Category II Codes in Brief
ICD 10 codes have much number of codes added and updated additionally from ICD 9 codes. The codes existed in ICD 9 will be also available in ICD 10 but other new coders were also framed and updated. These codes are categorized in to different categories in which Category II codes has multiple advantages. Actually coverage of category II codes is optional but still it can be used to get the added advantages.
AMA
AMA which is the author of CPT says that the main objective of using Category II codes is for data collection. The data collection is to mention the quality of care offered by coding by different services. The ultimate aim is to ensure the contribution for quality care for the patients.
Category II code clarifies the clinical components that are used in management and evaluation services or other services rendered clinically. Here, category II codes do not give relative value for the clinical services. In other cases the category II codes clarifies the test results given by radiology or laboratory or other related procedures. It is to ensure the patient safety and also to services or practices offered by the clinics is compliance with federal or state law.
Advantages of utilizing category II codes include:
- The administrative burden for preparing and reviewing the chart regarding the performance measures of Health Care Effectiveness Data and Information Set is eased.
- Category II codes enables different organizations to supervise the performance internally frequently rather than once in a year.
- Steps regarding improving the performances in each service year can be taken using category II codes since the chances for improvement are identified through it.
- Category II codes is not to be used as replacement for Category I codes or III codes because Category II is additional.
Category II codes has alphabetical listings that are used for clinical conditions along with codes and measures are associated. The list of Category II codes that are associated performance measure are given below.
- Composite Measures – 0001F-0015F
- Diagnostic/Screening Processes or Results – 3006F-3573F
- Follow-up or Other Outcomes – 5005F-5100F
- Patient History – 1000F-1220F
- Patient Management – 0500F-0575F
- Patient Safety – 6005F-6045F
- Physical Examination – 2000F-2050F
- Structural Measures – 7010F-7025F
- Therapeutic, Preventive or Other Interventions – 4000F-4306F
About the latest codes
The category II codes provided above are most recent codes approved and added as Category II codes in the coding list. The fact is that these codes are most recent; added in the month of August. These codes are added in the data files of CPT hence if you check the latest data files, the most recent edition you can identify the addiction of such codes along with the previous codes. Apart from these all other codes in the data files are same as it is released in the annual data file. By checking the current list with these codes it will be feasible to enhance the performance of health care to the patients.
