Category II CPT Codes

Category II Current Procedural Terminology (CPT®) codes are developed to simplify reporting of performance measures and eliminate the need for chart abstraction. These supplemental tracking codes are used by physicians and hospitals to report specific services that contribute to positive outcomes and high-quality care. The performance measures used to establish Category II CPT codes are developed by national organizations, including the National Committee for Quality Assurance (NCQA) and the American Medical Association (AMA) Physician Consortium for Performance Improvement (PCPI) based on quality measures currently accepted and used in the health care industry.

Category II CPT codes are used for reporting purposes only and therefore do not have values assigned on the Medicare physician fee schedule (Resource-Based Relative Value Scale or RBRVS). The reporting of Category II CPT codes is optional, and these codes are not used in place of Category I CPT codes. However, they may be very beneficial to a practice, because they allow internal monitoring of performance, patient compliance, and outcomes.

For the latest on Category II, see the AAP Category II Brochure​. For a complete listing of Category II CPT codes, please refer to your CPT manual. Visit the AMA website for a complete listing of Category II CPT codes​.

If you are in need of a specific code, please contact the AAP Coding Hotline