current procedural terminology 2017 - AAPC ® current procedural terminology 33751_CPT Prof 2016_00_FM iii_Title Pg.indd 3 7/31/15 9:23 AM SAMPLE ... Instructions for Selecting a Level

Professional EditionJay T. AhlmanAngela J. BoudreauJudy ConnellyRick A. CrosslinBiljana Dimovski, MS, RHM, CDCMartha EsproncedaDesiree D. Evans, AASLauren M. Feldman

DeHandro Hayden, BSNadia Khalid, MJ, RHIA, RMMElizabeth Lumakovska, MPA, RHITJanette Meggs, RHIAMarie L. Mindeman, BA, RHITKaren E. O’Hara, BS, CCS-PMary R. O’Heron, RHIADanielle Pavloski, BS, RHIT, CCS-P

Desiree Rozell, MPANancy Spector, BSN, MSCLianne Stancik, RHITAda Walker, CCAArletrice Watkins, MHA, RHIARejina L. Young

2017

®cptcurrent procedural terminology

33751_CPT Prof 2016_00_FM iii_Title Pg.indd 3 7/31/15 9:23 AM

SAMPLE

American Medical Association ix Contains new or revised text

ContentsEvaluation and Management . . . . . . . . . . . . . . . . . . . . . . . . .11

Office or Other Outpatient Services . . . . . . . . . . . . . . . . . .11

Hospital Observation Services . . . . . . . . . . . . . . . . . . . . . .13

Hospital Inpatient Services . . . . . . . . . . . . . . . . . . . . . . . .15

Consultations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .19

Emergency Department Services . . . . . . . . . . . . . . . . . . . .22

Critical Care Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . .23

Nursing Facility Services . . . . . . . . . . . . . . . . . . . . . . . . . .25

Domiciliary, Rest Home (eg, Boarding Home),or Custodial Care Services . . . . . . . . . . . . . . . . . . . . . . . . .28

Domiciliary, Rest Home (eg, Assisted Living Facility),or Home Care Plan Oversight Services . . . . . . . . . . . . . . .30

Home Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .30

Prolonged Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .32

Case Management Services . . . . . . . . . . . . . . . . . . . . . . . .35

Care Plan Oversight Services . . . . . . . . . . . . . . . . . . . . . . .36

Preventive Medicine Services . . . . . . . . . . . . . . . . . . . . . .37

Non-Face-to-Face Services . . . . . . . . . . . . . . . . . . . . . . . . .39

Special Evaluation and Management Services . . . . . . . . .41

Newborn Care Services . . . . . . . . . . . . . . . . . . . . . . . . . . .42

Delivery/Birthing Room Attendance andResuscitation Services . . . . . . . . . . . . . . . . . . . . . . . . . . . .42

Inpatient Neonatal Intensive Care Services andPediatric and Neonatal Critical Care Services . . . . . . . . . .42

Care Management Services . . . . . . . . . . . . . . . . . . . . . . . .47

Transitional Care Management Services . . . . . . . . . . . . . .49

Advance Care Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . .51

Other Evaluation and Management Services . . . . . . . . . .51

Anesthesia Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54

Time Reporting . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54

Anesthesia Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54

Supplied Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54

Separate or Multiple Procedures . . . . . . . . . . . . . . . . . . . .54

Special Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .54

Anesthesia Modifiers . . . . . . . . . . . . . . . . . . . . . . . . . . . . .55

Qualifying Circumstances . . . . . . . . . . . . . . . . . . . . . . . . . .55

Anesthesia . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56

Head . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56

Neck . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .56

Thorax (Chest Wall and Shoulder Girdle) . . . . . . . . . . . . . .56

Intrathoracic . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .57

Spine and Spinal Cord . . . . . . . . . . . . . . . . . . . . . . . . . . . .57

Upper Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58

Lower Abdomen . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .58

Perineum . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59

Pelvis (Except Hip) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .59

Foreword . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v

Acknowledgments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . v

Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xii

Section Numbers and Their Sequences . . . . . . . . . . . . . . . xii

Instructions for Use of the CPT Codebook . . . . . . . . . . . . . xii

Format of the Terminology . . . . . . . . . . . . . . . . . . . . xiii

Requests to Update the CPT Nomenclature . . . . . . xiii

Application Submission Requirements . . . . . . . . . xiii

General Criteria for Category I and Category III Codes . xiii

Category-Specific Requirements . . . . . . . . . . . . . . . xiv

Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiv

Add-on Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiv

Modifiers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xiv

Place of Service and Facility Reporting . . . . . . . . . . . xv

Unlisted Procedure or Service . . . . . . . . . . . . . . . . . . xv

Results, Testing, Interpretation, and Report . . . . . . . xv

Special Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv

Time . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xv

Code Symbols . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvi

Alphabetical Reference Index . . . . . . . . . . . . . . . . . xvi

CPT 2016 in Electronic Formats . . . . . . . . . . . . . . . xvi

References to AMA Resources . . . . . . . . . . . . . . . . xvi

Illustrated Anatomical and Procedural Review . . . . . . xvii

Prefixes, Suffixes, and Roots . . . . . . . . . . . . . . . . . . . . . . xvii

Numbers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii

Surgical Procedures . . . . . . . . . . . . . . . . . . . . . . . . . xvii

Conditions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . xvii

Directions and Positions . . . . . . . . . . . . . . . . . . . . xviii

Additional References . . . . . . . . . . . . . . . . . . . . . . . . . . xviii

Medical Dictionaries . . . . . . . . . . . . . . . . . . . . . . . xviii

Anatomy References . . . . . . . . . . . . . . . . . . . . . . . xviii

Lists of Illustrations . . . . . . . . . . . . . . . . . . . . . . . . . . . . xviii

