What are CPT Category II codes used for?

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CPT Category II codes are specifically designed to provide evidence-based performance-measure data. These alphanumeric codes facilitate the tracking of healthcare quality and outcomes by capturing specific clinical actions and procedures that contribute to performance measures. They are used to report services that enhance the understanding of patient care and outcomes beyond what is included in the traditional coding system.

While other categories of coding might focus on identifying diagnoses, services, or specific procedures, the unique purpose of Category II codes lies in quality improvement and performance measurement. By utilizing these codes, healthcare providers can better assess and report on the effectiveness of the care they deliver, ultimately supporting efforts in enhancing patient outcomes and healthcare processes.

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