CPT Code Finder by Specialty

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Specialty

CPT code	Service	Specialty	Billing note
93000	Routine 12-lead ECG with report	Cardiology	Check if tracing, interpretation and report are all billed by you
93306	Complete echocardiogram with Doppler	Cardiology	Split -26 / -TC when you do not own the equipment
93015	Cardiovascular stress test, full service	Cardiology	Use component codes if only part is performed
78452	Nuclear stress imaging (SPECT), multiple studies	Cardiology	Authorization is often required
93458	Left heart catheterization with coronary angiography	Cardiology	Watch bundling with imaging and supervision
92928	Stent placement in a coronary artery	Cardiology	Bill add-on vessels correctly
93288	Pacemaker interrogation and programming	Cardiology	Frequency limits apply by payer
99213	Established patient office visit, moderate	Dermatology	Add -25 when a procedure is done the same day
11102	Skin biopsy by shave, single lesion	Dermatology	Add-on codes for each extra lesion
11104	Skin biopsy by punch, single lesion	Dermatology	Match code to biopsy method
17000	Destruction of a precancerous lesion (first)	Dermatology	Use 17003 for lesions 2 to 14
17110	Destruction of benign lesions such as warts	Dermatology	Count of lesions drives the code
11401	Excision of benign skin lesion, small, trunk or limbs	Dermatology	Code by excised diameter incl. margins
17311	Mohs surgery, first stage, head or neck	Dermatology	Each added stage uses its own code
45378	Colonoscopy, diagnostic	Gastroenterology	Becomes screening or therapeutic by findings and payer
45380	Colonoscopy with biopsy	Gastroenterology	Do not bill with 45378
45385	Colonoscopy with polyp removal by snare	Gastroenterology	Use the most extensive technique
G0121	Medicare colonoscopy screening, average risk	Gastroenterology	Frequency rules apply
43235	Upper endoscopy (EGD), diagnostic	Gastroenterology	Biopsy and therapy have their own codes
43239	Upper endoscopy with biopsy	Gastroenterology	Link diagnosis to each biopsy
91110	Capsule endoscopy of the digestive tract	Gastroenterology	Check payer policy and authorization
20610	Large joint injection or aspiration	Orthopedics	Document ultrasound guidance separately
27447	Total knee replacement	Orthopedics	90-day global period applies
27130	Total hip replacement	Orthopedics	Implants and facility billed by the facility
29881	Knee arthroscopy with meniscectomy	Orthopedics	Check bundling with other knee scopes
23412	Rotator cuff repair, chronic	Orthopedics	Laterality modifier required
25600	Closed treatment of distal radius fracture	Orthopedics	Global fracture care rules apply
99214	Established patient office visit, moderate	Orthopedics	Add -25 if a procedure is also done
95816	EEG, awake and drowsy	Neurology	Check payer limits on repeat studies
95861	Needle EMG, two limbs	Neurology	Code by number of limbs tested
95910	Nerve conduction studies, 7 to 8 tests	Neurology	Code by total number of studies
95810	Attended sleep study with staging	Neurology	Facility vs home study rules differ
95811	Sleep study with CPAP titration	Neurology	Medical necessity documentation needed
64615	Botulinum injections for chronic migraine	Neurology	Drug billed separately with units
99214	Established patient office visit, moderate	Neurology	Add -25 if a test is done the same day
96413	Chemotherapy infusion, up to 1 hour	Oncology	Need documented start and stop times
96415	Chemotherapy infusion, each added hour	Oncology	Add-on to the first hour
96365	Therapeutic infusion, first hour	Oncology	Not for chemo drugs
96401	Chemotherapy injection, subcutaneous or IM	Oncology	Non-hormonal anti-cancer drugs
77385	Intensity-modulated radiation delivery	Oncology	Bundles with treatment planning rules
77427	Radiation treatment management, weekly	Oncology	Billed per five fractions
J9999	Not otherwise classified cancer drug	Oncology	Needs NDC, units and documentation
59400	Routine OB care, vaginal delivery, global	OB-GYN	Includes prenatal visits and postpartum care
