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    v1.0.30
    OpenPayerBilling CodesCPT CodesCategory II Codes

    Find policies, billing codes, payers, states, and providers

    10 categories

    Composite Measures

    Composite Measures capture aggregated quality outcomes that combine multiple performance elements into single tracking metrics. These CPT codes run from 0001F–0015F and represent summarized measures used for composite performance reporting.

    Codes 0001F–0015FTotal Codes: 5
    Updated 5/4/2026Standalone

    Diagnostic/Screening Processes or Results

    Diagnostic/Screening Processes or Results record findings, screening tests, and diagnostic processes used to assess patient status and risk. The CPT range 3006F–3776F covers numerous specific screening results and diagnostic process codes for quality reporting.

    Codes 3006F–3776FTotal Codes: 200
    Updated 5/4/2026Standalone

    Follow-up or Other Outcomes

    Follow-up or Other Outcomes document post-intervention follow-up status, outcome measures, and subsequent clinical results after care. These codes occupy CPT 5005F–5250F and include multiple outcome and follow-up-specific entries for performance tracking.

    Codes 5005F–5250FTotal Codes: 10
    Updated 5/4/2026Standalone

    Non-Measure Category II Codes

    Non-Measure Category II Codes provide supplemental administrative or contextual descriptors not used as formal quality measures. The small block CPT 9001F–9007F contains seven codes designated for non-measure reporting and related administrative details.

    Codes 9001F–9007FTotal Codes: 7
    Updated 5/4/2026Standalone

    Patient History

    Patient History codes capture documented history elements, risk factors, and historical data points relevant to clinical encounters. The CPT range 1000F–1505F includes numerous specific history components used for standardized documentation and quality metrics.

    Codes 1000F–1505FTotal Codes: 88
    Updated 5/4/2026Standalone

    Patient Management

    Patient Management codes describe care coordination, counseling, decision-making, and management actions performed during an encounter. These CPT codes span 0500F–0584F and cover a variety of documented management activities for quality reporting.

    Codes 0500F–0584FTotal Codes: 33
    Updated 5/4/2026Standalone

    Patient Safety

    Patient Safety codes record safety checks, adverse event monitoring, infection control, and safety-related actions taken to protect patients. The CPT block 6005F–6150F contains codes focused on safety processes and event documentation for performance measurement.

    Codes 6005F–6150FTotal Codes: 15
    Updated 5/4/2026Standalone

    Physical Examination

    Physical Examination codes enumerate documented exam elements and objective findings from clinical physical assessments. The CPT range 2000F–2060F includes specific exam component codes used to standardize and track documented physical exam findings.

    Codes 2000F–2060FTotal Codes: 28
    Updated 5/4/2026Standalone

    Structural Measures

    Structural Measures capture facility, staffing, equipment, and organizational attributes that support care delivery rather than patient-level outcomes. These CPT codes run from 7010F–7025F and represent structural quality indicators for performance assessments.

    Codes 7010F–7025FTotal Codes: 3
    Updated 5/4/2026Standalone

    Therapeutic, Preventive or Other Interventions

    Therapeutic, Preventive or Other Interventions document treatments, preventive actions, counseling, and procedural interventions provided to patients. The CPT range 4000F–4563F covers a wide array of intervention and preventive service codes used in quality measurement.

    Codes 4000F–4563FTotal Codes: 176
    Updated 5/4/2026Standalone

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    Explore OpenPayer Tools

    • Billing Code LookupSearch CPT, HCPCS, J-codes, DRG, and dental codes by number or procedure name.
    • Billing Code Reimbursement RatesBuild a reimbursement rate report across any mix of billing codes and states, comparing commercial payers against Medicare.
    • Payer Comparison DashboardPick 2-5 payers to compare market share, premium, and membership by region, all at once.
    • Facility Comparison DashboardPick 2-6 hospital facility types (or add a specific hospital) to compare facility count, revenue, net income, and Medicare/Medicaid payer mix by region, all at once.
    • Healthcare Provider & Facility LookupFind hospitals and healthcare facilities by name, taxonomy, facility type, ownership, or state.
    • Health Insurance Payer LookupSearch national health insurance payers and health plans by name and state presence.
    • Provider Taxonomy Code LookupSearch NUCC taxonomy codes by code, specialty, grouping, or classification.
    • CPT Modifier LookupSearch CPT modifiers by code or name — descriptions, when to use them, and payer policy context.
    • Prior Authorization LookupSearch payer prior authorization policies by drug, procedure, or policy name.
    • Timely Filing LookupFind payer timely filing policies: claim deadlines, corrected claim windows, and appeal timeframes.
    • Coverage Criteria LookupSearch payer coverage criteria and medical necessity requirements by drug, procedure, or payer.
    • Payer Contact DirectoryClaims, prior authorization, provider services, and appeals contacts for health insurance payers.

    Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.