What is the difference between CPT Category I, II, and III codes?

Quality Thought is the best Medical Coding training institute in Hyderabad, renowned for its comprehensive curriculum and expert trainers. Our institute offers in-depth training on all aspects of medical coding, including ICD-10, CPT, HCPCS, and medical billing, designed to prepare students for global certification exams. With a focus on practical knowledge and industry-relevant skills, Quality Thought ensures students gain hands-on experience through real-time projects and case studies.

Located in the heart of Hyderabad, our state-of-the-art facilities and supportive learning environment make Quality Thought the preferred choice for aspirants aiming to build a successful career in healthcare coding. Our certified trainers bring years of industry experience and personalized attention to help students master the complex coding systems used in hospitals, insurance companies, and healthcare organizations.

We also provide placement assistance, helping students secure jobs with leading medical coding companies. If you’re looking for the best Medical Coding training in Hyderabad, Quality Thought stands out by combining quality education, affordable fees, and excellent career support.

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CPT (Current Procedural Terminology) codes are divided into three categories—Category I, II, and III, each serving a different purpose in healthcare documentation and billing.

1. Category I Codes

  • Purpose: Standard, widely used procedures and services.

  • Format: 5-digit numeric codes (e.g., 99213).

  • Use: Used for billing and reimbursement.

  • Sections Include:

    • Evaluation and Management

    • Anesthesia

    • Surgery

    • Radiology

    • Pathology and Laboratory

    • Medicine

  • Criteria: Must be FDA approved, commonly performed, and proven effective.

✅ Example: 99213 – Office visit for an established patient.

2. Category II Codes

  • Purpose: Performance measurement and quality improvement tracking.

  • Format: 4 digits + the letter "F" (e.g., 0005F).

  • Use: Optional; not for reimbursement.

  • Function: Tracks outcomes like blood pressure checks, smoking status, etc.

  • Helps providers meet quality benchmarks and report to payers.

✅ Example: 2028F – Blood pressure measurement documented.

3. Category III Codes

  • Purpose: Temporary codes for emerging technologies, services, or procedures.

  • Format: 4 digits + the letter "T" (e.g., 0075T).

  • Use: Not typically reimbursed unless approved; used for data collection.

  • Helps track new innovations before they become standard practice.

✅ Example: 0075T – Real-time intra-fraction motion tracking during radiation therapy.

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