59510	Routine OB care, cesarean delivery, global	OB-GYN	Delivery details affect payment
59025	Fetal non-stress test	OB-GYN	Often billed with ultrasound; check edits
76805	Obstetric ultrasound, complete	OB-GYN	Technical / professional split may apply
58300	IUD insertion	OB-GYN	Device supply billed separately
99395	Preventive visit, established patient, age 18 to 39	OB-GYN	Add -25 if a problem is also treated
G0101	Medicare pelvic and breast exam	OB-GYN	Frequency limits apply
88305	Tissue exam by pathologist, level IV	Pathology & Laboratory	One of the most frequently billed pathology codes
88342	Immunohistochemistry, first stain	Pathology & Laboratory	Each extra stain uses an add-on code
85025	Complete blood count with automated differential	Pathology & Laboratory	Check payer frequency edits
80053	Comprehensive metabolic panel	Pathology & Laboratory	Do not unbundle panel components
80061	Lipid panel	Pathology & Laboratory	Screening vs diagnostic coverage differs
81001	Urinalysis with microscopy, automated	Pathology & Laboratory	Waived and non-waived tests differ
36415	Blood draw by venipuncture	Pathology & Laboratory	Often limited to one per encounter
71046	Chest X-ray, 2 views	Radiology & Imaging	Single view uses a different code
70450	CT head or brain without contrast	Radiology & Imaging	Contrast changes the code
72148	MRI lumbar spine without contrast	Radiology & Imaging	Usually needs prior authorization
74177	CT abdomen and pelvis with contrast	Radiology & Imaging	Contrast documentation required
77067	Screening mammogram, both breasts	Radiology & Imaging	Screening vs diagnostic coverage differs
76856	Pelvic ultrasound, complete	Radiology & Imaging	Check payer-specific limits
73721	MRI of a lower-extremity joint without contrast	Radiology & Imaging	Laterality modifier required
90791	Psychiatric diagnostic evaluation	Behavioral Health	Usually once at intake
90792	Diagnostic evaluation with medical services	Behavioral Health	For prescribers
90834	Psychotherapy, about 45 minutes	Behavioral Health	Time documented in the note
90837	Psychotherapy, about 60 minutes	Behavioral Health	Payers audit long sessions
90847	Family psychotherapy with the patient	Behavioral Health	Patient must be present
90833	Add-on psychotherapy with an E/M visit	Behavioral Health	Never billed alone
96127	Brief emotional or behavioral screening	Behavioral Health	Instrument and scoring documented
66984	Cataract surgery with lens implant	Ambulatory Surgery	Lens billing depends on payer rules
45378	Colonoscopy, diagnostic	Ambulatory Surgery	Facility modifiers apply
29881	Knee arthroscopy with meniscectomy	Ambulatory Surgery	Bundling edits are common
64483	Epidural steroid injection, lumbar, with imaging	Ambulatory Surgery	Often requires authorization
42826	Tonsillectomy, age 12 or older	Ambulatory Surgery	Check payer ASC list coverage
G0121	Medicare colonoscopy screening	Ambulatory Surgery	Screening rules apply
C1713	Implantable bone fixation device (device code)	Ambulatory Surgery	Facility implant billing
99213	Established patient office visit, low-to-moderate	Primary Care	Level by medical decision-making or time
99214	Established patient office visit, moderate	Primary Care	Documentation must support the level
99204	New patient office visit, moderate	Primary Care	New vs established status matters
99396	Preventive visit, established patient, age 40 to 64	Primary Care	Add -25 for a separate problem visit
G0439	Medicare annual wellness visit, subsequent	Primary Care	Once per year
99490	Chronic care management, first 20 minutes per month	Primary Care	Consent and time documented
90471	Immunization administration	Primary Care	Vaccine product billed separately
66984	Cataract surgery with lens implant	Ophthalmology	Laterality and ASC vs office rules apply
66982	Complex cataract surgery	Ophthalmology	Documentation must show the added complexity
92014	Eye exam, comprehensive, established patient	Ophthalmology	Choose between eye codes and E/M by medical decision-making and services
