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ALL MEDICAL CODES IN CATEGORY Evaluation and Management

2025 HCPCS code G0318

Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service.

2025 CPT code 5200F

Consideration of referral for a neurological evaluation of appropriateness for surgical therapy for intractable epilepsy within the past 3 years.

2025 CPT code 92526

Treatment of swallowing dysfunction and/or oral function for feeding.

2025 CPT code 1400F

Parkinson's disease diagnosis reviewed.

2025 CPT code 99489

This code covers additional time spent by clinical staff, under the direction of a physician or other qualified healthcare professional, for complex chronic care management services beyond the first hour.

2025 CPT code 2015F

Assessment of asthma impairment.

2025 CPT code 1070F

Alarm symptoms (involuntary weight loss, dysphagia, or gastrointestinal bleeding) assessed; none present (GERD).

2025 CPT code 1003F

Level of activity assessed. This code is used for performance measurement and is not a substitute for Category I codes.

2025 HCPCS code G9050

This HCPCS code reports the primary focus of an evaluation and management (E/M) visit for a cancer patient, including work-up, evaluation, or staging at diagnosis or recurrence.

2025 HCPCS code G2008

This HCPCS code reports each post-discharge home visit (up to nine within 90 days of hospital discharge) lasting about 45 minutes, performed by a provider in a Medicare-approved CMMI model.

2025 HCPCS code G2003

HCPCS code G2003 represents a post-discharge new patient home visit (up to 45 minutes) for Medicare-approved CMMI model project enrollees.

2025 HCPCS code G2212

This HCPCS code represents prolonged office or outpatient evaluation and management services exceeding the primary service's maximum time, billed in 15-minute increments.

2025 HCPCS code G9051

This HCPCS code reports the primary focus of an evaluation and management (E/M) visit for a cancer patient, where the provider makes treatment decisions, discusses options, and manages cancer-directed therapy.

2025 HCPCS code G0463

Hospital outpatient clinic visit for assessment and management of a patient.

2025 CPT code 99442

Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion.

2025 CPT code 99441

Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian; 5-10 minutes of medical discussion.

2025 CPT code 99450

Basic life and/or disability examination, including height, weight, and blood pressure measurement; medical history; blood and/or urine sample collection; and documentation.

2025 CPT code 99457

Remote physiologic monitoring treatment management services, clinical staff/physician/other qualified healthcare professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; first 20 minutes.

2025 CPT code 99448

Interprofessional telephone/internet/electronic health record consultation provided by a consultant, including a verbal and written report, lasting 21-30 minutes.

2025 CPT code 99449

Interprofessional telephone/internet/electronic health record consultation by a consultant, including a verbal and written report, lasting 31 minutes or more.

2025 CPT code 99465

Delivery/birthing room resuscitation, provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output.

2025 CPT code 99451

Interprofessional consultation via telephone, internet, or EHR with a written report, lasting 5 minutes or more.

2025 CPT code 99468

Initial inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger.

2025 CPT code 99469

Subsequent inpatient neonatal critical care, per day, for the evaluation and management of a critically ill neonate, 28 days of age or younger.

2025 CPT code 99480

Subsequent intensive care, per day, for the evaluation and management of the recovering infant (present body weight of 2501-5000 grams).

2025 CPT code 99477

Initial hospital care, per day, for the evaluation and management of the neonate, 28 days of age or younger, who requires intensive observation, frequent interventions, and other intensive care services.

2025 CPT code 99463

Initial hospital or birthing center care, per day, for the evaluation and management of a normal newborn infant admitted and discharged on the same date.

2025 CPT code 99478

Subsequent intensive care, per day, for the evaluation and management of the recovering very low birth weight infant (present body weight less than 1500 grams).

2025 CPT code 99487

Complex chronic care management services: at least 60 minutes of clinical staff time directed by a physician or other qualified healthcare professional, per calendar month, for patients with multiple (two or more) chronic conditions.

2025 CPT code 99484

Care management services for behavioral health conditions, at least 20 minutes of clinical staff time, directed by a physician or other qualified health care professional, per calendar month.

2025 CPT code 99493

Subsequent psychiatric collaborative care management, first 60 minutes in a subsequent month of behavioral health care manager activities.

2025 CPT code 99492

Initial psychiatric collaborative care management, first 70 minutes in the first calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional.

2025 CPT code 99486

Supervision by a control physician of interfacility transport care of a critically ill or critically injured pediatric patient, 24 months of age or younger, includes two-way communication with the transport team before transport, at the referring facility, and during transport, including data interpretation and report; each additional 30 minutes (List separately in addition to code for primary procedure).

2025 CPT code 99495

Transitional care management services including communication with the patient/caregiver within two business days of discharge, moderate medical decision making, and a face-to-face visit within 14 calendar days of discharge.

2025 CPT code 99461

Initial care, per day, for the evaluation and management of a normal newborn infant seen in a setting other than a hospital or birthing center.

2025 HCPCS code G0468

Federally Qualified Health Center (FQHC) visit, including an Initial Preventive Physical Exam (IPPE) or Annual Wellness Visit (AWV) with a typical bundle of Medicare-covered services.

2025 CPT code 99494

Add-on code for psychiatric collaborative care management, representing each additional 30 minutes in a calendar month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care professional.

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 1012F

This code documents the absence of angina in a patient with coronary artery disease (CAD).

2025 CPT code 1091F

Urinary incontinence characterized (e.g., frequency, volume, timing, type of symptoms, how bothersome).

2025 CPT code 1005F

Assessment of asthma symptoms, including documentation of symptom frequency or patient completion of an asthma assessment tool.

2025 CPT code 2040F

Physical examination performed on the date of the initial visit for low back pain, in accordance with specifications.

2025 CPT code 3117F

Heart failure disease-specific structured assessment tool completed.

2025 CPT code 1181F

Neuropsychiatric symptoms assessed and results reviewed.

2025 CPT code 1150F

Documentation that a patient has a substantial risk of death within 1 year.

2025 CPT code 1490F

Dementia severity classified, mild (DEM).

2025 CPT code 5010F

Documents communication of dilated macular or fundus exam findings to the physician managing diabetes care.

2025 CPT code 4322F

Caregiver provided education and referral to additional resources for support, related to dementia.

2025 CPT code 2000F

Blood pressure measured (CKD)(DM)