CPT Codes For Patient History

Below is a list summarizing the CPT codes for patient history.

CPT Code 1000F

CPT 1000F describes Tobacco use assessed for CAD, CAP, COPD, and PV in patients with DM.

CPT Code 1002F

CPT 1002F describes assessing anginal symptoms and activity levels with no associated measure.

CPT Code 1003F

CPT 1003F describes a level of activity that is not associated with any measure.

CPT Code 1004F

CPT 1004F describes assessing clinical symptoms of volume overload (excess) with no associated measure.

CPT Code 1005F

CPT 1005F describes the evaluation of asthma symptoms, including documentation of the numeric frequency of symptoms or patient completion of an asthma assessment tool/survey/questionnaire, with no associated measure.

CPT Code 1006F

CPT 1006F describes the assessment of osteoarthritis symptoms and functional status during the patient encounter, which may include using a standardized scale or the completion of an assessment questionnaire, such as the SF-36 or AAOS Hip & Knee Questionnaire.

CPT Code 1007F

CPT 1007F describes the assessment of symptom relief through anti-inflammatory or analgesic over-the-counter (OTC) medications.

CPT Code 1008F

CPT 1008F describes assessing gastrointestinal and renal risk factors for patients prescribed or taking over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs).

CPT Code 1010F

CPT 1010F describes the severity of angina assessed by the level of activity (CAD).

CPT Code 1011F

CPT 1011F describes angina present (CAD).

CPT Code 1012F

CPT 1012F describes angina absence (CAD).

CPT Code 1015F

CPT 1015F describes the assessment of Chronic obstructive pulmonary disease (COPD) symptoms, including at least one of the following: dyspnea, cough/sputum, wheezing, or the completion of a respiratory symptom assessment tool (COPD).

CPT Code 1018F

CPT 1018F describes dyspnea as not present in COPD.

CPT Code 1019F

CPT 1019F describes dyspnea present in COPD.

CPT Code 1022F

CPT 1022F describes the assessment of pneumococcus immunization status for CAP and COPD.

CPT Code 1026F

CPT 1026F describes the assessment for the presence or absence of malignancy, liver disease, congestive heart failure, cerebrovascular disease, renal disease, chronic obstructive pulmonary disease, asthma, diabetes, and other co-morbid conditions.

CPT Code 1030F

CPT 1030F describes assessing influenza immunization status.

CPT Code 1031F

CPT 1031F describes the assessment of smoking status and exposure to secondhand smoke in the home for asthma.

CPT Code 1032F

CPT 1032F describes current tobacco smokers or currently exposed to secondhand smoke as a risk factor for asthma.

CPT Code 1033F

CPT 1033F describes a current tobacco non-smoker not currently exposed to secondhand smoke (Asthma).

CPT Code 1034F

CPT 1034F describes current tobacco smokers with CAD, CAP, COPD, PV, and DM.

CPT Code 1035F

CPT 1035F describes a current user of smokeless tobacco, such as chew or snuff.

CPT Code 1036F

CPT 1036F describes current tobacco non-user with CAD, CAP, COPD, PV, DM, and IBD.

CPT Code 1038F

CPT 1038F describes persistent asthma (mild, moderate, or severe) as asthma.

CPT Code 1039F

CPT 1039F describes Intermittent asthma.

CPT Code 1040F

CPT 1040F describes DSM-5 criteria for major depressive disorder (MDD, MDD ADOL) documented at the initial evaluation.

CPT Code 1050F

CPT 1050F describes the history obtained regarding new or changing moles (ML).

CPT Code 1052F

CPT 1052F describes the type, anatomic location, and activity all assessed for IBD.

CPT Code 1055F

CPT 1055F describes the assessment of visual functional status.

CPT Code 1060F

CPT 1060F describes documentation of permanent, persistent, or paroxysmal atrial fibrillation (STR).

CPT Code 1061F

CPT 1061F describes documentation of absence of permanent, persistent, and paroxysmal atrial fibrillation (STR).

CPT Code 1065F

CPT 1065F describes ischemic stroke symptom onset less than 3 hours before arrival.

CPT Code 1066F

CPT 1066F describes ischemic stroke symptom onset greater than or equal to 3 hours before arrival.

CPT Code 1070F

CPT 1070F describes the assessment of alarm symptoms such as involuntary weight loss, dysphagia, or gastrointestinal bleeding, with none present for GERD.

CPT Code 1071F

CPT 1071F describes the assessment of alarm symptoms such as involuntary weight loss, dysphagia, or gastrointestinal bleeding, with at least one present in the case of GERD.

CPT Code 1090F

CPT 1090F describes assessing the presence or absence of urinary incontinence (GER).

CPT Code 1091F

CPT 1091F describes urinary incontinence characterized by frequency, volume, timing, type of symptoms, and how bothersome it is (GER).

CPT Code 1100F

CPT 1100F describes a patient’s screening for future fall risk, including documentation of two or more falls in the past year or any fall with injury in the past year (GER).

CPT Code 1101F

CPT 1101F describes a patient screened for future fall risk, with documentation of no falls in the past year or only one fall without injury in the past year (GER).

CPT Code 1110F

CPT 1110F describes a patient discharged from an inpatient facility such as a hospital, skilled nursing facility, or rehabilitation facility within the last 60 days due to GER.

CPT Code 1111F

CPT 1111F describes reconciling discharge medications with the current medication list in an outpatient medical record (COA) (GER).