92134	OCT imaging of the retina	Ophthalmology	Check payer frequency limits
92083	Visual field exam, extended	Ophthalmology	Medical necessity needs a supporting diagnosis
67028	Injection into the eye (intravitreal)	Ophthalmology	Bill the drug separately with units
65855	Laser treatment for glaucoma (trabeculoplasty)	Ophthalmology	Laterality required
00142	Anesthesia for eye lens surgery	Anesthesiology	Commonly paired with cataract cases
00811	Anesthesia for lower intestinal endoscopy, diagnostic	Anesthesiology	Colonoscopy anesthesia depends on the procedure intent
00812	Anesthesia for screening colonoscopy	Anesthesiology	Screening status must match the surgeon claim
01402	Anesthesia for knee replacement	Anesthesiology	Time-based with base units
01961	Anesthesia for cesarean delivery only	Anesthesiology	Add-ons may apply for labor epidural
99100	Added code for patients of extreme age	Anesthesiology	Qualifying circumstance add-on
01996	Daily management of a continuous epidural	Anesthesiology	Billed once per day
62323	Lumbar epidural injection with imaging guidance	Pain Management	Imaging is included in the code
64483	Transforaminal epidural injection, lumbar, one level	Pain Management	Add-on code for each additional level
64493	Facet joint injection, lumbar, one level, with imaging	Pain Management	Frequency and diagnostic block rules apply
64635	Radiofrequency ablation, lumbar facet, one level	Pain Management	Usually needs a documented prior diagnostic block
20553	Trigger point injections, three or more muscles	Pain Management	Count of muscles drives the code
63650	Spinal cord stimulator electrode placement (trial or permanent)	Pain Management	Authorization and device billing required
99214	Established patient visit, moderate	Pain Management	Add -25 if a procedure is done the same day
97161	PT evaluation, low complexity	Physical Therapy	Evaluation complexity must be documented
97110	Therapeutic exercise, 15 minutes	Physical Therapy	Counts toward timed units
97112	Neuromuscular re-education, 15 minutes	Physical Therapy	Document the specific intervention
97140	Manual therapy, 15 minutes	Physical Therapy	Often edited with other codes; check modifier rules
97530	Therapeutic activities, 15 minutes	Physical Therapy	Direct one-on-one time only
97164	PT re-evaluation	Physical Therapy	Needs a clinical reason
97035	Ultrasound therapy, 15 minutes	Physical Therapy	Check payer coverage
11721	Debridement of nails, six or more	Podiatry	Needs class findings for routine foot care
11055	Paring of a benign skin lesion, single	Podiatry	Additional lesions use other codes
28285	Correction of hammertoe	Podiatry	Toe modifiers required
28296	Bunion correction	Podiatry	Authorization usually required
29540	Strapping of ankle or foot	Podiatry	Check payer bundling rules
73630	X-ray of the foot, minimum 3 views	Podiatry	Professional vs technical split may apply
99213	Established patient visit, low to moderate	Podiatry	Add -25 if a procedure is done the same day
99284	Emergency department visit, moderate complexity	Urgent Care & Emergency	Level supported by medical decision-making
99213	Office or urgent care visit, low to moderate	Urgent Care & Emergency	Check payer-specific urgent care rules
S9088	Urgent care center service add-on (commercial payers)	Urgent Care & Emergency	Payer-specific code, not accepted by every plan
12001	Simple wound repair, 2.5 cm or less	Urgent Care & Emergency	Code by wound length and type
87880	Rapid strep antigen test	Urgent Care & Emergency	CLIA-waived test rules apply
94640	Breathing treatment (nebulizer)	Urgent Care & Emergency	Do not bill with certain other respiratory services
73100	X-ray of the wrist, two views	Urgent Care & Emergency	Professional vs technical split may apply

Codes shown are common examples and descriptions are simplified in our own words. CPT® is a registered trademark of the American Medical Association. Always confirm against the current AMA CPT codebook, ICD-10-CM and each payer’s policy.

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