CPTs & ICDs

CPT (Current Procedural Terminology) and ICD (International Classification of Diseases) are two different coding systems used in healthcare to document and communicate medical procedures and diagnoses.

 

CPT codes are used to describe the medical procedures, services, and treatments provided by healthcare providers. These codes are developed and maintained by the American Medical Association (AMA) and are widely used in the United States to ensure accurate billing and reimbursement for medical services.

CPT Code Lookup/List of CPT Codes in Medical Billing

Anesthesia CPT Codes (00100 – 01999)

CPT Code Range	CPT Description
00100-00222	Anesthesia for Procedure and Services on the Head
00300-00352	Anesthesia for Procedure and Services on the Neck
00400-00474	Anesthesia for Procedure and Services on the Thorax (Chest Wall and Shoulder Girdle)
00500-00580	Anesthesia for Intrathoracic Procedure and Services
00600-00670	Anesthesia for Procedure and Services on the Spine and Spinal Cord
00700-00797	Anesthesia for Procedure and Services on the Upper Abdomen
00800-00882	Anesthesia for Procedure and Services on the Lower Abdomen
00902-00952	Anesthesia for Procedure and Services on the Perineum
01112-01173	Anesthesia for Procedure and Services on the Pelvis (Except Hip)
01200-01274	Anesthesia for Procedure and Services on the Upper Leg (Except Knee)
01320-01444	Anesthesia for Procedure and Services on the Knee and Popliteal Area
01462-01522	Anesthesia for Procedure and Services on the Lower Leg (Below Knee)
01610-01680	Anesthesia for Procedure and Services on the Shoulder and Axilla
01710-01782	Anesthesia for Procedure and Services on the Upper Arm and Elbow
01810-01860	Anesthesia for Procedure and Services on the Forearm, Wrist, and Hand
01916-01936	Anesthesia for Radiological Procedure and Services
01951-01953	Anesthesia for Burn Excisions or Debridement Procedure and Services
01958-01969	Anesthesia for Obstetric Procedure and Services
01990-01999	Anesthesia for Other Procedure and Services

Surgery CPT Codes (10004 – 69990)

CPT Codes Range	CPT Description
10004-10021	General Surgical Procedure and Services
10030-19499	Surgical Procedure and Services on the Integumentary System
20100-29999	Surgical Procedure and Services on the Musculoskeletal System
30000-32999	Surgical Procedure and Services on the Respiratory System
33016-37799	Surgical Procedure and Services on the Cardiovascular System
38100-38999	Surgical Procedure and Services on the Hemic and Lymphatic Systems
39000-39599	Surgical Procedure and Services on the Mediastinum and Diaphragm
40490-49999	Surgical Procedure and Services on the Digestive System
50010-53899	Surgical Procedure and Services on the Urinary System
54000-55899	Surgical Procedure and Services on the Male Genital System
55920-55920	Reproductive System Procedure and Services
55970-55980	Intersex Surgery
56405-58999	Surgical Procedure and Services on the Female Genital System
59000-59899	Surgical Procedure and Services for Maternity Care and Delivery
60000-60699	Surgical Procedure and Services on the Endocrine System
61000-64999	Surgical Procedure and Services on the Nervous System
65091-68899	Surgical Procedure and Services on the Eye and Ocular Adnexa
69000-69979	Surgical Procedure and Services on the Auditory System
69990-69990	Operating Microscope Procedure and Services

 

Radiology Procedures Codes (70010- 79999)

CPT Codes Range	CPT Description
70010-76499	Diagnostic Radiology (Diagnostic Imaging) Procedure and Services
76506-76999	Diagnostic Ultrasound Procedure and Services
77001-77022	Radiologic Guidance
77046-77067	Breast, Mammography
77071-77086	Bone/Joint Studies
77261-77799	Radiation Oncology Treatment
78012-79999	Nuclear Medicine Procedure and Services

Pathology and Lab CPT Codes (0001U- 89398)

