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CPT 4014F: Performance Measure for Clinical Quality Reporting

CPT code 4014F denotes a performance-measure entry used for clinical quality measurement and reporting. Although the source description includes no detailed summary, the code’s format identifies it as a reporting or quality-capture element rather than a billable procedure. Nationally, such codes matter because they standardize measurement of care processes and outcomes across payers and support value-based payment, public reporting, and quality improvement efforts.

Key payers in the scope of this publication include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for a measure-type code like 4014F, guidance on typical sites where the measure is collected (outpatient clinics, physician offices, hospital quality departments), and a framework for understanding how such codes interact with payer reporting requirements and national quality programs.

The publication outlines what is known and what is not available from the input: it provides benchmarks and policy-relevance discussion where possible and clearly notes where specific measure detail, associated ICD-10 diagnoses, modifiers, and related codes are not available in the provided information. The content is intended for national stakeholders seeking concise context about a CPT performance-measure code and its role in quality reporting workflows.

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Billing Code Overview

CPT code 4014F represents a performance measure entry with no summary provided in the source description. Based on the code format and typical use of CPT Category II–style numeric measures, this entry corresponds to a clinical quality or performance metric rather than a discrete procedure.

Service type: Data capture/quality reporting related service
Typical site of service: Administrative or clinical reporting settings (e.g., outpatient clinics, physician offices, hospital quality departments)

Data not available in the input.

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CPT 4014F: Performance Measure for Clinical Quality Reporting

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Get alerted when payer policies referencing 4014F are released or updated.

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Billing Code Overview

Service type: Data capture/quality reporting related service
Typical site of service: Administrative or clinical reporting settings (e.g., outpatient clinics, physician offices, hospital quality departments)

Data not available in the input.

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult with chronic dyslipidemia and elevated cardiovascular risk factors presenting to a primary care clinic or outpatient cardiology practice for performance status and quality reporting related to lipid management. The encounter documents whether the patient has a current statin prescription and the intensity of therapy. The clinical workflow includes medication reconciliation, review of lipid panel results, assessment of contraindications or adverse effects to statins, shared decision-making about therapy intensity, and documentation of current statin use or reasons for not prescribing. The visit typically occurs in an outpatient office setting, often during a chronic disease follow-up or preventive visit, and the clinician documents the statin therapy status for quality reporting and value-based care measures.

Coding Specifications

Modifier	Description	When to Use
`25`	Significant, separately identifiable evaluation and management service by the same physician on the same day of a procedure	Use when an E/M visit is performed and separately documented in addition to procedures or services on the same day
`59`	Distinct procedural service	Use to indicate a distinct procedure or service not normally reported together with another service
`76`	Repeat procedure or service by same provider	Use when a procedure or service is repeated subsequent to the original on the same day
`77`	Repeat procedure or service by another provider	Use when another provider repeats the procedure or service on the same day
`RT`	Right side	Use when service is performed on the right side of the body (if laterality applies)
`LT`	Left side	Use when service is performed on the left side of the body (if laterality applies)
`91`	Repeat clinical diagnostic laboratory test	Use when a lab test (e.g., lipid panel) is repeated on the same day to confirm results
`AZ`	Ordering/Referring Provider (state-specific) — general use varies by payor	Use when required to indicate the ordering/referring provider on claims when applicable
`GY`	Item or service statutorily excluded or does not meet the definition of any Medicare benefit	Use when reporting services not payable by Medicare to indicate non-covered service

Taxonomy Code	Specialty	Notes
207Q00000X	Family Medicine	Primary care clinicians managing chronic lipid therapy and preventive care
207R00000X	Internal Medicine	Internists overseeing cardiovascular risk reduction and statin therapy
207RH0000X	Cardiology	Cardiologists managing high-risk patients requiring lipid management
363A00000X	Nurse Practitioner	Advanced practice providers who manage chronic medications and quality documentation
207L00000X	Geriatric Medicine	Physicians caring for older adults where statin therapy decisions balance risks and benefits

