HEDIS Help-CPT Category II Codes
Posted on September 24, 2014
CPT Category II codes are supplemental tracking codes that can be used for performance measurement.The codes are intended to facilitate the collection of information about the quality of care delivered by coding services or tests that support performance measures.
WHY SHOULD I USE CPT II CODES?
The use of the tracking codes will not only ease the administrative burden of record abstraction and chart review for performance measurement, it will also enable providers to monitor internal performance for key measures throughout the year. By identifying areas of opportunity, interventions can be initiated to improve performance throughout the year.
HOW SHOULD I BILL CPT II CODES?
CPT II codes are comprised of four digits followed by the letter F. They are billed in the procedure code field, just as CPT Category I codes are billed. CPT II codes are not associated with relative value because they describe clinical components that are usually associated with evaluation and management or clinical services. Therefore, they are billed with a $0 billable charge amount.
WHERE CAN I FIND A LIST OF CPT II CODES?
Tracking codes for performance measurement are released three times yearly following approval of panel minutes after each editorial panel meeting (March, July and November) on the AMA CPT Category II website, www.ama-assn.org/go/cpt-cat2, and published annually in the CPT book as part of the general CPT code set.
If your office would like more information on the use of Category II codes, please contact your Provider Relations representative.
