Classification of Evaluation and Management (E/M) Services |
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20 | (9) |
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New and Established Patients |
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20 | (1) |
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Initial and Subsequent Services |
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21 | (1) |
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Services Reported Separately |
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21 | (1) |
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History and/or Examination |
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22 | (1) |
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22 | (1) |
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Guidelines for Selecting Level of Service Based on Medical Decision Making |
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23 | (1) |
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Number and Complexity of Problems Addressed at the Encounter |
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23 | (3) |
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Amount and/or Complexity of Data to Be Reviewed and Analyzed |
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26 | (1) |
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Risk of Complications and/or Morbidity or Mortality of Patient Management |
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27 | (1) |
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Guidelines for Selecting Level of Service Based on Time |
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28 | (1) |
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29 | (1) |
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29 | (2) |
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Office or Other Outpatient Services |
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31 | (1) |
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Hospital Observation Services |
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31 | (7) |
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Observation Care Discharge Services |
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31 | (1) |
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31 | (1) |
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Subsequent Observation Care |
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31 | (1) |
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Hospital Inpatient and Observation Care Services |
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31 | (1) |
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Initial Hospital Inpatient or Observation Care |
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32 | (2) |
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Subsequent Hospital Inpatient or Observation Care |
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34 | (1) |
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Hospital Inpatient or Observation Care Services (Including Admission and Discharge Services) |
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35 | (2) |
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Hospital Inpatient or Observation Discharge Services |
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37 | (1) |
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38 | (4) |
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Office or Other Outpatient Consultations |
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38 | (2) |
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Inpatient or Observation Consultations |
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40 | (2) |
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Emergency Department Services |
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42 | (2) |
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New or Established Patient |
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42 | (2) |
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Nursing Facility Services |
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44 | (4) |
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Initial Nursing Facility Care |
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45 | (2) |
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Subsequent Nursing Facility Care |
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47 | (1) |
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Nursing Facility Discharge Services |
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48 | (1) |
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Other Nursing Facility Services |
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48 | (1) |
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Domiciliary, Rest Home (eg, Boarding Home), or Custodial Care Services |
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48 | (1) |
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48 | (1) |
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48 | (1) |
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Domiciliary, Rest Home (eg, Assisted Living Facility), or Home Care Plan Oversight Services |
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49 | (3) |
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Home or Residence Services |
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49 | (1) |
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49 | (2) |
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51 | (1) |
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52 | (4) |
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Prolonged Service With Direct Patient Contact (Except with Office or Other Outpatient Services) |
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52 | (1) |
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Prolonged Service on Date Other Than the Face-to-Face Evaluation and Management Service Without Direct Patient Contact |
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52 | (1) |
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Prolonged Clinical Staff Services With Physician or Other Qualified Health Care Professional Supervision |
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53 | (1) |
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Prolonged Service With or Without Direct Patient Contact on the Date of an Evaluation and Management Service |
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54 | (2) |
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56 | (1) |
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56 | (1) |
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Care Plan Oversight Services |
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57 | (1) |
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Preventive Medicine Services |
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57 | (1) |
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Counseling Risk Factor Reduction and Behavior Change Intervention |
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58 | (1) |
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Non-Face-to-Face Services |
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58 | (4) |
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58 | (1) |
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Online Digital Evaluation and Management Services |
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58 | (1) |
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Interprofessional Telephone/lnternet/Electronic Health Record Consultations |
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59 | (1) |
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Digitally Stored Data Services/Remote Physiologic Monitoring |
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60 | (1) |
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Remote Physiologic Monitoring Treatment Management Services |
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61 | (1) |
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62 | (1) |
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Delivery/Birthing Room Attendance and Resuscitation Services |
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62 | (1) |
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Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care Services |
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63 | (3) |
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Pediatric Critical Care Patient Transport |
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63 | (1) |
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Inpatient Neonatal and Pediatric Critical Care |
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64 | (1) |
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Initial and Continuing Intensive Care Services |
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65 | (1) |
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Cognitive Assessment and Care Plan Services |
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66 | (2) |
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68 | (2) |
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Chronic Care Management Services |
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68 | (1) |
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Complex Chronic Care Management Services |
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68 | (1) |
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Principal Care Management Services |
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69 | (1) |
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Transitional Care Management Services |
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70 | (2) |
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72 | (1) |
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73 | (54) |
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Summary of Additions, Deletions, and Revisions |
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73 | (3) |
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76 | (2) |
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Skin, Subcutaneous, and Accessory Structures |
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76 | (1) |
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76 | (2) |
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78 | (10) |
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78 | (3) |
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81 | (1) |
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82 | (1) |
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Femur (Thigh Region) and Knee Joint |
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83 | (1) |
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83 | (1) |
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83 | (1) |
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84 | (1) |
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84 | (4) |
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85 | (3) |
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88 | (1) |
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Hemic and Lymphatic Systems |
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88 | (100) |
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Transplantation and Post-Transplantation Cellular Infusions |
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99 | (1) |
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100 | (1) |
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100 | (2) |
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Intestines (Except Rectum) |
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102 | (1) |
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102 | (1) |
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Abdomen, Peritoneum, and Omentum |
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103 | (9) |
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112 | (2) |
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112 | (2) |