Anatomical Illustrations . . . . . . . . . . . . . . . . . . . . xviii

Procedural Illustrations . . . . . . . . . . . . . . . . . . . . . . xix

Evaluation and Management Tables . . . . . . . . . . . . . . . . xxii

Evaluation and Management (E/M) Services Guidelines . . 4

Classification of Evaluation and Management(E/M) Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .4

Definitions of Commonly Used Terms . . . . . . . . . . . . . . . . .4

Unlisted Service . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Special Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Clinical Examples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .8

Instructions for Selecting a Level of E/M Service . . . . . . . .9

33751_CPT Prof 2016_00_FM iv-xvi.indd 9 7/31/15 9:43 AM

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x Contents CPT 2017

Contents

Upper Leg (Except Knee) . . . . . . . . . . . . . . . . . . . . . . . . . . .59

Knee and Popliteal Area . . . . . . . . . . . . . . . . . . . . . . . . . . .60

Lower Leg (Below Knee, Includes Ankle and Foot) . . . . . .60

Shoulder and Axilla . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .60

Upper Arm and Elbow . . . . . . . . . . . . . . . . . . . . . . . . . . . . .61

Forearm, Wrist, and Hand . . . . . . . . . . . . . . . . . . . . . . . . .61

Radiological Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . .61

Burn Excisions or Debridement . . . . . . . . . . . . . . . . . . . . .62

Obstetric . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62

Other Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .62

Surgery Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

CPT Surgical Package Definition . . . . . . . . . . . . . . . . . . . .66

Follow-Up Care for Diagnostic Procedures . . . . . . . . . . . .66

Follow-Up Care for Therapeutic Surgical Procedures . . . .66

Supplied Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

Reporting More Than One Procedure/Service . . . . . . . . . .66

Separate Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .66

Unlisted Service or Procedure . . . . . . . . . . . . . . . . . . . . . .67

Special Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68

Imaging Guidance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68

Surgical Destruction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .68

Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71

General . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .71

Integumentary System . . . . . . . . . . . . . . . . . . . . . . . . . . . .71

Musculoskeletal System . . . . . . . . . . . . . . . . . . . . . . . . .104

Respiratory System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .173

Cardiovascular System . . . . . . . . . . . . . . . . . . . . . . . . . . .193

Hemic and Lymphatic Systems . . . . . . . . . . . . . . . . . . . . .255

Mediastinum and Diaphragm . . . . . . . . . . . . . . . . . . . . . .259

Digestive System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .265

Urinary System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .319

Male Genital System . . . . . . . . . . . . . . . . . . . . . . . . . . . .341

Reproductive System Procedures . . . . . . . . . . . . . . . . . . .347

Intersex Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .347

Female Genital System . . . . . . . . . . . . . . . . . . . . . . . . . . .351

Maternity Care and Delivery . . . . . . . . . . . . . . . . . . . . . .360

Endocrine System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .364

Nervous System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .370

Eye and Ocular Adnexa . . . . . . . . . . . . . . . . . . . . . . . . . . .403

Auditory System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .418

Operating Microscope . . . . . . . . . . . . . . . . . . . . . . . . . . .422

Radiology Guidelines (Including Nuclear Medicineand Diagnostic Ultrasound) . . . . . . . . . . . . . . . . . . . . . . . . .426

Subject Listings . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .426

Separate Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . .426

Unlisted Service or Procedure . . . . . . . . . . . . . . . . . . . . .426

Special Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427

Supervision and Interpretation . . . . . . . . . . . . . . . . . . . . .427

Administration of Contrast Material(s) . . . . . . . . . . . . . .427

Written Report(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .427

Radiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .428

Diagnostic Radiology (Diagnostic Imaging) . . . . . . . . . . .428

Diagnostic Ultrasound . . . . . . . . . . . . . . . . . . . . . . . . . . .447

Radiologic Guidance . . . . . . . . . . . . . . . . . . . . . . . . . . . . .453

Breast, Mammography . . . . . . . . . . . . . . . . . . . . . . . . . . .454

Bone/Joint Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .455

Radiation Oncology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .456

Nuclear Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .464

Pathology and Laboratory Guidelines . . . . . . . . . . . . . . . .487

Services in Pathology and Laboratory . . . . . . . . . . . . . . .487

Separate or Multiple Procedures . . . . . . . . . . . . . . . . . . .487


Special Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .487

Pathology and Laboratory . . . . . . . . . . . . . . . . . . . . . . . . . . .488

Organ or Disease-Oriented Panels . . . . . . . . . . . . . . . . . .488

Drug Assay . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .490

Therapeutic Drug Assays . . . . . . . . . . . . . . . . . . . . . . . . .498

Evocative/Suppression Testing . . . . . . . . . . . . . . . . . . . .500

Consultations (Clinical Pathology) . . . . . . . . . . . . . . . . . .502

Urinalysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .502

Molecular Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . .502

Genomic Sequencing Procedures and Other MolecularMultianalyte Assays . . . . . . . . . . . . . . . . . . . . . . . . . . . . .527

