CPT Code Database for Medical Billing

Complete reference guide for Current Procedural Terminology codes

Common CPT Codes by Category

Most frequently used CPT codes for out-of-network insurance claims

Chiropractic Manipulation

CPT CodeDescriptionAction
98940Chiropractic manipulative treatment; spinal, 1-2 regionsUse in Claim →
98941Chiropractic manipulative treatment; spinal, 3-4 regionsUse in Claim →
98942Chiropractic manipulative treatment; spinal, 5 regionsUse in Claim →
98943Chiropractic manipulative treatment; extraspinal, 1 or more regionsUse in Claim →

Physical Therapy

CPT CodeDescriptionAction
97110Therapeutic exercises to develop strength and enduranceUse in Claim →
97112Neuromuscular reeducation of movement, balance, coordinationUse in Claim →
97140Manual therapy techniques (mobilization/manipulation)Use in Claim →
97530Therapeutic activities, direct patient contactUse in Claim →
97116Gait training therapyUse in Claim →
97035Ultrasound therapyUse in Claim →
97014Electrical stimulation therapy (unattended)Use in Claim →
97012Mechanical traction therapyUse in Claim →

Office Visits - New Patient

CPT CodeDescriptionAction
99201Office visit, new patient, problem focused (10 min)Use in Claim →
99202Office visit, new patient, expanded problem focused (20 min)Use in Claim →
99203Office visit, new patient, detailed history (30 min)Use in Claim →
99204Office visit, new patient, comprehensive, moderate complexity (45 min)Use in Claim →
99205Office visit, new patient, comprehensive, high complexity (60 min)Use in Claim →

Office Visits - Established Patient

CPT CodeDescriptionAction
99211Office visit, established patient, minimal (5 min)Use in Claim →
99212Office visit, established patient, problem focused (10 min)Use in Claim →
99213Office visit, established patient, expanded (15 min)Use in Claim →
99214Office visit, established patient, detailed (25 min)Use in Claim →
99215Office visit, established patient, comprehensive (40 min)Use in Claim →

Evaluation & Management

CPT CodeDescriptionAction
97161Physical therapy evaluation, low complexityUse in Claim →
97162Physical therapy evaluation, moderate complexityUse in Claim →
97163Physical therapy evaluation, high complexityUse in Claim →
97164Physical therapy re-evaluationUse in Claim →
97165Occupational therapy evaluation, low complexityUse in Claim →
97166Occupational therapy evaluation, moderate complexityUse in Claim →

Modalities

CPT CodeDescriptionAction
97010Hot or cold packs therapyUse in Claim →
97024Diathermy treatmentUse in Claim →
97026Infrared therapyUse in Claim →
97028Ultraviolet therapyUse in Claim →
97032Electrical stimulation, manualUse in Claim →
97033IontophoresisUse in Claim →

Understanding CPT Codes

What are CPT Codes?

Current Procedural Terminology (CPT) codes are the medical billing codes used to describe medical, surgical, and diagnostic services. They are used by physicians, allied health professionals, hospitals, outpatient facilities, and laboratories to identify services and procedures for insurance billing.

How CPT Codes Work in Insurance Claims

When submitting an insurance claim, CPT codes tell the insurance company exactly what services were provided. Each code corresponds to a specific procedure or service, allowing for standardized billing across all healthcare providers.

Common CPT Code Categories

  • Evaluation and Management (99201-99499): Office visits, hospital visits, consultations
  • Anesthesia (00100-01999): Anesthesia services for procedures
  • Surgery (10021-69990): Surgical procedures by body system
  • Radiology (70010-79999): X-rays, CT scans, MRI, ultrasound
  • Pathology and Laboratory (80047-89398): Lab tests and pathology services
  • Medicine (90281-99607): Vaccines, psychiatry, physical therapy, chiropractic

CPT Modifiers

Modifiers are two-digit codes added to CPT codes to provide additional information about the service:

  • -25: Significant, separately identifiable E/M service
  • -59: Distinct procedural service
  • -76: Repeat procedure by same physician
  • -91: Repeat clinical diagnostic laboratory test

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