CPT Organization
The procedures and services and their identifying codes are in numerical order within the book with the exception of the Evaluation and Management section. This section is located in the front of the CPT book because the codes are used more frequently.
Evaluation and Management Services…-99201 – 99499
Anesthesiology.-00100 – 01999, 99100 – 99140
Surgery .-10021 – 69990
Radiology.-.70010 – 79999
Pathology and Laboratory.-.80048 – 89399
Medicine .-.90281 – 99600
New versus Established Patient
A new patient is one who has not received any professional services from the physician within the past two years.
Note: In group practice, a patient is considered “new” to a physician if the patient has not been seen by another physician of the group who is in the same specialty in the last three years.
List of categories and code ranges for E/M services:
Office or Other Outpatient Services New Patient 99201 – 99205 Established Patient 99211 – 99215
Hospital Observation Services 99217 – 99220 Hospital Inpatient Services Initial Hospital Care 99221 – 99223 Subsequent Hospital Care 99231 – 99233 Observation or Inpatient Care Services (including admission and discharge services) 99234 – 99236 Hospital Discharge Service 99238 – 99239
List of categories and code ranges for E/M services*:
Consultations Office Consultations 99241 – 99245 Initial Inpatient Consultations 99251 – 99255 Follow-up Inpatient Consultations 99261 – 99263 Confirmatory Consultations 99271 – 99275 Emergency Department Services 99281 – 99288 Pediatric Patient Transport 99298 – 99290 Critical Care Services Adult (over 24 months of age) 99291 – 99292 Pediatric 99293 – 99294 Neonatal 99295 – 99296 Intensive Care (Low Birth Weight) 99298 – 99299 Nursing Facility Services Comprehensive Nursing Facility Assessment 99301 – 99303 Subsequent Nursing Facility Care 99311 – 99313 Nursing Facility Discharge Services 99315 – 99316 Domiciliary, Rest Home or Custodial Care Services New Patient 99321 – 99323 Established Patient 99331 – 99333 Home Services New Patient 99341 – 99345 Established Patient 99347 – 99350 Prolonged Services With Direct Patient Contact 99354 – 99357 Without Direct Patient Contact 99358 – 99359 Standby Services 99360 Case Management Services Team Conferences 99361 – 99362 Telephone Calls 99371 – 99373 Care Plan Oversight Services 99374 – 99380 Preventive Medicine Services New Patient 99381 – 99387 Established Patient 99391 – 99397 Individual Counseling 99401 – 99404 Group Counseling 99411 – 99412 Other 99420 – 99429 Newborn Care 99431 – 99440 Special E/M Services 99450 – 99456 Other E/M Services 99499
