The way I understand them is that they are simply tracking codes for those involved with managed care, IPAs etc.

We had to learn on our own how to bill for them with some help from the IPA. Most of them are billed with a 0 dollar amount since they aren't for payment. Our PM didn't like 0 so we had to go with .01

These two sites have helped me understand them:
http://health-information.advanceweb.com/Article/Understand-the-Three-CPT-Code-Categories-2.aspx
http://www.calquality.org/storage/documents/compass/CPTCategoryIICodeTipSheet.pdf

Keep in mind though that your specific ACO will tell you specifically which codes they want reported. Seems strange that they are just now telling you.


Josue
Tampa, FL