Category II Current Procedural Terminology (CPT®) codes have been developed for 2 new performance measures that apply to pediatric patients. They may be reported for services provided on and after January 1, 2010.

Category II codes are used for reporting purposes only and are not assigned relative values on the Medicare physician fee schedule (Resource-Based Relative Value Scale). They are not used in place of Category I CPT codes. Rather, they are reported in addition to Category I CPT codes. Although reporting Category II codes is optional, it may be beneficial to a practice to report them because they allow internal monitoring of performance, patient compliance, and outcomes. Additionally, some carriers may assign payment amounts to Category II codes as part of their pay-for-performance programs.

This new performance measure uses most of the same codes that were established for the end-stage renal disease (ESRD) measure applicable to patients aged 18...

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