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Documents an advance care planning discussion in the medical record.
2025 CPT code 1090F
Assesses the presence or absence of urinary incontinence in women aged 65 and over.
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 1007F
Use of anti-inflammatory or analgesic over-the-counter (OTC) medications for symptom relief assessed.
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 1124F
Advance care planning discussed and documented, but the patient declined or was unable to name a surrogate decision-maker or provide an advance care plan.
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 1461F
No qualifying cardiac event/diagnosis in previous 12 months (CAD).
2025 CPT code 1490F
Dementia severity classified, mild (DEM).
2025 CPT code 1101F
Patient screened for future fall risk; documentation of no falls in the past year or only one fall without injury.
2025 CPT code 1018F
Dyspnea assessed, not present (COPD).
2025 CPT code 1006F
Assessment of osteoarthritis symptoms and functional status, possibly using standardized scales like the SF-36 or AAOS Hip & Knee Questionnaire.Report this code when osteoarthritis is addressed during the patient encounter.
2025 CPT code 1491F
Dementia severity classified, moderate (DEM)
2025 CPT code 1153F
Documents advanced disease diagnosis where comfort is not the primary goal of care.
2025 CPT code 1134F
Episode of back pain lasting 6 weeks or less (BkP).
2025 CPT code 1159F
Medication list documented in the medical record.
2025 CPT code 1008F
Assessment of gastrointestinal and renal risk factors in patients using prescribed or OTC NSAIDs.
2025 CPT code 1010F
Assessment of angina severity in patients with coronary artery disease (CAD) based on their response to activity.
2025 CPT code 1011F
This CPT code indicates the presence of angina in a patient with coronary artery disease (CAD).
2025 CPT code 1004F
Assessment of clinical symptoms indicating excess fluid volume.
2025 CPT code 1055F
Assessment of a patient's visual functional status.
2025 CPT code 1036F
Identifies a patient 18 years or older as a current tobacco non-user.
2025 CPT code 1111F
Discharge medications are reconciled with the current medication list in the outpatient medical record.
2025 CPT code 1100F
Patient screened for future fall risk; documentation of two or more falls in the past year or any fall with injury in the past year.
2025 CPT code 1066F
Ischemic stroke with symptom onset ≥3 hours before arrival.
2025 CPT code 1126F
Pain severity quantified; no pain present.
2025 CPT code 1125F
Pain severity quantified; pain present.
2025 CPT code 1504F
This Category II CPT code tracks patient respiratory insufficiency due to Amyotrophic Lateral Sclerosis (ALS).
2025 CPT code 1032F
Identifies a patient who is a current tobacco smoker or is currently exposed to secondhand smoke, specifically relevant for asthma management.
2025 CPT code 1039F
Intermittent asthma diagnosis.
2025 CPT code 1502F
Patient queried about pain and pain interference with function using a valid and reliable instrument (DSP).
2025 CPT code 1151F
Documentation that a patient does not have a substantial risk of death within one year.
2025 CPT code 1152F
Documentation of advanced disease diagnosis, goals of care prioritize comfort.
2025 CPT code 1137F
Episode of back pain lasting longer than 12 weeks (BkP).
2025 CPT code 1505F
Patient does not have respiratory insufficiency (ALS).
2025 CPT code 1052F
Type, anatomic location, and activity all assessed (IBD).
2025 CPT code 1040F
DSM-5 criteria for major depressive disorder documented at the initial evaluation.
2025 CPT code 1060F
Documentation of permanent or persistent or paroxysmal atrial fibrillation.
2025 CPT code 1451F
Symptoms demonstrated clinically important deterioration since last assessment (HF).
2025 CPT code 1183F
Neuropsychiatric symptoms, absent.
2025 CPT code 1110F
Patient discharged from an inpatient facility (e.g., hospital, skilled nursing facility, or rehabilitation facility) within the last 60 days.
2025 CPT code 1400F
Parkinson's disease diagnosis reviewed.
2025 CPT code 1038F
This code documents the presence of persistent asthma (mild, moderate, or severe).
Level of activity assessed. This code is used for performance measurement and is not a substitute for Category I codes.
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