How To Use CPT Code 1012F

CPT 1012F describes the therapeutic management provided to patients with coronary artery disease (CAD) who are without angina. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information, and examples.

1. What is CPT Code 1012F?

CPT 1012F can be used to describe the therapeutic management provided to patients with coronary artery disease (CAD) who do not experience angina, or chest pain. This code is used when a healthcare provider evaluates the patient’s level of activity and symptoms and determines that the patient is without angina.

2. Official Description

The official description of CPT code 1012F is: ‘The provider provides therapeutic management to a patient with coronary artery disease, or CAD, and determines through an evaluation of the patient’s level of activity and symptoms that the patient is without angina, or chest pain.’

3. Procedure

1. The healthcare provider evaluates the patient’s level of activity and symptoms to determine if the patient is without angina.
2. If the patient is without angina, the provider guides the patient through lifestyle modifications for the management of CAD. This may include smoking cessation, exercise, weight control, and control of hypertension and high cholesterol.
3. If lifestyle modifications are not effective, the provider may consider planning a coronary artery bypass graft (CABG) to correct the CAD.
4. The provider documents the examination and management of CAD without angina, including the date of treatment, in the patient’s record.

4. Qualifying circumstances

Patients eligible to receive CPT 1012F services are those with coronary artery disease (CAD) who do not experience angina, or chest pain. The provider focuses on therapeutic management, including lifestyle modifications and control of hypertension and high cholesterol. The provider does not include antianginal agents in the management of such patients.

5. When to use CPT code 1012F

CPT code 1012F should be used when a healthcare provider provides therapeutic management to a patient with coronary artery disease (CAD) who is without angina. This code should not be used if the patient experiences angina.

6. Documentation requirements

To support a claim for CPT 1012F, the healthcare provider must document the following information:

• Examination and management of CAD without angina
• Date of treatment

7. Billing guidelines

When billing for CPT 1012F, ensure that the patient has coronary artery disease (CAD) without angina. This code should not be reported if the patient experiences angina. There are no specific guidelines regarding reporting CPT code 1012F with other codes.

8. Historical information

CPT 1012F was added to the Current Procedural Terminology system on January 1, 2012. There have been no updates to the code since its addition.

9. Examples

1. A healthcare provider provides therapeutic management to a patient with coronary artery disease (CAD) who does not experience angina.
2. A patient with CAD undergoes lifestyle modifications, including smoking cessation, exercise, weight control, and control of hypertension and high cholesterol, under the guidance of a healthcare provider.
3. If lifestyle modifications are not effective, a healthcare provider considers planning a coronary artery bypass graft (CABG) for a patient with CAD without angina.
4. A healthcare provider documents the examination and management of CAD without angina in the patient’s record.