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114 | (1) |
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114 | (1) |
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114 | (1) |
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Maternity Care and Delivery |
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115 | (1) |
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116 | (5) |
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Extracranial Nerves, Peripheral Nerves, and Autonomic Nervous System |
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116 | (5) |
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121 | (1) |
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121 | (1) |
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121 | (6) |
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121 | (1) |
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122 | (3) |
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125 | (2) |
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127 | (8) |
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Summary of Additions, Deletions, and Revisions |
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127 | (1) |
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Diagnostic Radiology (Diagnostic Imaging) |
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128 | (2) |
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128 | (2) |
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130 | (1) |
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130 | (1) |
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Ultrasonic Guidance Procedures |
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131 | (1) |
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132 | (1) |
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132 | (1) |
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132 | (1) |
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132 | (1) |
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133 | (2) |
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133 | (2) |
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135 | (32) |
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Summary of Additions, Deletions, and Revisions |
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135 | (4) |
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Pathology Clinical Consultations |
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139 | (1) |
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Genomic Sequencing Procedures and Other Molecular Multianalyte Assays |
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139 | (4) |
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143 | (1) |
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143 | (3) |
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146 | (5) |
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Proprietary Laboratory Analyses |
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151 | (16) |
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167 | (44) |
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Summary of Additions, Deletions, and Revisions |
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167 | (2) |
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Immunization Administration for Vaccines/Toxoids |
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169 | (7) |
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176 | (4) |
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180 | (3) |
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Psychiatric Diagnostic Procedures |
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181 | (2) |
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183 | (1) |
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183 | (1) |
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Miscellaneous Dialysis Procedures |
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183 | (1) |
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184 | (1) |
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184 | (1) |
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184 | (2) |
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Special Ophthalmological Services |
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184 | (2) |
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Special Otorhinolaryngologic Services |
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186 | (1) |
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Vestibular Function Tests, Without Electrical Recording |
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186 | (1) |
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Evaluative and Therapeutic Services |
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186 | (1) |
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187 | (11) |
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Therapeutic Services and Procedures |
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187 | (2) |
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189 | (1) |
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Cardiovascular Monitoring Services |
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190 | (1) |
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190 | (7) |
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Intracardiac Electrophysiological Procedures/Studies |
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197 | (1) |
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Peripheral Arterial Disease Rehabilitation |
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197 | (1) |
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Home and Outpatient International Normalized Ratio (INR) Monitoring Services |
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197 | (1) |
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198 | (1) |
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198 | (1) |
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Pulmonary Diagnostic Testing, Rehabilitation, and Therapies |
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198 | (1) |
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Allergy and Clinical Immunology |
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198 | (1) |
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Neurology and Neuromuscular Procedures |
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199 | (1) |
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199 | (1) |
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200 | (1) |
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200 | (1) |
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Health Behavior Assessment and Intervention |
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200 | (3) |
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Behavior Management Services |
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201 | (2) |
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Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration |
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203 | (1) |
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Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration) |
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203 | (1) |
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Physical Medicine and Rehabilitation |
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204 | (1) |
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204 | (1) |
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204 | (1) |
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205 | (1) |
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Osteopathic Manipulative Treatment |
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205 | (1) |
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Chiropractic Manipulative Treatment |
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206 | (1) |
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Education and Training for Patient Self-Management |
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206 | (1) |
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Non-Face-to-Face Nonphysician Services |
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207 | (2) |
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Qualified Nonphysician Health Care Professional Online Digital Assessment and Management Service |
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207 | (1) |
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Remote Therapeutic Monitoring Services |
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207 | (1) |
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Remote Therapeutic Monitoring Treatment Management Services |
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208 | (1) |
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Home Health Procedures/Services |
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209 | (2) |
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211 | (40) |
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Summary of Additions, Deletions, and Revisions |
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211 | (40) |
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251 | (2) |
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Summary of Additions, Deletions, and Revisions |
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251 | (1) |
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252 | (1) |
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253 | (2) |
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253 | (2) |
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255 | (48) |
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Summary of Additions, Deletions, and Revisions |
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255 | (4) |
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Multianalyte Assays with Algorithmic Analyses and Proprietary Laboratory Analyses |
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259 | (44) |
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303 | (2) |
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Summary of Additions, Deletions, and Revisions |
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303 | (1) |
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CPT Codes That May Be Used For Synchronous Telemedicine Services |
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304 | (1) |
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305 | (4) |
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Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) (coronavirus disease [ COVID-19]) Vaccines |
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305 | (4) |
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309 | (6) |
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Digital Medicine-Services Taxonomy |
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309 | (6) |
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315 | (2) |
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Artificial Intelligence Taxonomy for Medical Services and Procedures |
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315 | (2) |
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317 | (3) |
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Summary of Additions, Deletions, and Revisions |
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317 | (3) |
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CPT Codes That May Be Used For Synchronous Real-Time Interactive Audio-Only Telemedicine Services |
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319 | (1) |
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320 | (1) |
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Instructions for the Use of the Changes Indexes |
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320 | (1) |
Index of Coding Changes |
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321 | (13) |
Index of Modifiers |
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334 | |