Multianalyte Assays with Algorithmic Analyses . . . . . . .529

Chemistry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .531

Hematology and Coagulation . . . . . . . . . . . . . . . . . . . . . .542

Immunology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .545

Transfusion Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . .551

Microbiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .552

Anatomic Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . .560

Cytopathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .560

Cytogenetic Studies . . . . . . . . . . . . . . . . . . . . . . . . . . . . .562

Surgical Pathology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .563

In Vivo (eg, Transcutaneous) Laboratory Procedures . . . .568

Other Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .569

Reproductive Medicine Procedures . . . . . . . . . . . . . . . . .569

Medicine Guidelines . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .574

Add-on Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .574

Separate Procedures . . . . . . . . . . . . . . . . . . . . . . . . . . . .574


Special Report . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .575


SAMPLE

American Medical Association xi Contains new or revised text

Contentsery

Imaging Guidance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .575

Supplied Materials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .575

Medicine . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .576

Immune Globulins, Serum or Recombinant Products . . . .576

Immunization Administration for Vaccines/Toxoids . . . . .576

Vaccines, Toxoids . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .577

Psychiatry . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .582

Biofeedback . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .586

Dialysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .586

Gastroenterology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .589

Ophthalmology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .590

Special Otorhinolaryngologic Services . . . . . . . . . . . . . . .595

Cardiovascular . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .600

Noninvasive Vascular Diagnostic Studies . . . . . . . . . . . .626

Pulmonary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .629

Allergy and Clinical Immunology . . . . . . . . . . . . . . . . . . .632

Endocrinology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .635

Neurology and Neuromuscular Procedures . . . . . . . . . . .635

Medical Genetics and Genetic Counseling Services . . . .646

Central Nervous System Assessments/Tests(eg, Neuro-Cognitive, Mental Status, Speech Testing) . .646

Health and Behavior Assessment/Intervention . . . . . . . .648

Hydration, Therapeutic, Prophylactic, DiagnosticInjections and Infusions, and Chemotherapy andOther Highly Complex Drug or Highly ComplexBiologic Agent Administration . . . . . . . . . . . . . . . . . . . . .648

Photodynamic Therapy . . . . . . . . . . . . . . . . . . . . . . . . . . .654

Special Dermatological Procedures . . . . . . . . . . . . . . . . .654

Physical Medicine and Rehabilitation . . . . . . . . . . . . . . .655

Medical Nutrition Therapy . . . . . . . . . . . . . . . . . . . . . . . .658

Acupuncture . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .658

Osteopathic Manipulative Treatment . . . . . . . . . . . . . . . .659

Chiropractic Manipulative Treatment . . . . . . . . . . . . . . . .659

Education and Training for Patient Self-Management . . .660

Non-Face-to-Face Nonphysician Services . . . . . . . . . . . .660

Special Services, Procedures and Reports . . . . . . . . . . . .661

Qualifying Circumstances for Anesthesia . . . . . . . . . . . .663

Moderate (Conscious) Sedation . . . . . . . . . . . . . . . . . . . .663

Other Services and Procedures . . . . . . . . . . . . . . . . . . . .664

Home Health Procedures/Services . . . . . . . . . . . . . . . . .665

Medication Therapy Management Services . . . . . . . . . .666

Category II Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .667

Modifiers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .668

Composite Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .668

Patient Management . . . . . . . . . . . . . . . . . . . . . . . . . . . .669

Patient History . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .670

Physical Examination . . . . . . . . . . . . . . . . . . . . . . . . . . . .672

Diagnostic/Screening Processes or Results . . . . . . . . . .673

Therapeutic, Preventive, or Other Interventions . . . . . . .679

Follow-up or Other Outcomes . . . . . . . . . . . . . . . . . . . . .685

Patient Safety . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .685

Structural Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . .686

Nonmeasure Code Listing . . . . . . . . . . . . . . . . . . . . . . . .686

Category III Codes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .687

Appendix A—Modifiers . . . . . . . . . . . . . . . . . . . . . . . . . . . .709

Appendix B—Summary of Additions,Deletions, and Revisions . . . . . . . . . . . . . . . . . . . . . . . . . . .715

Appendix C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722

Clinical Examples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .722

Office or Other Outpatient Service . . . . . . . . . . . . . . . . . .722

Hospital Inpatient Services . . . . . . . . . . . . . . . . . . . . . . .732

Subsequent Hospital Care . . . . . . . . . . . . . . . . . . . . . . . .735

Consultations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .739

Emergency Department Services . . . . . . . . . . . . . . . . . . .744

Critical Care Services . . . . . . . . . . . . . . . . . . . . . . . . . . . .745

Prolonged Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .745

Care Plan Oversight Services . . . . . . . . . . . . . . . . . . . . . .746

Prolonged Clinical Staff Services with Physician or OtherQualified Health Care Professional Supervision . . . . . . .746

Inpatient Neonatal Intensive Care Service andPediatric and Neonatal Critical Care Services . . . . . . . . .746

Appendix D—Summary of CPT Add-on Codes . . . . . . . . .747

Appendix E—Summary of CPT CodesExempt from Modifier 51 . . . . . . . . . . . . . . . . . . . . . . . . . . . .748

Appendix F—Summary of CPT CodesExempt from Modifier 63 . . . . . . . . . . . . . . . . . . . . . . . . . . . .749

Appendix G—Summary of CPT CodesThat Include Moderate (Conscious) Sedation . . . . . . . . .750

Appendix H—Alphabetical Clinical Topics Listing(AKA – Alphabetical Listing) . . . . . . . . . . . . . . . . . . . . . . . .752

Appendix I—Genetic Testing Code Modifiers . . . . . . . . .752

Appendix J—Electrodiagnostic Medicine Listingof Sensory, Motor, and Mixed Nerves . . . . . . . . . . . . . . . .753

Appendix K—Product Pending FDA Approval . . . . . . . . .756

Appendix L—Vascular Families . . . . . . . . . . . . . . . . . . . . .757

Appendix M—Renumbered CPT Codes–CitationsCrosswalk . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .760

