Name of Manual - Blue Cross and Blue Shield of Minnesota

Blue Cross Blue and Shield of Minnesota Provider Policy and Procedure Manual (07/12/12)
Coding Policies and Guidelines (Coding)
CPT/Level I Level I or CPT (Current Procedural Terminology) codes are
developed and maintained by the American Medical Association.
Each procedure is identified with a five-digit numeric or numericalpha
code. CPT is a set of codes, descriptions and guidelines
intended to describe procedures and services performed by
physicians and other health care providers. Inclusion or exclusion
of a procedure does not imply any health insurance coverage or
reimbursement policy.
There are eight main sections to the CPT manual, including
subsections with anatomic, procedural, conditions or descriptor
subheadings. All listings are in numeric order except for
Evaluation and Management (E/M) codes. E/M codes are the most
frequently used and are listed first in the CPT manual
Section Numbers and Sequences:
E/M.........................................................99201 to 99499
Anesthesiology.......................................00100 to 01999 and 99100
to 99140
Surgery ...................................................10021 to 69990
Radiology ...............................................70010 to 79999
Pathology and Laboratory......................80047 to 89398
Medicine (except Anesthesiology).........90281 to 99199 and 99500
to 99607
Category II Codes ..................................0001F to 7025F
Category III Codes .................................0019T to 0301T
Modifiers
A modifier is used to indicate that the service or procedure that has
been performed has been altered by some specific circumstance
but has not changed the definition or code. A complete listing of
modifiers is found in Appendix A of CPT. Level I codes are not
limited to CPT modifiers. HCPCS Level II modifiers may also be
used with Level I codes and/or in combination with CPT
modifiers.
Genetic Testing Code Modifiers are found in Appendix I of CPT.
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