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`E78.5`	Hyperlipidemia, unspecified	Common indication for initiation and monitoring of statin therapy and quality reporting of statin use
`E78.0`	Pure hypercholesterolemia	Specific lipid disorder frequently managed with statin medications to reduce LDL cholesterol
`I25.10`	Atherosclerotic heart disease of native coronary artery without angina pectoris	Indicates established coronary artery disease; patients are typically recommended statin therapy for secondary prevention
`I10`	Essential (primary) hypertension	Hypertension coexists with dyslipidemia and contributes to cardiovascular risk assessment guiding statin intensity decisions
`E78.1`	Pure hypertriglyceridemia	May influence choice of therapy and monitoring alongside statin use

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`36415`	Collection of venous blood by venipuncture	Often performed prior to or during the visit to obtain a fasting lipid panel for assessment of therapy effectiveness
`80061`	Lipid panel	Laboratory panel used to measure total cholesterol, HDL, LDL, and triglycerides to guide statin therapy
`99213`	Office or other outpatient visit, established patient, low to moderate complexity	Typical E/M code used for follow-up visits where statin therapy status is reviewed and documented
`99496`	Transitional care management services, high complexity (when applicable)	May be used if the patient transitions from inpatient to outpatient care and medication reconciliation including statin therapy is part of post-discharge care
`99401`	Preventive medicine counseling, individual, approximately 15 minutes	Used for counseling about lifestyle modifications related to lipid management when billed separately

CPT 4000F: Brief Counseling for Tobacco Exposure in Asthma

CPT-4001F-ASTHMA-TOBACCO-EXPOSURE-SMOKING-CESSATION-MEDICATION-DISCUSSION

CPT 4001F: Asthma — Tobacco Exposure and Smoking Cessation Medication Discussion

CPT-4003F-UNDEFINED-MEASURE

CPT 4003F: Undefined Clinical/Quality Measure

CPT-4004F-TOBACCO-USE-SCREENING-AND-CESSATION-OFFER-ADULT

CPT 4004F: Tobacco Use Screening and Cessation Offer for Adults

CPT-4005F-UNKNOWN-SERVICE

CPT 4005F: Undefined CPT Service Code Summary

CPT-4008F-UNKNOWN-SERVICE

CPT 4008F: Unspecified CPT Code — Description Not Available

CPT-4010F-ACE-INHIBITOR-ARB-THERAPY-DOCUMENTATION

CPT 4010F: ACE Inhibitor or ARB Therapy Documentation

CPT-4011F-ANTIPLATELET-THERAPY-PRESCRIPTION-MANAGEMENT

CPT 4011F: Prescription of Antiplatelet Therapy to Prevent Thrombosis

CPT-4012F-UNCATEGORIZED-PROCEDURE

CPT 4012F: Unspecified Procedure

CPT-4013F-STATIN-THERAPY-PRESCRIPTION-OR-CURRENT-USE

CPT 4013F: Statin Therapy Prescription or Current Use

Showing 1–10 of 175

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`25`	Significant, separately identifiable evaluation and management service by the same physician on the same day of a procedure	Use when an E/M visit is performed and separately documented in addition to procedures or services on the same day
`59`	Distinct procedural service	Use to indicate a distinct procedure or service not normally reported together with another service
`76`	Repeat procedure or service by same provider	Use when a procedure or service is repeated subsequent to the original on the same day
`77`	Repeat procedure or service by another provider	Use when another provider repeats the procedure or service on the same day
`RT`	Right side	Use when service is performed on the right side of the body (if laterality applies)
`LT`	Left side	Use when service is performed on the left side of the body (if laterality applies)
`91`	Repeat clinical diagnostic laboratory test	Use when a lab test (e.g., lipid panel) is repeated on the same day to confirm results
`AZ`	Ordering/Referring Provider (state-specific) — general use varies by payor	Use when required to indicate the ordering/referring provider on claims when applicable
`GY`	Item or service statutorily excluded or does not meet the definition of any Medicare benefit	Use when reporting services not payable by Medicare to indicate non-covered service

Taxonomy Code	Specialty	Notes
207Q00000X	Family Medicine	Primary care clinicians managing chronic lipid therapy and preventive care
207R00000X	Internal Medicine	Internists overseeing cardiovascular risk reduction and statin therapy
207RH0000X	Cardiology	Cardiologists managing high-risk patients requiring lipid management
363A00000X	Nurse Practitioner	Advanced practice providers who manage chronic medications and quality documentation
207L00000X	Geriatric Medicine	Physicians caring for older adults where statin therapy decisions balance risks and benefits

