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ALL MEDICAL CODES IN CATEGORY Category II Codes

2025 CPT code 4271F

Patient receiving potent antiretroviral therapy for less than 6 months or not receiving potent antiretroviral therapy (HIV).

2025 CPT code 4274F

Influenza immunization administered or previously received for patients with HIV or ESRD receiving dialysis.

2025 CPT code 4063F

Antidepressant pharmacotherapy considered and not prescribed for Major Depressive Disorder in Adolescents (MDD ADOL).

2025 CPT code 4481F

Patient receiving ACE inhibitor/ARB therapy and beta-blocker therapy for less than 3 months or patient not receiving ACE inhibitor/ARB therapy and beta-blocker therapy (HF).

2025 CPT code 1151F

Documentation that a patient does not have a substantial risk of death within one year.

2025 CPT code 3328F

Performance status documented and reviewed within 2 weeks prior to surgery (Lung/Esop Cx).

2025 CPT code 3293F

ABO and Rh blood typing documented as performed.

2025 CPT code 3093F

Documentation of new diagnosis of initial or recurrent episode of major depressive disorder (MDD).

2025 CPT code 4265F

Use of wet to dry dressings prescribed or recommended.

2025 CPT code 4266F

Use of wet to dry dressings neither prescribed nor recommended (CWC).

2025 CPT code 3520F

Clostridium difficile testing performed.

2025 CPT code 4148F

Hepatitis A vaccine injection administered or previously received, for patients with Hepatitis C (HEP-C).

2025 CPT code 4553F

Patient offered assistance in planning for end of life issues (ALS).

2025 CPT code 1505F

Patient does not have respiratory insufficiency (ALS).

2025 CPT code 4077F

Documents that the administration of tissue plasminogen activator (t-PA) was considered.

2025 CPT code 1040F

DSM-5 criteria for major depressive disorder documented at the initial evaluation.

2025 CPT code 3042F

Functional expiratory volume (FEV1) >= 40% of predicted value (COPD).

2025 CPT code 4559F

At least one body temperature measurement equal to or greater than 35.5 degrees Celsius (or 95.9 degrees Fahrenheit) recorded within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time.

2025 CPT code 3502F

HIV RNA viral load below limits of quantification.

2025 CPT code 9001F

Documents an aortic aneurysm less than 5.0 cm on CT.

2025 CPT code 3266F

Documents Hepatitis C genotype testing performed before starting antiviral treatment for Hepatitis C.

2025 CPT code 2014F

Mental status assessed.

2025 CPT code 4558F

Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and intraoperatively.

2025 CPT code 1451F

Symptoms demonstrated clinically important deterioration since last assessment (HF).

2025 CPT code 4268F

Patient education regarding the need for long-term compression therapy, including interval replacement of compression stockings.

2025 CPT code 4084F

Aspirin received within 24 hours before emergency department arrival or during emergency department stay (EM).

2025 CPT code 4008F

Beta-blocker therapy prescribed or currently being taken for Coronary Artery Disease (CAD) or Heart Failure (HF).

2025 CPT code 3344F

Documents a mammogram assessment categorized as "suspicious".

2025 CPT code 3354F

Clinically significant depressive symptoms as categorized by using a standardized depression screening/assessment tool.

2025 CPT code 4086F

Aspirin or clopidogrel prescribed or currently being taken for patients with Coronary Artery Disease (CAD).

2025 CPT code 1183F

Neuropsychiatric symptoms, absent.

2025 CPT code 3155F

Cytogenetic testing performed on bone marrow at the time of diagnosis or prior to initiating treatment for myelodysplastic syndrome (MDS) or acute leukemia.

2025 CPT code 3017F

Documentation and review of colorectal cancer screening results, including fecal occult blood testing annually, flexible sigmoidoscopy every 5 years, double-contrast barium enema every 5 years, or colonoscopy every 10 years.

2025 CPT code 0517F

Glaucoma plan of care documented.

2025 CPT code 1400F

Parkinson's disease diagnosis reviewed.

2025 CPT code 3512F

Syphilis screening documented as performed.

2025 CPT code 3500F

CD4+ cell count or CD4+ cell percentage documented as performed.

2025 CPT code 3551F

Intermediate risk for thromboembolism (AFIB).

2025 CPT code 0583F

Transfer of care checklist used.

2025 CPT code 4155F

Hepatitis A vaccine series previously received.

2025 CPT code 6005F

Rationale (e.g., severity of illness and safety) for level of care (e.g., home, hospital) documented.

2025 CPT code 0575F

HIV RNA control plan of care, documented.

2025 CPT code 3372F

AJCC Breast Cancer Stage I: T1mic, T1a, or T1b (tumor size ≤ 1 cm) documented (ONC).

2025 CPT code 4110F

Internal mammary artery (IMA) graft performed for a primary, isolated coronary artery bypass graft (CABG) procedure.

2025 CPT code 2023F

Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed; without evidence of retinopathy (DM).

2025 CPT code 1501F

Not initial evaluation for condition (DSP)

2025 CPT code 1460F

Qualifying cardiac event/diagnosis in previous 12 months (CAD).

2025 CPT code 1450F

Symptoms improved or remained consistent with treatment goals since last assessment (HF).

2025 CPT code 2060F

Patient interviewed directly on or before date of diagnosis of major depressive disorder (MDD ADOL).

2025 CPT code 3292F

HIV testing ordered or documented and reviewed during the first or second prenatal visit.

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