What is the difference between CPT Category I, II, and III codes?
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Understanding CPT Categories for Medical Coding Students
CPT Category I codes are the backbone of procedural reporting in healthcare. These are five-digit numeric codes (00100–99499) representing widely accepted and established medical services and procedures, grouped into logical sections like Evaluation & Management, Surgery, Radiology, and more.
CPT Category II codes are optional alphanumeric “tracking” codes, used for measuring performance and quality of care (e.g., documenting BMI or follow-up processes). While they don’t carry any billable value, they are used to track and improve healthcare delivery. These codes follow a “four digits + F” format and are released three times a year.
CPT Category III codes are temporary, alphanumeric (four digits + T) codes for emerging or experimental technologies and procedures. They enable data collection and assessment, potentially paving the way for permanent Category I adoption. Category III codes are released biannually (January and July) and typically remain active for up to five years unless adopted as Category I.
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