CPT 99214 – 2025 Guidelines for Moderate Complexity Office Visits

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CPT code 99214 is one of the most frequently used evaluation and management (E/M) codes in outpatient healthcare. It represents a level 4 established patient office visit, indicating moderate complexity in medical decision-making or a moderately lengthy visit. In simpler terms, 99214 sits in the middle of the office visit code set – more involved than ... Read More

CPT Modifiers in 2025: Definition, Uses, and Key Guidelines

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What Are CPT Modifiers? CPT modifiers are two-character codes (numeric or alphanumeric) appended to CPT® procedure codes to convey that a service or procedure was performed under special circumstances without changing the procedure’s basic definition. In essence, a modifier “provides the means to report or indicate that a performed service or procedure was altered by some ... Read More

CPT code 82985, 83036 – Glycated Hemoglobin/Glycated Protein Description

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Procedure Code Description 82985 Glycated protein 83036 Hemoglobin; glycated Glycated Hemoglobin/Glycated Protein Description The management of diabetes mellitus requires regular determinations of blood glucose levels. Glycated hemoglobin/protein levels are used to assess long-term glucose control in diabetes. Alternative names for these tests include glycated or glycosylated hemoglobin or Hgb, hemoglobin glycated or glycosylated protein, and ... Read More

CPT 97813, 97814, S8930 – Cranial electrotherapy stimulation (CES)

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Coding  Code Description CPT 97813 Acupuncture, 1 or more needles; with electrical stimulation, initial 15 minutes of personal one-on-one contact with the patient 97814 Acupuncture, 1 or more needles; with electrical stimulation, each additional 15 minutes of personal one-on-one contact with the patient, with re-insertion of needle(s) (List separately in addition to code for primary ... Read More

CPT modifier 78 and 79 – Usage Guidelines

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Modifier 79 Unrelated Procedure or Service by the Same Physician During the Postoperative Period: Modifier 78 Unplanned Return to the Operating/Procedure Room by the Same Physician or Other Qualified Health Care Professional Following Initial Procedure for a Related Procedure During the Postoperative Period Anesthesia, CCI Editing, Global Days, Multiple Procedure Reduction, Rebundling The physician may ... Read More

CPT Q2043 – Cellular Immunotherapy for Prostate Cancer

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Code Description HCPCS Q2043 Sipuleucel-T, minimum of 50 million autologous CD54+ cells activated with PAP-GMCSF, including leukapheresis and all other preparatory procedures, per infusion (Provenge®)  Cellular Immunotherapy for Prostate Cancer Introduction Immunotherapy is a way to fight disease, even cancer, by using a person’s own immune system. Dendritic cells are part of the immune system. ... Read More

CPT 20999, 38206, 38241 – Mesenchymal stem cells

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Code Description CPT 20999 Unlisted procedure, musculoskeletal system, general 38206 Blood-derived hematopoietic progenitor cell harvesting for transplantation, per collection; autologous 38241 Hematopoietic progenitor cell (HPC); autologous transplantation Orthopedic Applications of Stem Cell Therapy (Including Allografts and Bone Substitutes Used with Autologous Bone Marrow) Mesenchymal stem cells are adult stem cells which are usually found in ... Read More

cpt 38230, 38232, 38240- 38241, S2140, S2142, S2150 – Chronic Myeloid Leukemia

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Code Description CPT 38230 Bone marrow harvesting for transplantation; allogeneic 38232 Bone marrow harvesting for transplantation; autologous 38240 Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor 38241 Hematopoietic progenitor cell (HPC); autologous transplantation 38242 Allogeneic lymphocyte infusions HCPCS S2140 Cord blood harvesting for transplantation, allogeneic S2142 Cord blood derived stem cell transplantation, allogeneic S2150 Bone ... Read More

CPT 0017u, 0037u, 81445, 81450, 81455

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Coding Code Description CPT 0017U Oncology (hematolymphoid neoplasia), JAK2 mutation, DNA, PCR amplification of  exons 12 – 14 and sequence analysis, blood or bone marrow, report of  JAK2 mutation not detected or detected 0037U Targeted genomic sequence analysis, solid organ neoplasm, DNA analysis of 324  genes, interrogation for sequence variants, gene copy number  amplifications, gene  ... Read More

CPT 43284, 438285 – sphincter augmentation device – GERD

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Coding Code Description CPT 43284 Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of  sphincter  augmentation device (ie,magnetic band), including cruroplasty when performed 43285 Removal of esophageal sphincter augmentation device GERD gastroesophageal reflux disease  — is a  long – term medical condition. It’s a digestive  problem that affects the ring of muscles between the esophagus (the ... Read More