Global: ^ICPT

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FileMan FileNo	FileMan Filename	Package
81	CPT	CPT HCPCS Codes

FileMan FileNo

FileMan Filename

Package

CPT

CPT HCPCS Codes

Description

This file contains the Current Procedural Terminology (CPT) codes published by the American Medical Association (AMA) and the HCPCS codes, published by the Health Care Financing Administration (HCFA). The entries in this file are "descriptive terms and identifying codes for reporting services and procedures performed by physicians." If an entry needs to be added, modified or deleted a patch will be issued instructing the site how to make the change. Otherwise, this table file should not be edited in anyway by the site. Per VHA Directive 10-93-142, this file definition should not be modified. APPLICATION GROUP(S): PXRS, GMTS

Package	Total	Routines
Event Capture	55	EC2P117 EC2P118 EC2P120 EC2P125 EC2P132B EC2P132C EC2P137B EC2P137C EC2P141C EC2P144B EC2P144C EC2P146B EC2P146C EC2P147B EC2P147C EC2P149B EC2P149C EC2P150B EC2P150C EC2P152 EC2P153B EC2P153C EC2P154B EC2P154C EC2P157B EC2P157C EC2P160B EC2P160C EC2P162B EC2P162C EC2P167B EC2P167C EC2P168B EC2P168C EC725U20 EC725U21 EC725U22 EC725U23 EC725U34 EC725U35 EC725U40 EC725U41 EC725U42 EC725U43 EC725U44 EC725U45 EC725U46 EC725U47 EC725U48 EC725U49 EC725U60 EC725U61 ECRDSSA ECUTL ECUTL3
Lexicon Utility	20	LEX2030P LEX2031P LEX2033P LEX2034P LEX2035P LEX2036P LEX2037P LEX2038P LEX2039P LEX2040P LEX2042P LEX2043P LEX2045P LEX2046P LEX2047A LEX2047B LEX2048P LEX2109P LEXQCP LEXQCPA
Integrated Billing	9	IBCCPT IBCD3 IBCRER1 IBCROIP IBCRU1 IBJPS8 IBOMHC IBTRHLI3 IBY608PO
CPT HCPCS Codes	4	ICPT614E ICPT65PT ICPTID ICPTPRN
Imaging	3	MAGDHOWE MAGDRPCC MAGDTRDX
DSS Extracts	2	ECXPROCT ECXUCPT
Lab Service	2	LRBLPCSS LRBLS
VBECS	2	VBECRPCA VBECRPCH
Accounts Receivable	1	RCXVDC4
Automated Information Collection System	1	IBDFUTL
Clinical Case Registries	1	RORRP042
Hospital Based Home Care	1	HBHCUTL4
PCE Patient Care Encounter	1	PXBGCPT2
Prosthetics	1	RMPRSE2
Radiology Nuclear Medicine	1	RADRPT1
Scheduling	1	SDAMBMR
Text Integration Utility	1	TIUPXAPC

