AMA CPT® Assistant - 2006 Issue 6 (June)
An Overview of the Appendixes (June 2006)
June 2006 pages 8-10 Coding Communication:An Overview of the Appendixes The appendixes of CPT 2006, although often overlooked due to their placement in the latter part of the codebook, complement the code set by providing invaluable guidance regarding the application of appropriate CPT code usage. The appendixes, currently totaling 12, were introduced to the CPT codebook with the intent of providing supplementary information to users of the code set. As the CPT code set has evolved throughout the years with advancements in the medicine and technology fields, so too have the appendixes. This article provides an overview of each...
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Article Overview
This June 2006 CPT Assistant article reviews the role of the CPT appendixes and summarizes the kinds of reference material they provide across the codebook. It is useful for coding professionals who want to understand where supplemental guidance appears in CPT 2006 and how the appendixes relate to areas such as modifiers, clinical examples, add-on codes, exempt codes, performance measures, genetic testing, electrodiagnostic medicine, vaccine status, and vascular families.
Why This Topic Matters
The appendixes can affect how users interpret and locate supplemental CPT information, so knowing what each one contains helps coders, billers, and compliance staff find the right reference sections more efficiently.
Article Sections
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Appendix A, Modifiers
Introduces the appendix that gathers modifier-related reference material and related usage guidance within the CPT codebook.
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Appendix B, Summary of Additions, Deletions, and Revisions
Summarizes the appendix that tracks annual CPT codebook changes and highlights how updates are identified in the text.
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Appendix C, Clinical Examples
Describes the appendix that presents clinical examples for evaluation and management services and explains its relationship to the codebook text.
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Appendix D, Summary of CPT Add-on Codes
Covers the appendix that lists add-on code references for the current edition of the CPT codebook.
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Appendix E, Summary of CPT Codes Exempt From Modifier 51
Summarizes the appendix devoted to codes identified as exempt from a particular modifier in the CPT codebook.
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Appendix F, Summary of CPT Codes Exempt From Modifier 63
Summarizes the appendix devoted to codes identified as exempt from a particular modifier in the CPT codebook.
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Appendix G, Summary of CPT Codes That Include Conscious Sedation
Describes the appendix listing procedures that include conscious sedation as part of the service reference.
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Appendix H, Alphabetic Index of Performance Measures by Clinical Condition or Topic
Covers the appendix that organizes performance measures by condition or topic and references the related Category II material.
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Appendix I, Genetic Testing Code Modifiers
Describes the appendix that provides a modifier system related to molecular laboratory and genetic testing references.
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Appendix J, Electrodiagnostic Medicine Listing of Sensory, Motor, and Mixed Nerves
Summarizes the appendix that provides electrodiagnostic medicine reference tables and nerve family listings.
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Appendix K, Product Pending FDA Approval
Covers the appendix that lists vaccine product references pending FDA approval and notes how status changes are communicated.
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Appendix L, Vascular Families
Describes the appendix that presents vascular family reference tables used in procedure code assignment.
What You Will Learn
- What the CPT appendixes are intended to provide
- Which appendixes are included in CPT 2006
- How the appendixes are organized by topic
- What broad categories of supplemental reference information appear in the appendixes
- How several appendixes relate to modifiers, clinical examples, performance measures, and specialty-specific tables
Who Should Read This
- Medical coders
- Coding auditors
- Billing staff
- Compliance teams
- Physician office staff
- Hospital outpatient coding staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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