CPT® Code 0185T | Case2Code

Official Description

Multivariate analysis of patient-specific findings with quantifiable computer probability assessment, including report

Common Language Description

Multivariate analysis is a sophisticated statistical technique utilized to analyze data that involves multiple variables simultaneously. This method is particularly valuable in the medical field, where patient-specific findings can vary widely and influence diagnosis and treatment decisions. In the context of CPT® Code 0185T, the procedure involves a comprehensive evaluation of a patient's symptoms or complaints through a structured process. Initially, the physician conducts a detailed history-taking session to gather pertinent information regarding the patient's condition. This includes understanding the nature of the symptoms, their duration, and any other relevant medical history. Following this, a physical examination is performed to assess the patient's current health status. To further inform the analysis, the physician may order specific diagnostic tests that are relevant to the patient's symptoms. The data collected from the history, examination, and test results are then inputted into a specialized computer software program designed for multivariate analysis. This program processes the information and generates a quantifiable probability assessment regarding the likelihood of the patient having a particular medical condition. The physician carefully reviews the computer-generated probability assessment, ensuring that it aligns with their clinical judgment and the patient's unique circumstances. Finally, the results of this analysis are communicated to the patient, along with a written report that details the findings and any recommended next steps in their care. This structured approach not only aids in accurate diagnosis but also enhances the overall patient experience by providing clear and actionable insights into their health status.

1. Indications

The multivariate analysis described by CPT® Code 0185T is indicated for use in various clinical scenarios where a comprehensive understanding of a patient's condition is necessary. The following are specific indications for performing this procedure:

Complex Symptoms Patients presenting with complex or multifaceted symptoms that require a detailed analysis to determine the underlying medical condition.
Diagnostic Uncertainty Situations where there is uncertainty in diagnosis, necessitating a thorough evaluation of multiple variables to arrive at a more accurate conclusion.
Risk Assessment Cases where assessing the probability of a specific medical condition is crucial for guiding treatment decisions and patient management.

2. Procedure

The procedure associated with CPT® Code 0185T involves several critical steps that ensure a thorough analysis of the patient's condition. Each step is essential for obtaining accurate and actionable insights.

Step 1: Patient History The physician begins by obtaining a comprehensive history from the patient. This includes inquiries about the patient's symptoms, their onset, duration, and any factors that may exacerbate or alleviate the condition. The physician may also gather information about the patient's medical history, family history, and any relevant lifestyle factors that could impact their health.
Step 2: Physical Examination Following the history-taking, the physician conducts a physical examination of the patient. This examination is tailored to the symptoms reported and may involve various assessments to evaluate the patient's overall health and identify any physical signs that correlate with the reported symptoms.
Step 3: Ordering Tests Based on the findings from the history and physical examination, the physician may order relevant diagnostic tests. These tests are selected to provide additional data that will contribute to the multivariate analysis, ensuring that all pertinent information is considered.
Step 4: Data Input and Analysis Once the necessary data is collected, it is entered into a specialized computer software program designed for multivariate analysis. This software processes the information and calculates the probability of the patient having specific medical conditions based on the inputted variables.
Step 5: Review and Reporting After the analysis is complete, the physician reviews the computer-generated probability assessment. This review is critical to ensure that the results align with clinical observations and the patient's unique situation. The physician then prepares a written report detailing the findings and shares the results with the patient, providing clarity on the analysis and any recommended next steps in their care.

3. Post-Procedure

Post-procedure care following the multivariate analysis involves several considerations to ensure the patient receives appropriate follow-up and management based on the findings. The physician will discuss the results of the analysis with the patient, explaining the implications of the probability assessment and any recommended actions. This may include further diagnostic testing, referrals to specialists, or the initiation of treatment plans based on the identified condition. Additionally, the physician may schedule follow-up appointments to monitor the patient's progress and adjust the management plan as necessary. It is essential for the patient to understand the significance of the findings and to engage in ongoing communication with their healthcare provider to address any questions or concerns that may arise.

Short Descr	COMPTR PROBABILITY ANALYSIS
Medium Descr	MULTIVARIATE ALYS PT FINDINGS CPTR PROBABILITY
Long Descr	Multivariate analysis of patient-specific findings with quantifiable computer probability assessment, including report
Status Code	Carriers Price the Code
Global Days	XXX - Global Concept Does Not Apply
PC/TC Indicator (26, TC)	0 - Physician Service Code
Multiple Procedures (51)	0 - No payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50)	0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions	09 - Concept does not apply.
Assistant Surgeon (80, 82)	0 - Payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62)	0 - Co-surgeons not permitted for this procedure.
Team Surgery (66)	0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family	99 - Concept Does Not Apply
APC Status Indicator	Items and Services Packaged into APC Rates
Type of Service (TOS)	1 - Medical Care
Berenson-Eggers TOS (BETOS)	none
MUE	Not applicable/unspecified.
CCS Clinical Classification	227 - Other diagnostic procedures (interview, evaluation, consultation)