Appendix N—Summary of Resequenced CPT Codes . . .766

Appendix O—Multianalyte Assays withAlgorithmic Analyses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .767

Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .772


SAMPLE

American Medical Association xxi

Illustrated Anatomical and Procedural Review

Paramedian sagittalplane

Median sagittal plane

Proximal endof upper limb

Lateral borderupper limb

Radial (thumb)side of hand

Medial borderupper limb

Distal endof upper limb

Ulnar sideof hand

Posterior aspect

Dorsal surface of hand Palmar surface of hand

Anterior aspect

Superior (cranial) aspect

Inferior aspect

Plantar surface of foot

Dorsal surface of foot

Coronal (frontal)plane

Sagittal plane(at the body's median)

Horizontal or transverse plane

Figure 1BBody Aspects — Side View

Figure 1CBody Planes — Front View

Figure 1ABody Planes — 3/4 View

33751_CPT Prof 2016_00_FM xvii-xxiv.indd 21 7/13/15 10:40 AM

SAMPLE

xxii Evaluation and Management Tables CPT 2017xxiv Evaluation and Management Tables CPT 2013

EVALUATION AND MANAGEMENT TABLESOffice or Other

Outpatient ServicesPatient: New

Required Components: 3/3

Code

99201

99202

99203

99204

99205

Required Key Components

History and Exam (#1 and #2)

Problem-Focused X

Expanded Problem-Focused

X

Detailed X

Comprehensive X X

Medical Decision Making (Complexity) (#3)

Straightforward X X

Low X

Moderate X

High X

Contributory FactorsPresenting Problem (Severity) (#1)Self-limited or Minor X

Low to Moderate X

Moderate X

Moderate to High X X

Counseling (#2) See E/M Guidelines

Coordination of Care (#3) See E/M Guidelines

Typical Face-to-Face Time (#4)Minutes 10 20 30 45 60

Office or OtherOutpatient Services

Patient: Established


Code99211

99212

99213

99214

99215



Problem-Focused N/A X

Expanded Problem-Focused

X

Detailed X

Comprehensive X


Straightforward N/A X

Low X

Moderate X

High X

Contributory FactorsPresenting Problem (Severity) (#1)Minimal X

Self-Limited or Minor X

Low to Moderate X

Moderate to High X X



Typical Face-to-Face Time (#4)Minutes 5 10 15 25 40

Initial Observation CarePatient: New or Established


Code

99218

99219

99220



Detailed or Comprehensive X

Comprehensive X X


Straightforward orLow

X

Moderate X

High X

Contributory FactorsPresenting Problem (Severity) (#1)Low X

Moderate X

High X

Counseling (#2)See E/M Guidelines

Coordination of Care (#3)See E/M Guidelines

Bedside/Unit/Floor Time (#4)Minutes 30 50 70

Initial Hospital CarePatient: New or Established


Code

99221

99222

99223



Detailed or Comprehensive X

Comprehensive X X



X

Moderate X

High X

Contributory FactorsPresenting Problem (Severity) (#1)Low X

Moderate X

High X




Subsequent Observation CarePatient: New or Established


Code99224

99225

99226


Interval History and Exam (#1 and #2)

Problem-Focused X

Expanded Problem-Focused X

Detailed X



X

Moderate X

High X

Contributory FactorsPresenting Problem (Severity) (#1)Stable/Recovering/Improving X

Inadequate Response toTherapy/ Minor ComplicationDevelopment

X

Unstable/Significant Complica-tion/Significant New Problem

X




Subsequent Hospital CarePatient: New or Established


Code

99231

99232

99233


Interval History and Exam (#1 and #2)

Problem-Focused X

Expanded Problem-Focused X

Detailed X



X

Moderate X

High X

Contributory Factors

Presenting Problem (Severity) (#1)Stable/Recovering/Improving X

Responding Inadequately/ MinorComplication

X

Unstable/Significant Complica-tion/New Problem

X




Prof2013FMxxiv-xxviii.indd24 6/26/13 2:23PM

Evaluation and Management Tables

33751_CPT Prof 2016_00_FM xvii-xxiv.indd 22 7/31/15 9:56 AM

SAMPLE

4 Moderate sedation ✚Add-on code ~FDA approval pending #Resequenced code Recycled/reinstated code £££See p xvi for details

Evaluation/Managem

ent

Evaluation and Management (E/M)Services GuidelinesIn addition to the information presented in theIntroduction, several other items unique to this sectionare defined or identified here.

Classification of Evaluationand Management (E/M)ServicesThe E/M section is divided into broad categories such asoffice visits, hospital visits, and consultations. Most of thecategories are further divided into two or moresubcategories of E/M services. For example, there are twosubcategories of office visits (new patient and establishedpatient) and there are two subcategories of hospital visits(initial and subsequent). The subcategories of E/Mservices are further classified into levels of E/M servicesthat are identified by specific codes. This classification isimportant because the nature of work varies by type ofservice, place of service, and the patient’s status.

The basic format of the levels of E/M services is the samefor most categories. First, a unique code number is listed.Second, the place and/or type of service is specified, eg,office consultation. Third, the content of the service isdefined, eg, comprehensive history and comprehensiveexamination. (See “Levels of E/M Services,” page 6, fordetails on the content of E/M services.) Fourth, thenature of the presenting problem(s) usually associatedwith a given level is described. Fifth, the time typicallyrequired to provide the service is specified. (A detaileddiscussion of time is provided on page 7.)