CPT Code 1116F

CPT 1116F describes auricular or periauricular pain assessed (AOE).

CPT Code 1118F

CPT 1118F describes GERD symptoms assessed after 12 months of therapy.

CPT Code 1119F

CPT 1119F describes the initial evaluation for conditions such as Hepatitis C, Epistaxis, and Dermatitis Solaris.

CPT Code 1121F

CPT 1121F describes subsequent evaluation for conditions HEP C and EPI.

CPT Code 1123F

CPT 1123F describes the process of discussing and documenting an advance care plan or surrogate decision maker in the medical record.

CPT Code 1124F

CPT 1124F describes the discussion and documentation of Advance Care Planning in the medical record, even if the patient did not wish to or could not name a surrogate decision maker or provide an advance care plan (DEM) (GER, Pall Cr).

CPT Code 1125F

CPT 1125F describes the quantification of pain severity and the presence of pain as part of an Office of the National Coordinator (ONC) Certified EHR Technology (COA).

CPT Code 1126F

CPT 1126F describes the absence of pain severity quantified by COA and ONC.

CPT Code 1127F

CPT 1127F describes a new episode for condition NMA-No Measure Associated.

CPT Code 1128F

CPT 1128F describes a subsequent episode for condition NMA-No Measure Associated.

CPT Code 1130F

CPT 1130F describes the assessment of back pain and function, including pain assessment and functional status, patient history, notation of presence or absence of “red flags” (warning signs), assessment of prior treatment and response, and employment status (BkP).

CPT Code 1134F

CPT 1134F describes an episode of back pain lasting six weeks or less.

CPT Code 1135F

CPT 1135F describes a back pain episode lasting longer than six weeks.

CPT Code 1136F

CPT 1136F describes an episode of back pain lasting 12 weeks or less.

CPT Code 1137F

CPT 1137F describes a back pain episode lasting longer than 12 weeks.

CPT Code 1150F

CPT 1150F describes documentation that a patient has a substantial risk of death within one year as Pall Cr.

CPT Code 1151F

CPT 1151F describes documentation that a patient does not have a substantial risk of death within one year.

CPT Code 1152F

CPT 1152F describes the documentation of advanced disease diagnosis, and the goals of care prioritize comfort (Pall Cr).

CPT Code 1153F

CPT 1153F describes the documentation of advanced disease diagnosis and goals of care that prioritize comfort (Pall Cr).

CPT Code 1157F

CPT 1157F describes an Advance Care Plan or similar legal document in the medical record as a Component of Assessment.

CPT Code 1158F

CPT 1158F describes the Advance Care Planning discussion documented in the medical record.

CPT Code 1159F

CPT 1159F describes documenting a medication list in the medical record (COA).

CPT Code 1160F

CPT 1160F describes the review of all medications, including prescriptions, OTCs, herbal therapies, and supplements, documented in the medical record (COA) by a prescribing practitioner or clinical pharmacist.

CPT Code 1170F

CPT 1170F describes the assessment of a patient’s functional status.

CPT Code 1175F

CPT 1175F describes the assessment of functional status for dementia and the review of the results.

CPT Code 1180F

CPT 1180F describes the assessment of all specified thromboembolic risk factors, including AFIB.

CPT Code 1181F

CPT 1181F describes the assessment of neuropsychiatric symptoms and a review of the results.

CPT Code 1182F

CPT 1182F describes one or more neuropsychiatric symptoms present.

CPT Code 1183F

CPT 1183F describes the absence of neuropsychiatric symptoms.

CPT Code 1200F

CPT 1200F describes the seizure type(s) and current seizure frequency(ies) documented (EPI).

CPT Code 1205F

CPT 1205F describes the etiology of epilepsy or epilepsy syndrome(s) reviewed and documented (EPI).

CPT Code 1220F

CPT 1220F describes screening for depression (SUD).

CPT Code 1400F

CPT 1400F describes the review of a diagnosis of Parkinson’s disease (Prkns).

CPT Code 1450F

CPT 1450F describes symptoms that have improved or remained consistent with treatment goals since the last assessment of HF.

CPT Code 1451F

CPT 1451F describes symptoms that have clinically demonstrated critical deterioration since the last assessment of heart failure.

CPT Code 1460F

CPT 1460F describes qualifying cardiac event/diagnosis of CAD in the previous 12 months.

CPT Code 1461F

CPT 1461F describes no qualifying cardiac event or diagnosis of coronary artery disease in the previous 12 months.

CPT Code 1490F

CPT 1490F describes dementia severity classified as mild (DEM).

CPT Code 1491F

CPT 1491F describes dementia severity classified as moderate.

CPT Code 1493F

CPT 1493F describes dementia severity classified as severe.

CPT Code 1494F

CPT 1494F describes cognition assessed and reviewed.

CPT Code 1500F

CPT 1500F describes the review and documentation of symptoms and signs of distal symmetric polyneuropathy (DSP).

CPT Code 1501F

CPT 1501F describes not an initial evaluation for condition DSP.

CPT Code 1502F

CPT 1502F describes querying a patient about pain and pain interference with function using a valid and reliable instrument (DSP).

CPT Code 1503F

CPT 1503F describes a patient who queried about symptoms of respiratory insufficiency (ALS).

CPT Code 1504F

CPT 1504F describes respiratory insufficiency in a patient with ALS.

CPT Code 1505F

CPT 1505F describes a patient without respiratory insufficiency (ALS).