Table 1.

Identification of Visit Type by CPT and ICD-9 Codes

Visit TypeDescriptionCPT Codes
Urgent emergency careExtended or comprehensive service; presenting problem of high severity90517, 90520, 90570, 90580, 99284*, 99285*
Nonurgent emergency careMinimal, brief or limited service; presenting problem of limited to moderate severity90500, 90505, 90510, 90515, 90530, 90540, 90550, 90560, 99281*, 99282*, 99283*
Total emergency careAll care in urgent and nonurgent emergency categories90500, 90505, 90510, 90515, 90517, 90520, 90530, 90540, 90550, 90560, 90580, 99281*, 99282*, 99283*, 99284*, 99285*
Preventive primary careEarly and Periodic Screening, Diagnosis, and Treatment (new or established patient with noted CPT codes regardless of ICD-9 code)90750, 90751, 90752, 90753, 90754, 90760, 90761, 90762, 90763, 90764, 99381*, 99382*, 99383*, 99384*, 99385*, 99386*, 99387*, 99391*, 99392*, 99393*, 99394*
Illness primary careAll visits with CPT codes noted in next column, excluding those with ICD-9 codes V20, V20.0, V20.1, V20.290000, 90010, 90015, 90017, 90020, 90030, 90040, 90050, 90060, 90070, 90080, 99201*, 99202*, 99203*, 99204*, 99205*, 99211*, 99212*, 99213*, 99214*, 99215*
PharmacyAll claims from pharmacies; managed in a separate data base by MedicaidN/A
  • * New codes recognized by Ohio Medicaid as of April 1992.

    Abbreviations: CPT, Current Procedural Terminology, ICD-9,International Classification of Diseases, 9th Revision; N/A, not applicable.