Package	Total	FileMan Files
Integrated Billing	12	BILL/CLAIMS(#399)[51, 52, 53, 57, 58, 59, 266, 267, 304, #399.0304(.01), #399.0304(24.204), #399.0304(24.219), #399.042(.06)] CHARGE ITEM(#363.2)[.01] HEALTH CARE CLAIM RFAI (277)(#368)[#368.0121(.03)] TRANSFER PRICING TRANSACTIONS(#351.61)[#351.613(.01)] PFSS ACCOUNT(#375)[3.03] PFSS CHARGE CACHE(#373)[3.03] BILLABLE AMBULATORY SURGICAL CODE(#350.4)[.02] UPDATE BILLABLE AMBULATORY SURGICAL CODE(#350.41)[.01] AMBULATORY SURG. CHECK-OFF SHEET PRINT FIELDS(#350.71)[.06] IB SITE PARAMETERS(#350.9)[1.3, #350.916(.01)] BILLING REVENUE CODE LINKS(#363.33)[.03, .04] HCS REVIEW TRANSMISSION(#356.22)[10.07, #356.2216(1.02), #356.2216(1.03)]
Lab Service	5	LABORATORY TEST(#60)[506, 507, #60.196(.01)] LAB NLT/CPT CODES(#64.81)[#64.811718(.01)] OPERATION (MSBOS)(#66.5)[.01] WKLD CODE(#64)[#64.018(.01)] LAB DATA(#63)[#63.00014(.06)]
Surgery	5	SURGERY(#130)[27, #130.16(3)] OPERATION TIMES(#131.25)[#131.251(.01)] CPT-SPINAL LEVEL(#131.4)[.01] SURGERY PROCEDURE/DIAGNOSIS CODES(#136)[.02, #136.03(.01)] CPT EXCLUSIONS(#137)[.01]
PCE Patient Care Encounter	4	V CPT(#9000010.18)[.01] IMMUNIZATION(#9999999.14)[.11, 1.15] SKIN TEST(#9999999.28)[.11] PCE CODE MAPPING(#811.1)[.01, .02]
Event Capture	3	EC NATIONAL PROCEDURE(#725)[4] EVENT CAPTURE PATIENT(#721)[8, 19] EC EVENT CODE SCREENS(#720.3)[52.1]
Medicine	3	ASTM(#690.5)[.01] PROCEDURE TERM(#694.8)[#694.801(.01)] PROCEDURE/SUBSPECIALTY(#697.2)[#697.21(.01)]
IFCAP	2	CASE CARTS(#445.7)[#445.781(.01)] INVENTORY DISTRIBUTED PATIENT SUPPLIES(#446.1)[130.01]
Imaging	2	CLINICAL SPECIALTY DICOM & HL7(#2006.5831)[6] MAG RAD CPT MATCHING(#2006.67)[.01]
Prosthetics	2	RECORD OF PROS APPLIANCE/REPAIR(#660)[4.1] PROSTHETIC HCPCS(#661.1)[2]
Radiology Nuclear Medicine	2	RAD/NUC MED PROCEDURES(#71)[9] NEW RAD PROCEDURE WORKUP(#71.11)[9]
Registration	2	INPATIENT CPT CODE(#46)[.01] CATASTROPHIC DISABILITY REASONS(#27.17)[3]
Automated Information Collection System	1	TYPE OF VISIT(#357.69)[.01]
Clinical Case Registries	1	ROR ICD SEARCH(#798.5)[#798.53(.01)]
Clinical Reminders	1	REMINDER DIALOG(#801.41)[18]
Fee Basis	1	FEE BASIS PAYMENT(#162)[#162.03(.01)]
Health Summary	1	HEALTH SUMMARY TYPE(#142)[#142.14(.01)]
Hospital Based Home Care	1	HBHC VISIT(#632)[#632.032(.01)]
Quasar	1	A&SP PROCEDURE CODE(#509850.4)[.01]
Scheduling	1	SCHEDULING VISITS(#409.5)[#409.51(21), #409.51(22), #409.51(23), #409.51(24), #409.51(25)]
Womens Health	1	WV PROCEDURE TYPE(#790.2)[.08]

Package	Total	FileMan Files
CPT HCPCS Codes	1	CPT CATEGORY(#81.1)[3]

