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Resolved CPT Category II Codes

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CPT Category II codes - Where can I find the definition of abbreviations in parentheses after the code explanations? Some are easy to figure out. Others are not. Are the CAT II codes limited in usage to those conditions listed in the parentheses?
 
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There is a learning curve for those abbreviations. You are correct most are easy for example:
4120F - Antibiotic prescribed or dispensed (URI, PHAR), (A-BRONCH)
URI is common. Upper Respiratory Infection.
But you may not know what PHAR stands for.
"PHAR" stands for "Pediatric Acute Pharyngitis." This CPT Category II code often relates to the management and treatment of acute pharyngitis, particularly in the pediatric population. When an antibiotic is prescribed or dispensed for PHAR, it indicates the use of antibiotic treatment for pediatric patients with acute pharyngitis, usually to manage symptoms and prevent potential complications.
"A-BRONCH" stands for "Acute Bronchitis." Acute bronchitis is an inflammation of the bronchial tubes, which carry air to and from the lungs. It is often characterized by coughing, chest discomfort, and mucus production. Antibiotics are not typically recommended for acute bronchitis unless it is caused by a bacterial infection, as it is commonly caused by a virus. The abbreviation "A-BRONCH" may be used in the context of prescribing or dispensing antibiotics for cases of acute bronchitis, suggesting the use of antibiotics for the treatment of this condition.

To your question, there is no list. You can Google the abbreviation or you can go to the AMA. They have a information on Cat. II codes. But it is about 600 pages long.
What you can do is Ctrl F and search on the document.
pg 5 gave me this when I searched A-BRONCH
Acute Bronchitis (A-BRONCH) Brief Description of Performance Measure and Source and Reporting Instructions CPT Category II Code(s) Code Descriptor(s) Avoidance of (Inappropriate) Antibiotic Treatment in Adults with Acute Bronchitis2 To assess the percentage of adults 18–64 years of age with a diagnosis of acute bronchitis who were not dispensed an antibiotic prescription on or within 3 days after the date of service. Numerator: Patients who were dispensed an antibiotic prescription on or three days after the episode date. Denominator: All patients aged 18 – 64 years of age with a diagnosis of acute bronchitis. Exclusion(s): Documentation of medical reasons for prescribing or dispensing an antibiotic 4120F 4124F Antibiotic prescribed or dispensed Antibiotic neither prescribed nor dispensed


cpt-cat2-codes-alpha-listing-clinical-topics
PDF (www.ama-assn.org)
 
There is a learning curve for those abbreviations. You are correct most are easy for example:
4120F - Antibiotic prescribed or dispensed (URI, PHAR), (A-BRONCH)
URI is common. Upper Respiratory Infection.
But you may not know what PHAR stands for.
"PHAR" stands for "Pediatric Acute Pharyngitis." This CPT Category II code often relates to the management and treatment of acute pharyngitis, particularly in the pediatric population. When an antibiotic is prescribed or dispensed for PHAR, it indicates the use of antibiotic treatment for pediatric patients with acute pharyngitis, usually to manage symptoms and prevent potential complications.
"A-BRONCH" stands for "Acute Bronchitis." Acute bronchitis is an inflammation of the bronchial tubes, which carry air to and from the lungs. It is often characterized by coughing, chest discomfort, and mucus production. Antibiotics are not typically recommended for acute bronchitis unless it is caused by a bacterial infection, as it is commonly caused by a virus. The abbreviation "A-BRONCH" may be used in the context of prescribing or dispensing antibiotics for cases of acute bronchitis, suggesting the use of antibiotics for the treatment of this condition.

To your question, there is no list. You can Google the abbreviation or you can go to the AMA. They have a information on Cat. II codes. But it is about 600 pages long.
What you can do is Ctrl F and search on the document.
pg 5 gave me this when I searched A-BRONCH
Acute Bronchitis (A-BRONCH) Brief Description of Performance Measure and Source and Reporting Instructions CPT Category II Code(s) Code Descriptor(s) Avoidance of (Inappropriate) Antibiotic Treatment in Adults with Acute Bronchitis2 To assess the percentage of adults 18–64 years of age with a diagnosis of acute bronchitis who were not dispensed an antibiotic prescription on or within 3 days after the date of service. Numerator: Patients who were dispensed an antibiotic prescription on or three days after the episode date. Denominator: All patients aged 18 – 64 years of age with a diagnosis of acute bronchitis. Exclusion(s): Documentation of medical reasons for prescribing or dispensing an antibiotic 4120F 4124F Antibiotic prescribed or dispensed Antibiotic neither prescribed nor dispensed


cpt-cat2-codes-alpha-listing-clinical-topics
PDF (www.ama-assn.org)
Thank you Alicia.

Are the CAT II codes limited in usage to those conditions listed in the parentheses?
 
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