Description
In addition to the Current Procedural Terminology (CPT©)
codes and their short descriptions (up to 35 characters), this data provides information
that can be used to flag codes for coding and billing errors. From age and sex specific
notations to unlisted procedures, this file contains data that is ideal for system developers. Updated
twice annually in January and July.
Record Layout - Fixed Field
|
Fields |
Columns |
Description |
| 1 |
1 |
- |
5 |
|
CPT© Code Number |
| 2 |
6 |
- |
34 |
|
Short Description (Lower Case) |
| 3 |
35
|
- |
63 |
|
Short Description (Upper Case) |
| 4 |
64
|
- |
80 |
|
Anesthesia Crosswalk #1 |
| 5 |
81 |
- |
82 |
|
ASA Base Units #1 |
| 6 |
83 |
- |
84 |
|
Medicare Base Units #1 |
| 7 |
85 |
- |
89 |
|
Anesthesia Crosswalk #2 |
| 8 |
90 |
- |
91 |
|
ASA Base Units #2 |
| 9 |
92 |
- |
93 |
|
Medicare Base Units #2 |
| 10 |
94 |
- |
98 |
|
Anesthesia Crosswalk #3 |
| 11 |
99 |
- |
100 |
|
ASA Base Units #3 |
| 12 |
101 |
- |
102 |
|
Medicare Base Units #3 |
| 13 |
103 |
|
|
|
B = Male-only
procedure |
| 14 |
104 |
|
|
|
C = Female-only
procedure |
| 15 |
105 |
|
|
|
D = Newborn procedure |
| 16 |
106 |
|
|
|
E = Pediatric
procedure |
| 17 |
107 |
|
|
|
F = Maternity
procedure |
| 18 |
108 |
|
|
|
M = Revised in
2004 |
| 19 |
109 |
|
|
|
N = New procedure in
2004 |
| 20 |
110 |
|
|
|
O = Procedure
valid in 2004 |
| 21 |
111 |
|
|
|
P = Procedure
valid in 2002 |
| 22 |
112 |
|
|
|
Q = Procedure
valid in 2001 |
| 23 |
113 |
|
|
|
R = Unlisted
procedure |
| 24 |
114 |
|
|
|
S = Starred procedure |
| 25 |
115 |
|
|
|
T = Separate
procedure |
| 26 |
116 |
|
|
|
U = Adult procedure |
| 27 |
117 |
|
|
|
V = Deleted code |
| 28 |
118 |
- |
119 |
|
Year deleted |
| 29 |
120 |
|
|
|
Blank |
Formats Available
* ASCII Diskette: 3.5" (Fixed
Field or Comma-Delimited)
* CD-ROM (Fixed Field or Comma-Delimited)
Data Samples
Fixed File
99566hi unintrpt lng-trm iv
treat, visitHI UNINTRPT LNG-TRM IV TREAT, VISIT
99567hi, sympathomimetic agent, per vistHI, SYMPATHOMIMETIC AGENT, PER
VIST
99568hi, miscellaneous drugs, per visit HI, MISCELLANEOUS DRUGS, PER
VISIT
99569hi, ea ad tx on same day per visit HI, EA AD TX ON SAME DAY PER
VISIT
99600home visit nos
HOME VISIT NOS
99601home infusion/visit 2 hrs
HOME INFUSION/VISIT 2 HRS
99602home infusion each addtl hr
HOME INFUSION EACH ADDTL HR
99605mtms by pharm np 15 min
MTMS BY PHARM NP 15 MIN
99606mtms by pharm est 15 min
MTMS BY PHARM EST 15 MIN
99607mtms by pharm addl 15 min
MTMS BY PHARM ADDL 15 MIN
Comma Delimited File
"99566","hi unintrpt lng-trm iv treat, visit","HI UNINTRPT LNG-TRM IV TREAT, VISIT",,,,,,,,,,,,,V,03
"99567","hi, sympathomimetic agent, per vist","HI, SYMPATHOMIMETIC AGENT, PER VIST",,,,,,,,,,,,,V,03
"99568","hi, miscellaneous drugs, per visit","HI, MISCELLANEOUS DRUGS, PER VISIT",,,,,,,,,,,,,V,03
"99569","hi, ea ad tx on same day per visit","HI, EA AD TX ON SAME DAY PER VISIT",,,,,,,,,,,,,V,03
"99600","home visit nos","HOME VISIT NOS",,,,,,,,,,,,,,,,,O,P,Q,R,,,,,
"99601","home infusion/visit 2 hrs","HOME INFUSION/VISIT 2 HRS",,,,,,,,,,,,,,,,,O,P,Q,,,,,,
"99602","home infusion each addtl hr","HOME INFUSION EACH ADDTL HR",,,,,,,,,,,,,,,,,O,P,Q,,,,,,
"99605","mtms by pharm np 15 min","MTMS BY PHARM NP 15 MIN",,,,,,,,,,,,,,,,,O,P,Q,,,,,,
"99606","mtms by pharm est 15 min","MTMS BY PHARM EST 15 MIN",,,,,,,,,,,,,,,,,O,P,Q,,,,,,
"99607","mtms by pharm addl 15 min","MTMS BY PHARM ADDL 15 MIN",,,,,,,,,,,,,,,,,O,P,Q,,,,,,
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