Apply Medicine Section Coding - Certified Professional Coder CPC

1. Which CPT code range is used for allergy and clinical immunology services (e.g., allergy testing and immunotherapy)?

   95004-95199. This range includes percutaneous tests, patch tests, and allergen immunotherapy in allergy services.

2. What is the correct CPT code range for dialysis services in the Medicine section?

   90935-90999. This range covers hemodialysis, peritoneal dialysis, and end-stage renal disease services in the Medicine section.

3. Identify the correct add-on code for each additional vaccine component when using 90460.

   90461 (each additional component). CPT designates this add-on code for reporting each additional component in multi-component vaccines when counseling is provided.

4. Which CPT code range is used for neurology and neuromuscular diagnostic testing (e.g., EEG, EMG, EP)?

   95812-96020. This range covers electroencephalography, electromyography, and evoked potential studies in neurology.

5. Which CPT code reports immunization administration for each additional injection when no counseling is provided?

   90472. This add-on code reports each subsequent injectable vaccine without counseling, following the primary administration code.

6. What is the CPT code range for cardiovascular stress tests and related cardiovascular procedures in the Medicine section?

   93000-93799. This range covers electrocardiography, echocardiography, cardiac catheterization, and stress testing in the Medicine section.

7. Which CPT code range is used for pulmonary function testing (PFT) procedures in the Medicine section?

   94010-94799. This range encompasses spirometry, bronchospasm provocation, and other pulmonary diagnostic tests in the Medicine section.

8. Which CPT code reports immunization administration by intranasal or oral route for the first vaccine when no counseling is provided?

   90473. This code is specified for the initial non-injectable (intranasal/oral) vaccine administration without counseling in the Medicine section.

9. Which CPT code range is used for chemotherapy and other highly complex drug administration services?

   96401-96549. This range includes subcutaneous, intramuscular, and infusion administrations for chemotherapy and complex biologics.

10. What is the CPT code range for special dermatological procedures (e.g., phototherapy) in the Medicine section?

    96900-96999. This range encompasses actinotherapy, photochemotherapy, and laser treatments for skin conditions in dermatology.

11. Which CPT code range is used for therapeutic, prophylactic, and diagnostic injections/infusions (non-chemotherapy)?

    96360-96379. This range is for hydration, therapeutic infusions, and injections excluding chemotherapy in the Medicine section.

12. Which CPT code reports immunization administration for each additional intranasal/oral vaccine when no counseling is provided?

    90474. This add-on code is used for each additional non-injectable vaccine without counseling, per CPT guidelines.

13. Which CPT code range is used for psychiatric diagnostic evaluation and psychotherapy services in the Medicine section?

    90785-90899. This range includes interactive complexity, diagnostic evaluations, and various psychotherapy modalities in psychiatry.

14. What is the CPT code range for special otorhinolaryngologic services and procedures in the Medicine section?

    92502-92700. This range includes audiologic function tests, vestibular evaluations, and ear/nose/throat procedures.

15. Which code set is used to report vaccines/toxoids products (not administration) in the Medicine section?

    90476-90749 (vaccines/toxoids). This range is designated for reporting the supply of vaccine and toxoid products separately from their administration in the Medicine section.

16. Which CPT code range is used for ophthalmological services and procedures in the Medicine section?

    92002-92499. This range covers eye examinations, contact lens services, and ocular procedures in ophthalmology.

17. What is the correct Medicine section code range for immunization administration services?

    90460-90461 and 90471-90474. These codes cover immunization administration services, distinguishing between those including counseling (90460-90461) and those without (90471-90474) in the Medicine section.

18. What is the CPT code range for physical medicine and rehabilitation (PM&R) modalities and therapeutic procedures?

    97010-97799. This range covers modalities, therapeutic procedures, and active wound care management in physical medicine.

19. Which CPT code reports immunization administration by injection for the first vaccine when no counseling is provided?

    90471. This code is used for the initial injectable vaccine administration without physician counseling, per CPT Medicine section guidelines.

20. What is the correct CPT code range for sleep medicine testing (polysomnography and related studies)?

    95800-95811. This range includes polysomnography, sleep studies, and multiple sleep latency testing in the Medicine section.

21. What is the key distinction between 90460 and 90471 for vaccine administration coding?

    90460 includes counseling; 90471 does not. CPT guidelines specify that codes with counseling are for patients through age 18 when the physician provides face-to-face vaccine counseling.

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