Summary & Overview
CPT 3265F: Clinical Performance Measure (no summary available)
CPT code 3265F is a CPT Category II-style entry representing a clinical performance measure or patient care status; no narrative summary was provided in the source input. Such Category II codes are used nationally to capture quality metrics, clinical outcomes, or reporting elements that inform payer performance measurement and value-based programs. CPT Category II codes can affect quality reporting workflows and electronic health record documentation, making clear definitions important for consistent national reporting.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find context on why a Category II entry like 3265F matters for national quality reporting and payer-provider communication. Where available, publications of this form typically provide benchmarks, coding guidance, related clinical context, and notes on payer coverage or reporting expectations; for 3265F, specific descriptive content and payer-specific rules were not available in the input and are flagged as missing.
This summary orients readers to the code's role in quality measurement and national reporting frameworks. The full publication will present any available benchmarks, policy updates, clinical context, and practical implications for billing and documentation when descriptive data or payer guidance is available.
Billing Code Overview
CPT code 3265F is listed without an accompanying narrative description. Based on standard CPT Category II formatting, 3265F is a CPT code intended to capture a specific clinical performance measure or status related to patient care. 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 with persistent pleuritic chest pain, shortness of breath, or suspected pleural disease after recent thoracic surgery, trauma, or infectious process. The clinician evaluates imaging (chest radiograph or CT) showing a pleural effusion, persistent pneumothorax, or suspected pleural adhesion requiring diagnostic or therapeutic intervention. The service involves a bedside or procedure-room pleural intervention performed by a pulmonologist, thoracic surgeon, or interventional radiologist. The workflow includes pre-procedure consent and review of anticoagulation status, ultrasound guidance to localize the collection, local anesthesia, percutaneous pleural access with catheter or needle, drainage or sample collection, and post-procedure imaging and monitoring for complications such as pneumothorax or bleeding. Documentation includes indication, informed consent, ultrasound or image guidance details, type and amount of fluid or air removed, catheter details, patient tolerance, immediate complications, and post-procedure instructions.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable E/M service by the same physician on the same day | Use when a distinct evaluation and management visit is performed the same day as the procedure |
59 |