Definitions of Commonly UsedTermsCertain key words and phrases are used throughout theE/M section. The following definitions are intended toreduce the potential for differing interpretations and toincrease the consistency of reporting by physicians indiffering specialties. E/M services may also be reported byother qualified health care professionals who areauthorized to perform such services within the scope oftheir practice.

New and Established PatientSolely for the purposes of distinguishing between newand established patients, professional services are thoseface-to-face services rendered by physicians and otherqualified health care professionals who may reportevaluation and management services reported by aspecific CPT code(s). A new patient is one who has notreceived any professional services from the physician/qualified health care professional or another physician/qualified health care professional of the exact samespecialty and subspecialty who belongs to the samegroup practice, within the past three years.

An established patient is one who has receivedprofessional services from the physician/qualified healthcare professional or another physician/qualified healthcare professional of the exact same specialty andsubspecialty who belongs to the same group practice,within the past three years. See Decision Tree.

In the instance where a physician/qualified health careprofessional is on call for or covering for anotherphysician/qualified health care professional, the patient’sencounter will be classified as it would have been by thephysician/qualified health care professional who is notavailable. When advanced practice nurses and physicianassistants are working with physicians they are consideredas working in the exact same specialty and exact samesubspecialties as the physician.

No distinction is made between new and establishedpatients in the emergency department. E/M services inthe emergency department category may be reported forany new or established patient who presents for treatmentin the emergency department.

The decision tree on page 5 is provided to aid indetermining whether to report the E/M service providedas a new or an established patient encounter.

33751_CPT Prof 2016_02_evalmang.indd 4 6/19/15 2:53 PM

SAMPLE

American Medical Association 11▲Revised code •New code Contains new or revised text Modifier 51 exempt

CPT 2017 Evaluation and Management / Office or Other Outpatient Services 99201—99203

Eval

uatio

n/M

anag

emen

t

Evaluation and ManagementNew Patient99201 Office or other outpatient visit for the evaluation and

management of a new patient, which requires these 3key components:

j A problem focused history;

j A problem focused examination;

j Straightforward medical decision making.

Counseling and/or coordination of care with otherphysicians, other qualified health care professionals, oragencies are provided consistent with the nature of theproblem(s) and the patient’s and/or family’s needs.

Usually, the presenting problem(s) are self limited orminor. Typically, 10 minutes are spent face-to-face withthe patient and/or family.£ CPT Changes: An Insider's View 2011, 2013

£ CPT Assistant Winter 91:11, Spring 92:13, 24, Summer 92:1, 24,Spring 93:34, Summer 93:2, Fall 93:9, Spring 95:1, Summer 95:4,Fall 95:9, Jul 98:9, Sep 98:5, Jun 99:8, Feb 00:3, 9, 11, Aug 01:2,Oct 04:11, Mar 05:11, Apr 05:1, May 05:1, Jun 05:11, Dec 05:10,Feb 06:14, May 06:1, Jun 06:1, Aug 06:12, Oct 06:15, Apr 07:11,Sep 07:1, Nov 08:10, Mar 09:3, Aug 09:5, Dec 09:9, Jul 10:10,Jan 11:3, Jan 12:5, Mar 12:4, 8, Apr 12:10, Jan 13:9, Jun 13:3,Aug 13:13, 14, Aug 14:3, Oct 14:3, Nov 14:14, Jan 15:12

£ Clinical Examples in Radiology Winter 12:9

99202 Office or other outpatient visit for the evaluation andmanagement of a new patient, which requires these 3key components:

j An expanded problem focused history;

j An expanded problem focused examination;



Usually, the presenting problem(s) are of low to moderateseverity. Typically, 20 minutes are spent face-to-face withthe patient and/or family.£ CPT Changes: An Insider's View 2013

£ CPT Assistant Winter 91:11, Spring 92:13, 24, Summer 92:1, 24,Spring 93:34, Summer 93:2, Fall 93:9, Spring 95:1, Summer 95:4,Fall 95:9, Jul 98:9, Sep 98:5, Feb 00:11, Aug 01:2, Apr 02:14,Oct 04:10, Apr 05:1, 3, Jun 05:11, Dec 05:10, May 06:1, Jun 06:1,Oct 06:15, Apr 07:11, Sep 07:1, Mar 09:3, Aug 09:5, Dec 09:9,Jan 11:3, Mar 12:4, 8, Jan 13:9, Jun 13:3, Aug 13:13, 14,Jan 15:12



j A detailed history;

j A detailed examination;

j Medical decision making of low complexity.

Office or Other OutpatientServicesThe following codes are used to report evaluation andmanagement services provided in the office or in anoutpatient or other ambulatory facility. A patient isconsidered an outpatient until inpatient admission to ahealth care facility occurs.

To report services provided to a patient who is admittedto a hospital or nursing facility in the course of anencounter in the office or other ambulatory facility, seethe notes for initial hospital inpatient care (page 15) orinitial nursing facility care (page 25).

For services provided in the emergency department, see99281-99285.

For observation care, see 99217-99226.

For observation or inpatient care services (includingadmission and discharge services), see 99234-99236.

Coding TipDetermination of Patient Status as New or EstablishedPatient

Solely for the purposes of distinguishing between new andestablished patients, professional services are those face-to-face services rendered by physicians and other qualified healthcare professionals who may report evaluation andmanagement services reported by a specific CPT code(s). Anew patient is one who has not received any professionalservices from the physician/qualified health care professionalor another physician/qualified health care professional of theexact same specialty and subspecialty who belongs to thesame group practice, within the past three years.

