CPT Codes

Code	Fee	Definition	Code	Fee	Definition
99201	$25.00	Outpatient Approx 10 minutes (NEW PATIENT)	99211	$ 25.00	Established patient approx 5 mins
99202		Outpatient Approx 20 minutes (NEW PATIENT)	99212		Established patient apporx 10 mins
99203		Outpatient Approx 30 minutes (NEW PATIENT)	99213		Established patient approx 15 mins
99204		Outpatient Approx 45 minutes (NEW PATIENT)	99214		Established patient approx 25 mins
99205		Outpatient Approx 60 minutes (NEW PATIENT)	99215		Established patient apporx 40 mins
99241		Office New or Established Approx 15 mins	99394		Established patient 12-17
99242		Office New or Established Approx 30 mins	99395		Established patient 18-39
99243		Office New or Established Approx 40 mins	99396		Established patient 40-64
99244		Office New or Established Approx 60 mins	99397		Established patient 65 and over
99245		Office New or Established Approx 80 mins	59425		4-6 Total visits, routine OB
99384		New Patient Age 12-17	59426		7 + Total visits, routine OB
99385		New Patient Age 18-39	59430		Postpartum only (sep proc.)
99386		New Patient Age 40-64	99354		First hour (30-74 mins) Prolonged service (face to face)
99387		New Patient Age 65 and over	99355		Each added 30 min (75-104 min) Prolonged service face-face
G0101		Pelvic/breast exam (V72.31,V76.2,V76.47,V76.49,V15.89) Medicare Service	99024		Post-op follow-up
Q0091		Pap smear collect (V72.31,V76.2,V76.47,V76.49,V15.89) Medicare Service	G0107		Hemoccult (V76.41, V76.51)
		PROCEDURE BY SITE			PROCEDURE BY SITE
	BREAST			COLPOSCOPY
10021		Fine needle aspir w/o guidance	57452		Cervix + upper/adjacent vagina
10022		Fine needle aspir w guidance	57455		Cervix + upper/adj vag + bx cervix
19000		Puncture aspiration cyst	57454		Cervix + upper/adj vag + bx cervix + ECC
76092		Screening mammography	57456		Cervix + upper/adj vag + ECC
	CERVIX		57460		Cervix + upper/adj vag + leep bx cervix
57800		Cervical dilation	57461		Cervix + upper/adj vag + leep cone
57511		Cryocautery of cervix	57420		Entire vagina + cervix if present
57505		Endocervical curettage	57421		Entire vagina + bx cervix & vagina
	SKIN		56820		Vulva
11200		Skin tag excision, 1-15	56821		Vulva with biopsy
11201		Skin tag excision, ea. add 10		CONTRACEPTION
11100		Skin bx, 1 lesion	57170		Diaphragm/cervical cap fit
11101		Skin bx, ea, sep/add lesion	58300		IUD Insertion
	URINARY	SYTEM	58301		IUD Removal
51725		CMG, Simple	99070		SUpply, diaphragm or IUD
51726		CMG, Complex		IMMUNIZATIONS	IMMUNE GLOBULINS
5200		Cystourethroscopy (sep proc)	90632		Hepatitis A vaccine, IM
51702		Temp catheter simple	90746		Hepatitis B vaccine, IM
51772		UPP studies	90649		HPV vaccine IM
51741		Uroflowmetry, complex	90658		Influenza vaccine, split virus, IM
51736		Uroflowmetry, simple	90660		Influenza vaccine, live, intranasal
	UTERUS		90707		MMR, subcutaneous
58100		Endometrial BX (includes ECC)	90710		MMRV, subcutaneous
58110		Endometrial BX w/colposcopy	90732		Pneumovax, subq or IM
58356		Endometrial cryoablation, u/s guide	90384		Rhogam, full-dose, IM
58555		Hysteroscopy, dx (sep proc)	90385		Rhogam, mini-dose IM
58558		Hysteroscopy, w/sampling (bx)	90396		Varicella-Zoster, IM
58565		Hysteroscopy w/tubal occlusion		INJECTIONS
