Summary & Overview
CPT 1000F: Category II Performance Measure
CPT code 1000F is a CPT Category II performance measure code used to capture structured clinical data for quality measurement and reporting. Category II codes are intended to facilitate data collection about performance metrics in clinical care rather than to describe procedures for payment. Nationally, these codes support quality programs and value-based purchasing by enabling standardized reporting of care processes and outcomes.
Key payers addressed in this overview include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of what the code represents, the typical clinical and administrative contexts in which Category II codes are used, and what information is available versus missing from the source input. The analysis covers likely use cases for quality reporting, the role of Category II codes in payer reporting and program compliance, and practical considerations when Category II descriptors are absent.
This publication does not provide state-specific guidance. Where specific details are missing from the input—such as an explicit clinical description, service type, site of service, associated taxonomies, ICD-10 mappings, or related codes—this is noted and left as Data not available in the input. The content focuses on national implications for quality measurement and payer reporting patterns for CPT Category II codes.
Billing Code Overview
CPT code 1000F has no summary available in the source description. Based on the code pattern, 1000F is a CPT Category II performance measure code. Service type: Data not available in the input. Typical site of service: Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult presenting for a minor outpatient procedure performed in an ambulatory surgery center or physician office under local anesthesia. The encounter involves documentation of pre-procedure assessment, informed consent, performance of a focused procedure (such as a simple skin lesion removal, injection, or other minor service), and brief post-procedure instructions. The clinical workflow includes: pre-procedure vital signs and focused history, preparation of sterile field, administration of local anesthesia as needed, performance of the procedure, hemostasis and wound care, and discharge with follow-up instructions. Common payors for this service include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier reported | Use when no specific anatomical, professional, or technical modifier applies to the service |
25 | Significant, separately identifiable evaluation and management (E/M) service by the same physician on the same day of the procedure | Use when a significant E/M is documented on the same day as the procedure |