An established patient is one who has received professionalservices from the physician/qualified health care professionalor another physician/qualified health care professional of theexact same specialty and subspecialty who belongs to the samegroup practice, within the past three years.

In the instance where a physician/qualified health careprofessional is on call for or covering for another physician/qualified health care professional, the patient’s encounter willbe classified as it would have been by the physician/qualifiedhealth care professional who is not available. When advancedpractice nurses and physician assistants are working withphysicians they are considered as working in the exact samespecialty and exact same subspecialties as the physician.

CPT Coding Guidelines, Evaluation and Management,Definitions of Commonly Used Terms, New and EstablishedPatient

33751_CPT Prof 2016_03_evalman.indd 11 6/19/15 4:16 PM

SAMPLE


CPT 2017 Evaluation and Management / Office or Other Outpatient Services 99201—99203

Eval

uatio

n/M

anag

emen

t

Evaluation and ManagementNew Patient99201 Office or other outpatient visit for the evaluation and

management of a new patient, which requires these 3key components:

j A problem focused history;

j A problem focused examination;



Usually, the presenting problem(s) are self limited orminor. Typically, 10 minutes are spent face-to-face withthe patient and/or family.£ CPT Changes: An Insider's View 2011, 2013

£ CPT Assistant Winter 91:11, Spring 92:13, 24, Summer 92:1, 24,Spring 93:34, Summer 93:2, Fall 93:9, Spring 95:1, Summer 95:4,Fall 95:9, Jul 98:9, Sep 98:5, Jun 99:8, Feb 00:3, 9, 11, Aug 01:2,Oct 04:11, Mar 05:11, Apr 05:1, May 05:1, Jun 05:11, Dec 05:10,Feb 06:14, May 06:1, Jun 06:1, Aug 06:12, Oct 06:15, Apr 07:11,Sep 07:1, Nov 08:10, Mar 09:3, Aug 09:5, Dec 09:9, Jul 10:10,Jan 11:3, Jan 12:5, Mar 12:4, 8, Apr 12:10, Jan 13:9, Jun 13:3,Aug 13:13, 14, Aug 14:3, Oct 14:3, Nov 14:14, Jan 15:12



j An expanded problem focused history;

j An expanded problem focused examination;



Usually, the presenting problem(s) are of low to moderateseverity. Typically, 20 minutes are spent face-to-face withthe patient and/or family.£ CPT Changes: An Insider's View 2013

£ CPT Assistant Winter 91:11, Spring 92:13, 24, Summer 92:1, 24,Spring 93:34, Summer 93:2, Fall 93:9, Spring 95:1, Summer 95:4,Fall 95:9, Jul 98:9, Sep 98:5, Feb 00:11, Aug 01:2, Apr 02:14,Oct 04:10, Apr 05:1, 3, Jun 05:11, Dec 05:10, May 06:1, Jun 06:1,Oct 06:15, Apr 07:11, Sep 07:1, Mar 09:3, Aug 09:5, Dec 09:9,Jan 11:3, Mar 12:4, 8, Jan 13:9, Jun 13:3, Aug 13:13, 14,Jan 15:12



j A detailed history;

j A detailed examination;

j Medical decision making of low complexity.

Office or Other OutpatientServicesThe following codes are used to report evaluation andmanagement services provided in the office or in anoutpatient or other ambulatory facility. A patient isconsidered an outpatient until inpatient admission to ahealth care facility occurs.

To report services provided to a patient who is admittedto a hospital or nursing facility in the course of anencounter in the office or other ambulatory facility, seethe notes for initial hospital inpatient care (page 15) orinitial nursing facility care (page 25).

For services provided in the emergency department, see99281-99285.

For observation care, see 99217-99226.

For observation or inpatient care services (includingadmission and discharge services), see 99234-99236.

Coding TipDetermination of Patient Status as New or EstablishedPatient

Solely for the purposes of distinguishing between new andestablished patients, professional services are those face-to-face services rendered by physicians and other qualified healthcare professionals who may report evaluation andmanagement services reported by a specific CPT code(s). Anew patient is one who has not received any professionalservices from the physician/qualified health care professionalor another physician/qualified health care professional of theexact same specialty and subspecialty who belongs to thesame group practice, within the past three years.

An established patient is one who has received professionalservices from the physician/qualified health care professionalor another physician/qualified health care professional of theexact same specialty and subspecialty who belongs to the samegroup practice, within the past three years.

In the instance where a physician/qualified health careprofessional is on call for or covering for another physician/qualified health care professional, the patient’s encounter willbe classified as it would have been by the physician/qualifiedhealth care professional who is not available. When advancedpractice nurses and physician assistants are working withphysicians they are considered as working in the exact samespecialty and exact same subspecialties as the physician.

CPT Coding Guidelines, Evaluation and Management,Definitions of Commonly Used Terms, New and EstablishedPatient

33751_CPT Prof 2016_03_evalman.indd 11 6/19/15 4:16 PM

SAMPLE

82 Moderate sedation :Add-on code ~FDA approval pending #Resequenced code Recycled/reinstated code £££See p xvi for details

Integumentary

13160—14060 Surgery / Integumentary System CPT 2017

14060 Adjacent tissue transfer or rearrangement, eyelids, nose,ears and/or lips; defect 10 sq cm or less£ CPT Assistant Fall 93:7, Jul 99:3, Jan 06:47, Dec 06:15, Jul 08:5,

Mar 10:4, Jan 12:8, May 12:13, Aug 12:13, Nov 12:13, Dec 12:6

13160 Secondary closure of surgical wound or dehiscence,extensive or complicated£ CPT Assistant Sep 97:11, Dec 98:5, Apr 00:8, May 11:4, Dec 12:6

(For packing or simple secondary wound closure, see12020, 12021)

Adjacent Tissue Transfer orRearrangementFor full thickness repair of lip or eyelid, see respectiveanatomical subsections.

