Summary & Overview
CPT 4017F: Clinical Measurement or Documented Finding
CPT code 4017F is a performance/measure code with no summary available in the source description. Nationally, such codes are used to document discrete clinical findings or quality-measure elements in patient records and can affect reporting, quality measurement, and payer documentation requirements. This code matters because accurate capture of measure and performance codes supports quality reporting programs and claims documentation across public and private payers.
Key payers in scope for this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will gain a concise understanding of what the code represents, which payers commonly interact with these types of codes, and where to look for additional documentation and policy guidance. The report outlines the clinical context of measure codes, typical use cases in claims and electronic health records, and the implications for claims submission and quality reporting. Benchmarks, policy updates, and payer-specific coverage details are noted when available; where specific data from payers or mapping to diagnoses and modifiers is not provided, the summary indicates that such details are not available in the input.
Billing Code Overview
CPT code 4017F has no summary on file. Based on the available description, this code represents a specific documented clinical finding or measure related to patient care. Service Type: Data not available in the input. Typical Site of Service: Data not available in the input.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is a 58-year-old individual with established cardiovascular disease risk factors presenting for an outpatient preventive or disease-management visit where performance measures are being documented. The patient has had prior lipid panels and medication therapy for hyperlipidemia. The clinic workflow includes vitals and medication reconciliation, review of recent laboratory results, and documentation of performance measure compliance in the chart. During the visit the clinician confirms whether a current lipid panel has been obtained within the specified measurement period and documents statin therapy status and/or counseling. The visit is most commonly provided in a primary care office or cardiology clinic, and the clinician records the care in the electronic health record to support quality reporting and billing for performance measure capture associated with 4017F.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
25 | Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure | Use when an E/M visit is distinct from performance measure documentation occurring the same day |
59 |