Fields, Total: 14

Field #	Name	Loc	Type	Details
.01	CPT CODE	0;1	FREE TEXT	**********************REQUIRED FIELD********************** INPUT TRANSFORM: `K:X[""""!($A(X)=45) X I $D(X) K:$L(X)>5!($L(X)<5)!'(X?1A4N!(X?5N)!(X?4N1A))!(X'?.ANP) X` LAST EDITED: `FEB 21, 2003` HELP-PROMPT: `ANSWER MUST BE 5 CHARACTERS IN LENGTH` DESCRIPTION: `This file contains both CPT from the AMA and HCFA. The AMA entries will have an internal number less than 99999. The AMA CPT are '5' numbers that coorespond to the internal number. The HCFA codes will have an internal` `number of 100000 or greater. These codes are '1' alpha followed by '4' numbers, which will NOT correspond to the internal number.` LAYGO TEST: `1,0)= I 1` `UNEDITABLE` CROSS-REFERENCE: `81^B` `1)= S ^ICPT("B",$E(X,1,30),DA)=""` `2)= K ^ICPT("B",$E(X,1,30),DA)` CROSS-REFERENCE: `81^E^MUMPS` `1)= I +X,+X<10000 S ^ICPT("E",+X,DA)=""` `2)= I +X,+X<10000 K ^ICPT("E",+X,DA)` CROSS-REFERENCE: `81^F^MUMPS` `1)= I 'X S ^ICPT("F",$E(X,1,30),DA)=""` `2)= I 'X K ^ICPT("F",$E(X,1,30),DA)` CROSS-REFERENCE: `81^BA^MUMPS` `1)= S ^ICPT("BA",X_" ",DA)=""` `2)= K ^ICPT("BA",X_" ",DA)` CROSS-REFERENCE: `81^ACT1^MUMPS` `1)= D SAHC^ICPTIDX` `2)= D KAHC^ICPTIDX` `Set and Kill Activation History.`
2	SHORT NAME	0;2	FREE TEXT	INPUT TRANSFORM: `K:($A(X)=45) X I $D(X) K:$L(X)>28!($L(X)<1) X` LAST EDITED: `OCT 20, 1990` HELP-PROMPT: `ANSWER MUST BE 1-28 CHARACTERS IN LENGTH` DESCRIPTION: `This field contains a short description of the CPT code. It must be between 1 and 28 characters.` NOTES: `XXXX--CAN'T BE ALTERED EXCEPT BY PROGRAMMER`
3	CPT CATEGORY	0;3	POINTER TO CPT CATEGORY FILE (#81.1)	CPT CATEGORY(#81.1) INPUT TRANSFORM: `S DIC("S")="I $P(^(0),U,2)=""s""" D ^DIC K DIC S DIC=DIE,X=+Y K:Y<0 X` LAST EDITED: `AUG 19, 1988` DESCRIPTION: `This field contains the CPT Category associated with CPT Code. It is a pointer to the CPT Category File.` SCREEN: `S DIC("S")="I $P(^(0),U,2)=""s"""` EXPLANATION: `Allow only 'sub-categories'.` CROSS-REFERENCE: `81^D` `1)= S ^ICPT("D",$E(X,1,30),DA)=""` `2)= K ^ICPT("D",$E(X,1,30),DA)`
5	INACTIVE FLAG	0;4	SET	'1' FOR INACTIVE CODE; HELP-PROMPT: `Enter if code is no longer used.` DESCRIPTION: `This field is used to inactivate a CPT code. If this field contains a '1' then the code is inactive. During the annual update of the CPT file no entries are deleted; they are inactivated by setting this flag.`
6	SOURCE	0;6	SET	'C' FOR CPT; 'H' FOR HCPCS; 'L' FOR LOCAL; LAST EDITED: `MAR 10, 1997` DESCRIPTION: `Contains the source of the code - CPT, HCPCS or Local.`
7	INACTIVE DATE	0;7	DATE	INPUT TRANSFORM: `S %DT="EX" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `FEB 20, 2003` HELP-PROMPT: `Enter date the CPT Code is deactivated.` DESCRIPTION: `Date the CPT code becomes/became inactivated.`
8	ACTIVE DATE	0;8	DATE	INPUT TRANSFORM: `S %DT="EX" D ^%DT S X=Y K:Y<1 X` LAST EDITED: `FEB 20, 2003` HELP-PROMPT: `Enter date the CPT Code is activated.` DESCRIPTION: `Date the CPT code becomes/became activated.`
10.01	AGE(LOW)	10;1	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X` LAST EDITED: `JAN 10, 2003` HELP-PROMPT: `Type a Number between 0 and 99, 0 Decimal Digits` DESCRIPTION: `Code reasonable for age within Age(low) and Age(high) values. Blank, otherwise.`
10.02	AGE(HIGH)	10;2	NUMBER	INPUT TRANSFORM: `K:+X'=X!(X>99)!(X<0)!(X?.E1"."1N.N) X` LAST EDITED: `JAN 10, 2003` HELP-PROMPT: `Type a Number between 0 and 99, 0 Decimal Digits` DESCRIPTION: `Code reasonable for age within Age(low) and Age(high) values. Blank, otherwise.`
10.03	SEX	10;3	SET	'M' FOR MALE; 'F' FOR FEMALE; LAST EDITED: `JAN 10, 2003` DESCRIPTION: `Code acceptable if: F = Female; M = Male. Blank otherwise.`
50	DESCRIPTION	D;0	Multiple #81.01	81.01 DESCRIPTION: `This multiple contains the descriptions for various CPT codes.`
60	EFFECTIVE DATE	60;0	DATE Multiple #81.02	81.02
61	SHORT NAME (VERSIONED)	61;0	DATE Multiple #81.061	81.061 DESCRIPTION: `This is a history of the Procedures (short text) to include the date the text was first used along with the text.`
62	DESCRIPTION (VERSIONED)	62;0	DATE Multiple #81.062	81.062 DESCRIPTION: `This is a history of the descriptive text to include the date the text was first used and the text used.`

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Package: CPT HCPCS Codes

Global: ^ICPT

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Description

Accessed By FileMan Db Calls, Total: 106

Pointed To By FileMan Files, Total: 51

Pointer To FileMan Files, Total: 1

Fields, Total: 14