Codes 14000-14302 are used for excision (includinglesion) and/or repair by adjacent tissue transfer orrearrangement (eg, Z-plasty, W-plasty, V-Y plasty,rotation flap, random island flap, advancement flap).When applied in repairing lacerations, the procedureslisted must be performed by the surgeon to accomplishthe repair. They do not apply to direct closure orrearrangement of traumatic wounds incidentally resultingin these configurations. Undermining alone of adjacenttissues to achieve closure, without additional incisions,does not constitute adjacent tissue transfer, see complexrepair codes 13100-13160. The excision of a benignlesion (11400-11446) or a malignant lesion (11600-11646) is not separately reportable with codes 14000-14302.

Skin graft necessary to close secondary defect isconsidered an additional procedure. For purposes of codeselection, the term “defect” includes the primary andsecondary defects. The primary defect resulting from theexcision and the secondary defect resulting from flapdesign to perform the reconstruction are measuredtogether to determine the code.

14000 Adjacent tissue transfer or rearrangement, trunk; defect10 sq cm or less£ CPT Assistant Sep 96:11, Jul 99:3, Jul 00:10, Jan 06:47,

Dec 06:15, Jul 08:5, Mar 10:4, Apr 10:3, Jan 12:8, May 12:13,Nov 12:13, Dec 12:6, Apr 14:10, Feb 15:10

14001 defect 10.1 sq cm to 30.0 sq cm£ CPT Assistant Aug 96:8, Jul 99:3, Jan 06:47, Dec 06:15,

Jul 08:5, Mar 10:4, Jan 12:8, May 12:13, Nov 12:13,Dec 12:6, Apr 14:10, Feb 15:10

14020 Adjacent tissue transfer or rearrangement, scalp, armsand/or legs; defect 10 sq cm or less£ CPT Assistant Jul 99:3, Jan 06:47, Dec 06:15, Jul 08:5, Mar 10:4,

Jan 12:8, May 12:13, Nov 12:13, Dec 12:6

14021 defect 10.1 sq cm to 30.0 sq cm£ CPT Assistant Jul 99:3, Jan 06:47, Dec 06:15, Jul 08:5,

Mar 10:4, Jan 12:8, May 12:13, Nov 12:13, Dec 12:6

14040 Adjacent tissue transfer or rearrangement, forehead,cheeks, chin, mouth, neck, axillae, genitalia, hands and/or feet; defect 10 sq cm or less£ CPT Assistant Jul 99:3, Jul 00:10, Jan 06:47, Dec 06:15, Jul 08:5,




Adjacent Tissue Repairs14000-14061

Repair of primary and secondary defects requires assignment of a code based upon thelocation and the approximate description (as demonstrated below) of the area required.

A. Advancement Flap

Primary defect (Area 1)

Secondary defect (Area 2)

1.0 cm

1.0 cm 2.0 cm

Area 1: 1.0 cm x 1.0 cm = 1.0 sq cmArea 2: 1.0 cm x 2.0 cm = 2.0 sq cm(Area 1) + (Area 2) = 1.0 sq cm + 2.0 sq cm = 3.0 sq cm

Adjacent Tissue Repairs

14000-14061Repair of primary and secondary defects. Assign code based upon repair location andapproximate description (as demonstrated below) of area repaired.

A. Advancement Flap

B. Rotation Flap

Primary defect (Area 1)

Secondary defect (Area 2)

1.0 cm

1.0 cm

2.5 cm

1.2 cm

Area 1: 1.0 cm x 1.0 cm = 1.0 sq cmArea 2: 2.5 cm x 1.2 cm = 3.0 sq cm(Area 1) + (Area 2) = 1.0 sq cm + 3.0 sq cm = 4.0 sq cm

B. Rotation Flap

33751_CPT Prof 2016_10_sur INTEG.indd 82 6/24/15 11:41 AM

SAMPLE


Inte

gum

enta

ry

CPT 2017 Surgery / Integumentary System 14061—14350

nonviable tissue is removed to treat a burn, traumaticwound or a necrotizing infection. The clean wound bedmay also be created by incisional release of a scarcontracture resulting in a surface defect from separationof tissues. The intent is to heal the wound by primaryintention, or by the use of negative pressure woundtherapy. Patient conditions may require the closure orapplication of graft, flap, or skin substitute to be delayed,but in all cases the intent is to include these treatments ornegative pressure wound therapy to heal the wound. Donot report 15002-15005 for removal of nonviable tissue/debris in a chronic wound (eg, venous or diabetic) whenthe wound is left to heal by secondary intention. Seeactive wound management codes (97597, 97598) anddebridement codes (11042-11047) for this service. Fornecrotizing soft tissue infections in specific anatomiclocations, see 11004-11008.

Select the appropriate code from 15002-15005 basedupon location and size of the resultant defect. Formultiple wounds, sum the surface area of all woundsfrom all anatomic sites that are grouped together into thesame code descriptor. For example, sum the surface areaof all wounds on the trunk and arms. Do not sumwounds from different groupings of anatomic sites (eg,face and arms). Use 15002 or 15004, as appropriate, forexcisions and incisional releases resulting in wounds up toand including 100 sq cm of surface area. Use 15003 or15005 for each additional 100 sq cm or part thereof. Forexample: Surgical preparation of a 20 sq cm wound onthe right hand and a 15 sq cm wound on the left handwould be reported with a single code, 15004. Surgicalpreparation of a 75 sq cm wound on the right thigh and a75 sq cm wound on the left thigh would be reported with15002 for the first 100 sq cm and 15003 for the second50 sq cm. If all four wounds required surgical preparationon the same day, use modifier 59 with 15002, and 15004.

