Berenson-Eggers Type of Service (BETOS) Codes

CMS has restructured the BETOS classification system effective 2023.

→ Click here to view the CMS Restructured BETOS

The rest of this page shows pre-2023 data.

The BETOS coding system was developed primarily for analyzing the growth in Medicare expenditures. The coding system covers all HCPCS codes; assigns a HCPCS code to only one BETOS code; consists of readily understood clinical categories (as opposed to statistical or financial categories); consists of categories that permit objective assignment; is stable over time; and is relatively immune to minor changes in technology or practice patterns.

→ Click here to view the 2016 HCPCS-BETOS Crosswalks

(1) EVALUATION AND MANAGEMENT
M1A  Office visits - new
M1BOffice visits - established
M2AHospital visit - initial
M2BHospital visit - subsequent
M2CHospital visit - critical care
M3 Emergency room visit
M4AHome visit
M4BNursing home visit
M5ASpecialist - pathology (HCPCS moved to T1G in 2003)
M5BSpecialist - psychiatry
M5CSpecialist - opthamology
M5DSpecialist - other
M6 Consultations

(2) PROCEDURES
P0 Anesthesia
P1AMajor procedure - breast
P1BMajor procedure - colectomy
P1CMajor procedure - cholecystectomy
P1DMajor procedure - turp
P1EMajor procedure - hysterectomy
P1FMajor procedure - explor/decompr/excis disc
P1GMajor procedure - Other
P2AMajor procedure, cardiovascular-CABG
P2BMajor procedure, cardiovascular-Aneurysm repair
P2CMajor Procedure, cardiovascular-Thromboendarterectomy
P2DMajor procedure, cardiovascular-Coronary angioplasty (PTCA)
P2EMajor procedure, cardiovascular-Pacemaker insertion
P2FMajor procedure, cardiovascular-Other
P3AMajor procedure, orthopedic - Hip fracture repair
P3BMajor procedure, orthopedic - Hip replacement
P3CMajor procedure, orthopedic - Knee replacement
P3DMajor procedure, orthopedic - other
P4AEye procedure - corneal transplant
P4BEye procedure - cataract removal/lens insertion
P4CEye procedure - retinal detachment
P4DEye procedure - treatment of retinal lesions
P4EEye procedure - other
P5AAmbulatory procedures - skin
P5BAmbulatory procedures - musculoskeletal
P5CAmbulatory procedures - groin hernia repair
P5DAmbulatory procedures - lithotripsy
P5EAmbulatory procedures - other
P6AMinor procedures - skin
P6BMinor procedures - musculoskeletal
P6CMinor procedures - other (Medicare fee schedule)
P6DMinor procedures - other (non-Medicare fee schedule)
P7AOncology - radiation therapy
P7BOncology - other
P8AEndoscopy - arthroscopy
P8BEndoscopy - upper gastrointestinal
P8CEndoscopy - sigmoidoscopy
P8DEndoscopy - colonoscopy
P8EEndoscopy - cystoscopy
P8FEndoscopy - bronchoscopy
P8GEndoscopy - laparoscopic cholecystectomy
P8HEndoscopy - laryngoscopy
P8IEndoscopy - other
P9ADialysis services (Medicare Fee Schedule)
P9BDialysis services (Non-Medicare Fee Schedule)

(3) IMAGING
I1AStandard imaging - chest
I1BStandard imaging - musculoskeletal
I1CStandard imaging - breast
I1DStandard imaging - contrast gastrointestinal
I1EStandard imaging - nuclear medicine
I1FStandard imaging - other
I2AAdvanced imaging - CAT/CT/CTA: brain/head/neck
I2BAdvanced imaging - CAT/CT/CTA: other
I2CAdvanced imaging - MRI/MRA: brain/head/neck
I2DAdvanced imaging - MRI/MRA: other
I3AEchography/ultrasonography - eye
I3BEchography/ultrasonography - abdomen/pelvis
I3CEchography/ultrasonography - heart
I3DEchography/ultrasonography - carotid arteries
I3EEchography/ultrasonography - prostate, transrectal
I3FEchography/ultrasonography - other
I4AImaging/procedure - heart including cardiac catheter
I4BImaging/procedure - other

(4) TESTS
T1ALab tests - routine venipuncture (non Medicare fee schedule)
T1BLab tests - automated general profiles
T1CLab tests - urinalysis
T1DLab tests - blood counts
T1ELab tests - glucose
T1FLab tests - bacterial cultures
T1GLab tests - other (Medicare fee schedule)
T1HLab tests - other (non-Medicare fee schedule)
T2AOther tests - electrocardiograms
T2BOther tests - cardiovascular stress tests
T2COther tests - EKG monitoring
T2DOther tests - other

(5) DURABLE MEDICAL EQUIPMENT
D1AMedical/surgical supplies
D1BHospital beds
D1COxygen and supplies
D1DWheelchairs
D1EOther DME
D1FProsthetic/Orthotic devices
D1GDrugs Administered through DME

(6) OTHER
O1AAmbulance
O1BChiropractic
O1CEnteral and parenteral
O1DChemotherapy
O1EOther drugs
O1FHearing and speech services
O1GImmunizations/Vaccinations

(7) EXCEPTIONS/UNCLASSIFIED
Y1 Other - Medicare fee schedule
Y2 Other - non-Medicare fee schedule
Z1 Local codes
Z2 Undefined codes


note  Only one BETOS code is assigned to each CPT®/HCPCS code.

source  Centers for Medicare & Medicaid Services , Health Care Common Procedure Coding System (HCPCS), 2011

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.