Computer Probability Assessment (Code 0185T) and Analysis of Stored Clinical Data (Codes 99090-99091) (April 2009)

April 2009 page 7 Computer Probability Assessment (Code 0185T) & Analysis of Stored Clinical Data A new Category III code for CPT 2009 , code 0185T , Multivariate analysis of patient-specific findings with quantifiable computer probability assessment, including report , has been established for reporting computer-assisted computation of the probability for illness. Quantitative "pretest" probability assessment of a specific illness may be used to help the provider decide whether formal testing is necessary. Scoring systems from multiple disciplines could potentially satisfy the requirements for pretest probability (code 0185T ). The basic concept is as follows: when the pretest probability is lower than...

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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This April 2009 CPT Assistant article reviews computer-assisted probability assessment and compares it with analysis of stored clinical data and digitally transmitted physiologic data services. It is aimed at coding and billing professionals, clinicians, and compliance staff who need to understand the scope of these services, how they relate to E/M reporting, and the broader categories of documentation and analysis involved.

Why This Topic Matters

The article helps readers distinguish closely related CPT services that involve data review, computer-supported assessment, and E/M-related reporting considerations. It is relevant for accurate code selection, avoiding inappropriate duplicate reporting, and understanding how emerging technology-based services fit into established CPT concepts.

Article Sections

  1. Computer Probability Assessment (Code 0185T)

    Introduces a CPT Category III service involving computer-assisted probability assessment and its general purpose within clinical decision support.

  2. Code 0185T Compared with Codes 99090 and 99091

    Compares the computer-based assessment service with two related services involving stored clinical data and digitally transmitted physiologic data.

  3. Use of Code 0185T with E/M Codes

    Discusses how the computer-based assessment service relates to evaluation and management services and the broader structure of those encounters.

  4. Clinical Example (0185T) and Description of Procedure (0185T)

    Presents an illustrative scenario and a procedural overview showing the general workflow for the assessment service.

What You Will Learn

  • How the article frames a computer-assisted probability assessment service
  • How the article distinguishes that service from stored clinical data review
  • How the article discusses digitally transmitted physiologic data review
  • How the article addresses the relationship between these services and E/M coding
  • What broad documentation and reporting themes are covered

Who Should Read This

  • Medical coders
  • Billing professionals
  • Compliance staff
  • Clinicians
  • Practice administrators

Codes Discussed

Code Ranges Discussed


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