ME SBHC Procedure (CPT) Codes [PDF]

90772. Laceration Repair <2.5 cm. 12001. Laceration Repair 2.6-7.5 cm. 12002. Laceration Repair 7.6-12.5 cm. 12004. N

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ME SBHC Procedure (CPT) Codes (August, 2007) Office Estab. Description

Code

Group Counseling/ 30 min. 99411 99412 Group Counseling/ 60 min. Individual Counseling/ 15 min. 99401 Individual Counseling/ 30 min. 99402 Individual Counseling/ 45 min. 99403 Individual Counseling/ 60 min. 99404 99211 Level 1 Level 2 99212 Level 3 99213 Level 4 99214 Level 5 99215 99393 Preventive Med/Estab. 5-11 yrs. Preventive Med/Estab. 12-17 yrs. 99394 Preventive Med/Estab > 18-39 yrs. 99395 Other______________________________

Immunization Description Immunization administration Each additional vaccine administration (used with 90471) Hepatitis A (2 Dose) Hepatitis B (3 Dose) Immune Globulin Influenza -Split (3 yrs or older) Meningococcal (Menactra) MMR Pneumococcal Polio Oral Polio Vaccine T.B. IPPD Tdap Varicella Vaccine

Code 90471 90472 90633 90744 90281 90658 90734 90707 90732 90712 90713 86580 90715 90716

Other__________________________ Office New Description

Code

Level 1 (10 min.) Level 2 (20 min.) Level 3 (30 min.) Level 4 (45 min.) Level 5 (60 min.) Preventive Med/New 5-11 yrs. Preventive Med/New 12-17 yrs. Preventive Med/New > 18-39 yrs.

99201 99202 99203 99204 99205 99383 99384 99385

Procedure Description

Code

Burn Treatment 16020 Cerumen Removal 69210 99001 Collection of Specimen Destruction of Warts (1-14) 17110 92551 Hearing Test I & D Abscess 10060 Injection of Medication 90772 Laceration Repair

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