How To Use CPT Code 1011F

CPT 1011F describes the therapeutic management provided by a healthcare provider to a patient with coronary artery disease (CAD) and symptoms of angina, or chest pain. This article will cover the description, official definition, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 1011F?

CPT 1011F can be used to report the therapeutic management services provided by a healthcare provider to a patient with coronary artery disease (CAD) and symptoms of angina. This code is used when the provider offers treatment and care to relieve the patient’s chest pain and improve their overall condition.

2. Official Description

The official description of CPT code 1011F is: ‘Therapeutic management of a patient with coronary artery disease (CAD) and symptoms of angina.’

3. Procedure

1. The healthcare provider examines the patient and diagnoses them with coronary artery disease (CAD) and symptoms of angina.
2. The provider prescribes appropriate medications, such as aspirin and statin drugs, to alleviate the patient’s symptoms and improve blood flow to the heart.
3. The patient may be advised to make lifestyle changes, such as adopting a heart-healthy diet and engaging in regular exercise.
4. The provider monitors the patient’s progress and adjusts the treatment plan as necessary.
5. The provider documents the examination, management, and treatment of the patient’s coronary artery disease (CAD) and symptoms of angina in the patient’s medical record.

4. Qualifying circumstances

Patients eligible to receive CPT 1011F services are those diagnosed with coronary artery disease (CAD) and experiencing symptoms of angina, such as chest pain. The provider must prescribe therapeutic management to alleviate the patient’s symptoms and improve their overall condition.

5. When to use CPT code 1011F

CPT code 1011F should be used when a healthcare provider provides therapeutic management to a patient with coronary artery disease (CAD) and symptoms of angina. This code is appropriate when the provider prescribes medications, advises lifestyle changes, and monitors the patient’s progress to alleviate symptoms and improve the patient’s condition.

6. Documentation requirements

To support a claim for CPT 1011F, the healthcare provider must document the following information:

• Patient’s diagnosis of coronary artery disease (CAD) and symptoms of angina
• Specific therapeutic management provided, including prescribed medications and lifestyle recommendations
• Date of treatment and any adjustments made to the treatment plan
• Progress made by the patient and any changes in symptoms
• Signature of the healthcare provider providing the therapeutic management

7. Billing guidelines

When billing for CPT 1011F, ensure that the healthcare provider is offering therapeutic management to a patient with coronary artery disease (CAD) and symptoms of angina. This code should not be reported with other codes unless necessary for additional services provided. Follow the appropriate billing guidelines and modifiers as required by the payer.

8. Historical information

CPT 1011F was added to the Current Procedural Terminology system on January 1, 2012. There have been no updates or changes to the code since its addition.

9. Examples

1. A cardiologist prescribing aspirin and statin drugs to a patient with coronary artery disease (CAD) and symptoms of angina to alleviate chest pain.
2. A primary care physician advising a patient with coronary artery disease (CAD) and symptoms of angina to adopt a heart-healthy diet and engage in regular exercise.
3. A nurse practitioner monitoring the progress of a patient with coronary artery disease (CAD) and symptoms of angina, adjusting the treatment plan as necessary.
4. A cardiac rehabilitation specialist providing therapeutic management to a patient with coronary artery disease (CAD) and symptoms of angina, including medication management and lifestyle recommendations.
5. A cardiovascular surgeon offering post-operative care and therapeutic management to a patient who underwent a coronary artery bypass graft (CABG) procedure for coronary artery disease (CAD) and symptoms of angina.
6. A healthcare provider prescribing nitroglycerin to a patient with coronary artery disease (CAD) and symptoms of angina to relieve chest pain.
7. A physician assistant counseling a patient with coronary artery disease (CAD) and symptoms of angina on stress management techniques to reduce the frequency and severity of chest pain episodes.
8. A nurse educator providing education and support to a patient with coronary artery disease (CAD) and symptoms of angina, helping them understand their condition and manage their symptoms effectively.
9. A cardiac rehabilitation team developing a personalized exercise plan for a patient with coronary artery disease (CAD) and symptoms of angina to improve cardiovascular health and reduce chest pain.
10. A healthcare provider conducting regular follow-up appointments with a patient with coronary artery disease (CAD) and symptoms of angina, monitoring their progress and adjusting the treatment plan as needed.