Autografts/tissue cultured autografts include the harvestand/or application of an autologous skin graft. Repair ofdonor site requiring skin graft or local flaps is reportedseparately. Removal of current graft and/or simplecleansing of the wound is included, when performed. Donot report 97602. Debridement is considered a separateprocedure only when gross contamination requiresprolonged cleansing, when appreciable amounts ofdevitalized or contaminated tissue are removed, or whendebridement is carried out separately without immediateprimary closure.

Select the appropriate code from 15040-15261 basedupon type of autograft and location and size of the defect.The measurements apply to the size of the recipient area.For multiple wounds, sum the surface area of all woundsfrom all anatomic sites that are grouped together into thesame code descriptor. For example, sum the surface areaof all wounds on the trunk and arms. Do not sumwounds from different groupings of anatomic sites (eg,face and arms).



(For eyelid, full thickness, see 67961 et seq)

14301 Adjacent tissue transfer or rearrangement, any area;defect 30.1 sq cm to 60.0 sq cm£ CPT Changes: An Insider's View 2010

£ CPT Assistant May 12:13, Nov 12:13, Dec 12:6

: 14302 each additional 30.0 sq cm, or part thereof (Listseparately in addition to code for primary procedure)£ CPT Changes: An Insider's View 2010

£ CPT Assistant May 12:13, Nov 12:13, Dec 12:6

(Use 14302 in conjunction with 14301)

14350 Filleted finger or toe flap, including preparation ofrecipient site£ CPT Assistant Jan 06:47, Jul 08:5, Mar 10:4, May 12:13,

Dec 12:6

Skin Replacement SurgerySkin replacement surgery consists of surgicalpreparation and topical placement of an autograft(including tissue cultured autograft) or skin substitutegraft (ie, homograft, allograft, xenograft). The graft isanchored using the individual's choice of fixation. Whenservices are performed in the office, routine dressingsupplies are not reported separately.

The following definition should be applied to those codesthat reference “100 sq cm or 1% of body area of infantsand children” when determining the involvement of bodysize: The measurement of 100 sq cm is applicable toadults and children 10 years of age and older; andpercentages of body surface area apply to infants andchildren younger than 10 years of age. The measurementsapply to the size of the recipient area.

Procedures involving wrist and/or ankle are reported withcodes that include arm or leg in the descriptor.

When a primary procedure requires a skin substitute orskin autograft for definitive skin closure (eg, orbitectomy,radical mastectomy, deep tumor removal), use 15100-15278 in conjunction with primary procedure.

For biological implant for soft tissue reinforcement, use15777 in conjunction with primary procedure.

The supply of skin substitute graft(s) should be reportedseparately in conjunction with 15271-15278.

Definitions

Surgical preparation codes 15002-15005 for skinreplacement surgery describe the initial services related topreparing a clean and viable wound surface for placementof an autograft, flap, skin substitute graft or for negativepressure wound therapy. In some cases, closure may bepossible using adjacent tissue transfer (14000-14061) orcomplex repair (13100-13153). In all cases, appreciable

33751_CPT Prof 2016_10_sur INTEG.indd 83 6/24/15 11:41 AM

SAMPLE

App

endi

x L

Appendix L—Vascular Families

American Medical Association 757

First Order Second Order Branch Third Order Branch Beyond Third Order BranchesR. ophthalmic

R. internal carotid R. p. communicatingR. middle cerebralR. a. cerebral

R. common carotid R. superior thyroidR. ascending pharyngealR. facialR. lingual

R. external carotid R. occipitalR. p. auricularR. superficial temporalR. internal maxillaryR. middle meningeal

R. vertebral Basilar

R. internal thoracic (internal mammary)

Innominate R. inferior thyroid

R. thyrocervical trunk R. suprascapularR. transverse cervical

R. costocervical trunk R. highest intercostal

R. deep cervical

R. lateral thoracicR. subclavian & axillary R. thoracoacromial

R. humeral circumflex (A/P)

R. subscapular R. circumflex scapular R. brachial

R. ulnarR. radial

R. deep brachial R. interosseousR. deep palmar archR. superficial palmar archR. metacarpals and digitals

L. ophthalmic

L. internal carotid L. p. communicatingL. middle cerebralL. a. cerebral

L. common carotid L. superior thyroid

L. ascending pharyngealL. facial

L. external carotid L. lingualL. occipitalL. p. auricularL. superficial temporal

L. internal maxillary L. middle meningeal

R 5 right, L 5 left, A 5 anterior, P 5 posterior

Appendix LVascular Families

Assignment of branches to first, second, and third orderin this table makes the assumption that the starting pointis catheterization of the aorta. This categorization wouldnot be accurate, for instance, if a femoral or carotid artery

were catheterized directly in an antegrade direction.Arteries highlighted in bold are those more commonlyreported during arteriographic procedures.

33751_CPT Prof 2016_51_Appendix L.indd 757 7/13/15 9:39 AM

SAMPLE

Documents

current procedural terminology 2017 - AAPC ® current procedural terminology 33751_CPT Prof 2016_00_FM iii_Title Pg.indd 3 7/31/15 9:23 AM SAMPLE ... Instructions for Selecting a Level