CPT Codes Range	CPT Description
0001U-0241U	Proprietary Laboratory Analyses
80047-80081	Organ or Disease Oriented Panels
80143-80377	Therapeutic Drug Assays
80305-83992	Drug Assay Procedure and Services
80400-80439	Evocative/Suppression Testing Procedure and Services
80500-80502	Clinical Pathology Consultations
81000-81099	Urinalysis Procedure and Services
81105-81479	Molecular Pathology Procedure and Services
81410-81471	Genomic Sequencing Procedure and Services and Other Molecular Multianalyte Assays
81490-81599	Multianalyte Assays with Algorithmic Analyses
82009-84999	Chemistry Procedure and Services
85002-85999	Hematology and Coagulation Procedure and Services
86000-86849	Immunology Procedure and Services
86850-86999	Transfusion Medicine Procedure and Services
87003-87999	Microbiology Procedure and Services
88000-88099	Anatomic Pathology Procedure and Services
88104-88199	Cytopathology Procedure and Services
88230-88299	Cytogenetic Studies
88300-88399	Surgical Pathology Procedure and Services
88720-88749	In Vivo (eg, Transcutaneous) Laboratory Procedure and Services
89049-89240	Other Pathology and Laboratory Procedure and Services
89250-89398	Reproductive Medicine Procedure and Services

Medicine Services and CPT Codes (90281- 99607)

CPT Code	CPT Description
90281-90399	Immune Globulins, Serum or Recombinant Products
90460-0031A	Immunization Administration for Vaccines/Toxoids
90476-90756	Vaccines, Toxoids
90785-90899	Psychiatry Services and Procedure and Services
90901-90913	Biofeedback Services and Procedure and Services
90935-90999	Dialysis Services and Procedure and Services
91010-91299	Gastroenterology Procedure and Services
91300-91303	COVID-19 Vaccines/Toxoids
92002-92499	Ophthalmology Services and Procedure and Services
92502-92700	Special Otorhinolaryngologic Services and Procedure and Services
92920-93799	Cardiovascular Procedure and Services
93880-93998	Non-Invasive Vascular Diagnostic Studies
94002-94799	Pulmonary Procedure and Services
95004-95199	Allergy and Clinical Immunology Procedure and Services
95249-95251	Endocrinology Services
95700-96020	Neurology and Neuromuscular Procedure and Services
96040-96040	Medical Genetics and Genetic Counseling Services
96105-96146	Central Nervous System Assessments/Tests (eg, Neuro-Cognitive, Mental Status, Speech Testing)
96156-96171	Health Behavior Assessment and Intervention Procedure and Services
96360-96549	Hydration, Therapeutic, Prophylactic, Diagnostic Injections and Infusions, and Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration
96567-96574	Photodynamic Therapy Procedure and Services
96900-96999	Special Dermatological Procedure and Services
97010-97799	Physical Medicine and Rehabilitation Evaluations
97151-97158	Adaptive Behavior Services
97802-97804	Medical Nutrition Therapy Procedure and Services
97810-97814	Acupuncture Procedure and Services
98925-98929	Osteopathic Manipulative Treatment Procedure and Services
98940-98943	Chiropractic Manipulative Treatment Procedure and Services
98960-98962	Education and Training for Patient Self-Management
98966-98972	Non-Face-to-Face Nonphysician Services
99000-99091	Special Services, Procedure and Services and Reports
99100-99140	Qualifying Circumstances for Anesthesia
99151-99157	Moderate (Conscious) Sedation
99170-99199	Other Medicine Services and Procedure and Services
99500-99602	Home Health Procedure and Services and Services
99605-99607	Medication Therapy Management Services

E & M Services Codes (99091- 99499)

CPT Codes	CPT Description
99091-99474	Non-Face-to-Face Evaluation and Management Services
99202-99215	Office or Other Outpatient Services
99217-99226	Hospital Observation Services
99221-99239	Hospital Inpatient Services
99241-99255	Consultation Services
99281-99288	Emergency Department Services
99291-99292	Critical Care Services
99304-99318	Nursing Facility Services
99324-99337	Domiciliary, Rest Home (eg, Boarding Home), or Custodial Care Services
99339-99340	Domiciliary, Rest Home (eg, Assisted Living Facility), or Home Care Plan Oversight Services
99341-99350	Home Services
99354-99417	Prolonged Services
99366-99368	Case Management Services
99374-99380	Care Plan Oversight Services
99381-99429	Preventive Medicine Services
99439-99491	Care Management Evaluation and Management Services
99450-99458	Special Evaluation and Management Services
99460-99463	Newborn Care Services
99464-99465	Delivery/Birthing Room Attendance and Resuscitation Services
99466-99486	Inpatient Neonatal Intensive Care Services and Pediatric and Neonatal Critical Care Services
99483-99486	Cognitive Assessment and Care Plan Services
99484-99484	General Behavioral Health Integration Care Management
99492-99494	Psychiatric Collaborative Care Management Services
99495-99496	Transitional Care Evaluation and Management Services
99497-99498	Advance Care Planning Evaluation and Management Services
99499-99499	Other Evaluation and Management Services