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`E78.5`	Hyperlipidemia, unspecified	Common indication for initiation and monitoring of statin therapy and quality reporting of statin use
`E78.0`	Pure hypercholesterolemia	Specific lipid disorder frequently managed with statin medications to reduce LDL cholesterol
`I25.10`	Atherosclerotic heart disease of native coronary artery without angina pectoris	Indicates established coronary artery disease; patients are typically recommended statin therapy for secondary prevention
`I10`	Essential (primary) hypertension	Hypertension coexists with dyslipidemia and contributes to cardiovascular risk assessment guiding statin intensity decisions
`E78.1`	Pure hypertriglyceridemia	May influence choice of therapy and monitoring alongside statin use

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`36415`	Collection of venous blood by venipuncture	Often performed prior to or during the visit to obtain a fasting lipid panel for assessment of therapy effectiveness
`80061`	Lipid panel	Laboratory panel used to measure total cholesterol, HDL, LDL, and triglycerides to guide statin therapy
`99213`	Office or other outpatient visit, established patient, low to moderate complexity	Typical E/M code used for follow-up visits where statin therapy status is reviewed and documented
`99496`	Transitional care management services, high complexity (when applicable)	May be used if the patient transitions from inpatient to outpatient care and medication reconciliation including statin therapy is part of post-discharge care
`99401`	Preventive medicine counseling, individual, approximately 15 minutes	Used for counseling about lifestyle modifications related to lipid management when billed separately

CPT 4000F: Brief Counseling for Tobacco Exposure in Asthma

CPT-4001F-ASTHMA-TOBACCO-EXPOSURE-SMOKING-CESSATION-MEDICATION-DISCUSSION

CPT 4001F: Asthma — Tobacco Exposure and Smoking Cessation Medication Discussion

CPT-4003F-UNDEFINED-MEASURE

CPT 4003F: Undefined Clinical/Quality Measure

CPT-4004F-TOBACCO-USE-SCREENING-AND-CESSATION-OFFER-ADULT

CPT 4004F: Tobacco Use Screening and Cessation Offer for Adults

CPT-4005F-UNKNOWN-SERVICE

CPT 4005F: Undefined CPT Service Code Summary

CPT-4008F-UNKNOWN-SERVICE

CPT 4008F: Unspecified CPT Code — Description Not Available

CPT-4010F-ACE-INHIBITOR-ARB-THERAPY-DOCUMENTATION

CPT 4010F: ACE Inhibitor or ARB Therapy Documentation

CPT-4011F-ANTIPLATELET-THERAPY-PRESCRIPTION-MANAGEMENT

CPT 4011F: Prescription of Antiplatelet Therapy to Prevent Thrombosis

CPT-4012F-UNCATEGORIZED-PROCEDURE

CPT 4012F: Unspecified Procedure

CPT-4013F-STATIN-THERAPY-PRESCRIPTION-OR-CURRENT-USE

CPT 4013F: Statin Therapy Prescription or Current Use

Showing 1–10 of 175

Frequently Asked Questions

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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CPT 4014F: Performance Measure for Clinical Quality Reporting

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Billing Code Overview

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CPT 4014F: Performance Measure for Clinical Quality Reporting

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

CPT 4014F: Performance Measure for Clinical Quality Reporting

Sign up for cpt 4014F policy alerts

Billing Code Overview

CPT 4014F: Performance Measure for Clinical Quality Reporting

Sign up for cpt 4014F policy alerts

Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What is CPT 4014F and where is it typically used?

How does CPT 4014F relate to value-based care and quality programs?

What clinical workflow or patient context is CPT 4014F associated with?

Which payers cover or recognize CPT 4014F, and are there payer-specific policies included?

What related CPT and ICD-10 codes are referenced alongside 4014F?

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

What is CPT 4014F and where is it typically used?

How does CPT 4014F relate to value-based care and quality programs?

What clinical workflow or patient context is CPT 4014F associated with?

Which payers cover or recognize CPT 4014F, and are there payer-specific policies included?

What related CPT and ICD-10 codes are referenced alongside 4014F?

References