How do you determine if a CPT code is an add-on code?
Asked by: Carley Zieme | Last update: June 3, 2025Score: 4.5/5 (55 votes)
How can you identify add-on codes?
Add-on codes may be identified in three ways:
In the CPT Manual an add-on code is designated by the symbol “+.” The code descriptor of an AOC generally includes phrases such as “each additional” or “(List separately in addition to primary procedure).”
Is CPT 38900 an add-on code?
New add-on CPT code 38900, Intraoperative identifica- tion (eg, mapping) of sentinel lymph node(s), includes injection of non-radioactive dye, when performed (List separately in addition to code for primary procedure), is reported in conjunction with 19302, 19307, 38500, 38510, 38520, 38525, 38530, 38542, 38740, 38745.
Is cpt 75565 an add-on code?
Note that CPT 75565 is an add-on code and should be reported in conjunction with the cardiac magnetic resonance imaging for morphology and function codes 75557, 75559, 75561, and 75563.
Is cpt 69990 an add-on code?
CPT has designated codes 64727 and 69990 as add-on codes. These codes must be reported (without modifier 51 appended) in addition to the code for the primary procedure performed. Do not report 69990 in addition to procedures where use of the operating microscope is an inclusive component.
HOW TO STUDY THE CPT MANUAL | MEDICAL CODING
Is CPT 93662 an add on code?
In this add–on procedure, the provider performs intracardiac echocardiography, an imaging technique that allows viewing the inner working of the heart by ultrasound.
Is CPT 58611 an add on code?
After the provider delivers a baby via a cesarean incision and after she closes the uterine incision, the provider ties off or incises one or both of the fallopian tubes to prevent a future pregnancy. The provider reports this add–on code in addition to a primary procedure code.
Is CPT 93356 an add on code?
CPT code 93356 is an add-on code and Medicare does not reimburse add-on codes separately to outpatient hospitals, however other payors may reimburse it, but Medicare does not.
Is CPT 64484 an add on code?
CPT codes 64479 and 64483 are used to report a single level injection. CPT codes 64480 and 64484 represent each additional level, respectively and should be reported separately in addition to the primary procedure when applicable.
What is CPT code 75559?
CPT® Code 75559 in section: Cardiac magnetic resonance imaging for morphology and function without contrast material.
Is 96375 an add on code?
Add-on code +96375 Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure) may be reported with 96365, 96374, 96409, or 96413 to identify an IV push of a new drug when ...
Is CPT 01968 an add on code?
01968 (Anesthesia for cesarean delivery following neuraxial labor analgesia/anesthesia). Use 01968 in conjunction with code 01967. Billing note: Anesthesia time must be reported separately for primary code 01967 and add-on code 01968.
Is CPT 96127 an add on code?
No, but that does not stop some from doing so. CPT 96127 is meant as a generic screening code that is evenly applied against a large patient population to uncover underlying mental health conditions. Most insurances require the use of the generic screening code Z13. xx.
What is an example of a CPT add on code?
CPT® add-on codes, such as +10004 Fine needle aspiration biopsy, without imaging guidance; each additional lesion (List separately in addition to code for primary procedure), describe procedures always provided “in addition to” a more extensive, primary procedure code (there is one exception).
What symbol in CPT coding Manual identifies an add on code?
In the CPT Manual an add-on code is designated by the symbol "+". The code descriptor of an add-on code generally includes phrases such as "each additional" or "(List separately in addition to primary procedure)."
Which of the following codes is not an add-on code?
33572 - This is not an add-on code; it is a standalone procedure code representing a specific service or procedure.
Is 90839 an add on code?
It can't be used in conjunction with other psychotherapy codes, but you may add on code 90840 if your work extends beyond 74 minutes. Code 90839 should only be used once per day even if the time spent by the physician or other health care professional is not continuous on that date.
Is CPT 64494 an add on code?
Procedures performed under ultrasound guidance are not covered. CPT code 64491 or 64494 describes a second level which should be reported separately in addition to the code for the primary procedure.
Is CPT 99497 an add on code?
CPT® codes 99497 and 99498 are time based codes (a base code and an add-on code). Practitioners should consult CPT® provisions regarding minimum time required to report timed services. Use CPT® code 99497 for the first 16 to 30 minutes. Use CPT® code 99498 for each additional 30 minutes.
Is 64484 an add-on code?
CPT codes 64479 and 64483 are used to report a single level injection performed with image guidance (fluoroscopy or CT). CPT codes 64480 and 64484 represent each additional level respectively and should be reported separately in addition to the primary procedure when applicable.
Is CPT 90837 an add-on code?
Additional Add-On Codes for Extended Therapy Sessions
Start with CPT Code 90837 for a 60-minute individual psychotherapy session. If the session extends beyond 60 minutes but is still within the 134-minute range, use Add-on Code 99354.
Is CPT 22552 an add-on code?
Since CPT code 22552 is an add-on code, it is typically billed alongside a primary procedure, and Modifier 51 may be applied to indicate that multiple procedures were performed.
Is CPT 99417 an add on code?
Effective Jan. 1, 2023, add on CPT code 99417 is allowed to be billed with the following primary procedure codes: 99245 Office or other outpatient consultation for a new or established patient, which requires a medically appropriate history and/or examination and high level of medical decision making.
Is CPT 92978 an add on code?
Codes 92973 (percutaneous transluminal coronary thrombectomy, mechanical), 92974 (coronary brachytherapy), 92978 and 92979 (intravascular ultrasound/optical coherence tomography), and 93571 and 93572 (intravascular Doppler velocity and/or pressure (fractional flow reserve or coronary flow reserve) are add-on codes for ...
Is CPT 49568 an add on code?
CPT code 49568 is an add-on code describing implantation of mesh or other prosthesis for incisional or ventral hernia repair. This code may be reported with incisional or ventral hernia repair CPT codes 49560-49566.