Category 2 CPT Codes (0001F- 9007F)

CPT Codes	CPT Description
0001F-0015F	Composite Measures
0500F-0584F	Patient Management
1000F-1505F	Patient History
2000F-2060F	Physical Examination
3006F-3776F	Diagnostic/Screening Processes or Results
4000F-4563F	Therapeutic, Preventive or Other Interventions
5005F-5250F	Follow-up or Other Outcomes
6005F-6150F	Patient Safety
7010F-7025F	Structural Measures
9001F-9007F	Non-Measure Category II Codes

Multianalyte Assay CPT Codes :

CPT Codes	CPT Description
0002M	This CPT is Under Multianalyte Assay The Current Procedural Terminology code 0002M as maintained by AMA.
0003M	The laboratory analysts perform the technical lab tests for 10 biochemical assays and carries out an algorithmic analysis using patient data and the lab test results to report a quantitative score for liver fibrosis, steatosis, and nonalcoholic steatohepatitis (NASH)
0004M	The laboratory analysts perform the technical lab tests for DNA analysis of 53 single nucleotide polymorphisms (SNPs), and carries out an algorithmic analysis using patient data and the lab test results to report a progression risk score.
0006M	The lab analyst performs the technical lab tests for alpha–fetoprotein and for mRNA gene expression profiling for 161 genes using fresh tumor tissue from hepatocellular carcinoma.
0007M	The lab analyst performs the technical lab tests for mRNA gene expression profiling for 51 genes and carries out an algorithmic analysis using patient data and the lab test results to report a graphic index representing the tumor nature and progression.
0011M	The technical lab tests for mRNA gene expression profiling for 12 genes and carries out an algorithmic analysis using patient data and the lab test results of blood and urine to report a score that predicts high–grade prostate cancer risk.
0012M	The technical lab tests for mRNA gene expression profiling for five genes listed in the code and carries out an algorithmic analysis using patient data and the lab test results to report a risk sore for urothelial carcinoma, such as bladder cancer.
0013M	The lab tests for mRNA gene expression profiling for five genes listed in the code and carries out an algorithmic analysis using patient data and the lab test results to report a risk sore for recurrent urothelial carcinoma, such as bladder cancer.
0014M	The technical lab tests for 3 biomarkers of liver disease, (hyaluronic acid, procollagen III amino–terminal peptide, tissue inhibitor of metalloproteinase 1, and carries out an algorithmic analysis using patient data and the lab test results to report a risk score for liver fibrosis and liver–related clinical events that could occur within 5 years.
0015M	The technical lab steps to evaluate a 24–hour urine specimen for 25 steroid markers related to adrenal cortical tumors.
0016M	The technical lab tests for mRNA gene expression profiling for 219 genes using formalin–fixed paraffin–embedded tissue of a bladder tumor specimen and carries out an algorithmic analysis using patient data and the lab test results to report the molecular subtype of bladder cancer.
0017M	This is an administrative multianalyte assay with algorithmic analysis (MAAA) code represented by a proprietary name in CPT® Appendix O, meaning that the code applies to only one unique lab test made by a specific manufacturer or performed by a specific lab. Report 0017M only for Lymph2Cx by Mayo Clinic Arizona Molecular Diagnostics Laboratory to evaluate a formalin–fixed, paraffin–embedded (FFPE) tissue specimen for mRNA gene–expression profiling of 20 genes using fluorescent probe hybridization and an algorithmic analysis to identify the cell of origin for patients with diffuse large B–cell lymphoma (DLBCL) to enhance prognostic and therapeutic decision making.
0018M	Report 0018M only for PleximarkTM, from Plexision Inc., to evaluate a whole peripheral blood specimen from a kidney transplant patient for CD154+T–cytotoxic memory cell levels

Category 3 CPT Codes:

