CPT Code 99397: Preventive visit for established patients 65+
CPT Code 99397: definition and clinical description CPT Code 99397 is the billing code for a periodic comprehensive preventive medicine reevaluation of an established patient aged 65 years or older. It is the oldest-patient code in the age-stratified preventive medicine family (99391-99397) and applies only to patients who are 65 or older on the date […]
CPT Code 77063: Screening digital breast tomosynthesis billing
CPT Code 77063 is the billing code for screening digital breast tomosynthesis (3D mammography), bilateral. It is an add-on code only, never a standalone billable service: it is billed alongside the primary screening mammography code 77067, and a claim that submits 77063 without its primary code is denied on edit. This guide covers the full […]
CPT Code 00216: Anesthesia for intracranial vascular procedures
CPT code 00216: definition and clinical description CPT code 00216 identifies anesthesia services provided during surgical procedures on the blood vessels of the head, commonly referred to as intracranial vascular procedures or head vessel surgery. Maintained by the American Medical Association (AMA) as part of the Current Procedural Terminology (CPT) code set, it falls within […]
CPT Code 00120: Anesthesia for ear surgery billing guide
CPT Code 00120: definition and clinical description CPT Code 00120 is the anesthesia code for procedures on the external, middle, and inner ear including biopsy, not otherwise specified. It is the catch-all code reported when no more specific ear anesthesia code applies. The official descriptor is: Anesthesia for procedures on external, middle, and inner ear […]
CPT Code 90471: Immunization administration billing guide
CPT 90471 reports administration of one injectable vaccine, billed separately from the vaccine product. Use 90460 when a physician counsels patients 18 and younger, and G0008/G0009/G0010 for Medicare flu, pneumococcal, and hepatitis B.
CPT Code 96110: Developmental screening billing guide 2026
CPT Code 96110: Definition, description, and clinical use CPT Code 96110 is a billable code that covers developmental screening using a standardized, validated instrument, with scoring and documentation. It does not apply to informal observation or casual questioning – the screening must use a recognized tool that is scored and recorded in the patient’s record. […]
CPT Code 96136: psychological and neuropsychological test administration billing guide
CPT Code 96136 is the base code for psychological and neuropsychological test administration and scoring performed by a physician or qualified healthcare professional, covering the first 30 minutes when two or more tests are administered. Billing it correctly comes down to who can bill it, how time is tracked, and when the add-on or technician […]
CPT code 99455: Work-related disability exam billing guide
CPT code 99455: Work-related disability exam billing guide Most workers’ compensation claim denials trace back to one of three problems: the wrong provider billed the code, the visit included active treatment, or the documentation missed a required component. CPT code 99455 has specific rules on all three fronts, and getting any one wrong triggers a […]
CPT Code 23330: Removal of Foreign Body From Shoulder
CPT Code 23330: Definition and clinical description Orthopedic surgeons, emergency physicians, and general surgeons use CPT Code 23330 when they surgically remove a foreign body from the subcutaneous tissue of the shoulder. The sports medicine and surgical practices that bill this code most frequently include outpatient surgical centers, hospital-based departments, and private orthopedic offices performing […]
CPT code 01112: Anesthesia for bone marrow aspiration and biopsy
CPT code 01112 covers anesthesia for bone marrow aspiration and/or biopsy at the anterior or posterior iliac crest. Billing guide to base units, modifiers, documentation, and reimbursement.