	VAGINA		64435		Admin paracervical block
57100		Bx Vag mucosa, simple (sep proc)	J1055		Dep-Provera 150 mg
57105		Bx vag mucosa, extensive	99070		Drug supply, non-Medicare pt
56605		Bx vulva/perineum (sep proc) 1 lesion	90772		Injection, methotrexate
56606		Bx vulva/perineum each add.	90772		Injection, other drug,subq or IM
57061		Destruct vagi lesion(s), simple		LABORATORY
57065		Destruct vagi lesion(s), extensive	82106		AFP, amniotic fluid
56501		Destruct vulvar lesion(s), simple	82105		AFP, serum
56515		Destruct vulvar lesion(s), extensive	8500X		Blood count, WBC
56420		I&D Bartholin's gland abscess	85018		Blood count, Hgb
56405		I&D vulva or perineal abscess	86300		CA 15-3 antigen
56440		Marsup of Bartholin's cyst	86304		CA 125 antigen
57160		Pessary/other device insert/fit	86316		Cancer antigen other
		OB PROCEDURES	87077		Culture, bacteria, aerobic
59000		Amniocentesis, dx	87075		Culture, bacteria, anaerobic
59001		Amnio fluid reduct w/ guidance	87088		Culture, bacteria, urine
59015		Chorionic villus sampling	87081		Culture, pathogens, screen
59412		External cephalic version	82627		DHEA-S
59020		Fetal contract stress test	80051		Electrolyte panel
59025		Fetal non-stress test	82670		Estradiol
59200		Insert cervical dilator (sep proc)	82731		Fetal fibronectin
		ULTRASOUND, NON-OB	83001		FSH
76856		Complete pelvic	87850		Gonorrhea, direct observ
76857		Limited/follow-up pelvic	87590		Gonorrhea, direct prove
58340		SIS, catheterization	84703		hCG, qualitative
76831		SIS, u/s superv&interp	84702		hCG, quantitative
76830		Transvaginal	80074		Hepatitis panel, acute
78730		Urinary bladder residual study
76770		Sonorenal Ultrasound
		ULTRASOUND, OB	875XX		Herpes culture
76818		BPP (Includes NST)	86701		HIV-1 antibody
76819		BPP (Excludes NST)	89300		Huhner test
76821		Doppler velocimetry, MCA	87210		KOH prep
76820		Doppler velocimetry, UA	83002		LH
76827		Fetal Doppler, complete	80061		Lipid panel
73828		Fetal Doppler, follow-up/repeat	80076		Liver function test
76816		Follow-up, per fetus	80048		Metabolic panel ,basic
76815		LImited, one or more fetuses	80053		Metabolic panel, comp
76801		Mat/fetal, 1st tri, 1 fetus	80055		Obstetric panel
76802		Mat/fetal, 1st trik added fetus	84144		Progesterone
76805		Mat/fetal, tri 2-3, 1 fetus	84146		Prolactin
76810		Mat/fetal, tri 2-3, added fetus	86762		Rubella Titer
76811		Mat/detailed fetal, 1 fetus	82270		Stool for occult blood, 3 specimens
76812		Mat/detailed fetal, added fetus	86592		Syphilis test; qual
76817		Transvaginal	86580		TB mantoux test
		MISCELLANEOUS/SUPPLIES			Triple Screen (84702+82105+82670)
3641X		Collect blood specimen	84443		TSH
10180		I&D comp postop wound infection	81007		UA, bacteriuria screen
J7300		IUD, copper	81000		UA, dipstick w/microscope
J7302		IUD, levonogestrel	81002		UA, dipstick w/o microscope
99070		Supplies (IUD, pessary, drug)	81025		Urine pregnancy test
A4561		Pessary, rubber (MEDICARE)	87210		Wet Mount
A4562		Pessary, non-rubber (MEDICARE)
57020		Culdocentesis
		MODIFIERS			MODIFIERS
-22		Unusual proc	-24		Unrelated E/M postop
-25		E/M + proc same day	-53		Discontinued proc
-32		Mandated confirm consults	-57		Decision for surgery
-52		Reduced services	-59		Distinct proc
-79		Unrelated pdx postop