CPT Codes	CPT Description
0042T-0184T	Various Services – Category III Codes
0191T-0232T	Remote Real-Time Interactive Video-conferenced Critical Care Services and Other Undefined Category Codes
0234T-0317T	Atherectomy (Open or Percutaneous) for Supra-Inguinal Arteries and Other Undefined Category Codes
0329T-0358T	Imaging, Testing, Implantation and Other Services
0362T-0373T	Adaptive Behavior Assessments
0376T-0379T	Other Procedure and Services and Assessments
0394T-0423T	Pacemaker – Leadless and Pocketless System
0424T-0468T	Phrenic Nerve Stimulation System Procedure and Services
0469T-0478T	Imaging, evaluation, programming and recording Procedure and Services
0479T-0480T	Laser ablation Procedure and Services
0481T-0481T	Blood products transfusion procedure
0483T-0484T	Cardiac diagnostic imaging and surgical Procedure and Services
0485T-0487T	Diagnostic Procedure and Services
0488T-0488T	Behavior Analysis
0489T-0493T	Cellular regeneration, evaluation study and ablation Procedure and Services
0494T-0496T	Organ transplantation Procedure and Services
0497T-0498T	Cardiac imaging Procedure and Services
0499T-0499T	Procedure and Services performed on Urethra
0500T-0500T	Human Papillomavirus (HPV) analysis
0501T-0504T	Coronary artery disease (CAD) analysis
0505T-0508T	Other Diagnostic and Therapeutic Procedure and Services
0509T-0514T	Vision Studies, Implants and Therapies
0515T-0523T	Cardiac Device Implantation, Analysis and Removal Procedure and Services
0524T-0524T	Ablation Procedure and Services
0525T-0532T	Intracardiac Ischemia Monitoring Procedure and Services
0533T-0536T	Movement Disorder Analysis
0537T-0540T	Cellular Therapy Procedure and Services
0541T-0542T	Cardiac Muscle Imaging
0543T-0545T	Cardiac Valve Repair Procedure and Services
0546T-0547T	Radiofrequency Spectrometry Assessment and Bone Quality Testing Procedure and Services
0548T-0551T	Incontinence Management Procedure and Services
0552T-0553T	Laser Therapy and Implant Procedure and Services
0554T-0557T	Bone Strength And Fracture Risk Assessment
0558T-0558T	Computed Tomography Analysis
0559T-0562T	Anatomic Model And Guide Creation
0563T-0568T	Chemo Drug Essay, Implant and Other Procedure and Services
0569T-0580T	Cardiac Procedure and Services with Evaluation on Valves and ICD System
0581T-0582T	Ablation Procedure and Services
0583T-0583T	Procedure and Services Peformed on Ear
0584T-0586T	Islet Cell Transplant Procedure
0587T-0590T	Neurostimulation Procedure and Services
0591T-0593T	Health And Well-Being Coaching
0594T-0594T	Limb Lengthening Procedure
0596T-0597T	Female Voiding Prosthesis Procedure and Services
0598T-0599T	Wound Imaging for Bacterial Presence
0600T-0601T	Irreversible Electroporation Ablation Procedure and Services
0602T-0603T	Transdermal GFR Measurement and Monitoring
0604T-0606T	Eye Imaging Procedure and Services (Remote)
0607T-0608T	Remote Monitoring of Pulmonary System
0609T-0612T	Magnetic Resonance Spectroscopy Imaging

0613T-0614T	Cardiac Implantation and Replacement Procedure and Services
0615T-0618T	Procedure and Services performed on Eyes
0619T-0619T	Procedure and Services performed on Prostate
0620T-0620T	Endovascular Lower Limb Procedure
0621T-0622T	Trabeculotomy Procedure by Laser (Ab Interno)
0623T-0626T	Automated Analysis of Coronary Atherosclerotic plaque for CAD
0627T-0630T	Percutaneous Lumbar Intravertebral Disc Injection Procedure
0631T-0631T	Hyperspectral Imaging Measurement of Hemoglobin
0632T-0632T	Transcatheter Ultrasound Nerve Ablation Procedure
0633T-0638T	CT Breast (with/without Contrast)
0639T-0639T	CSF Shunt Analysis

ICD

On the other hand, ICD codes are used to classify and code diagnoses and medical conditions. They provide a standardized way to classify diseases, injuries, and other health conditions for the purposes of medical documentation, billing, and statistical analysis. ICD codes are developed and maintained by the World Health Organization (WHO).

In summary, CPT codes describe the medical procedures and services provided by healthcare providers, while ICD codes describe the medical conditions and diagnoses of patients. Both coding systems are essential in ensuring accurate documentation, billing, and reimbursement in the healthcare industry.