CPT Professional (CPT / Current Procedural Terminology and millions of other books are available for site Kindle. Correct reporting and billing of medical procedures and services begins with CPT® Professional Edition. The AMA publishes the only CPT® codebook with. Use the Current Procedural Terminology (CPT®) code set to bill outpatient & office See the latest corrections to the AMA-published CPT Code Books. Current procedural terminology (CPT) is a set of codes, descriptions, and .. from the Current Procedural Terminology (CPT) book.2 This is currently in its fourth.

Current Procedural Terminology Book

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An introduction of the Current Procedural Terminology (CPT), including its uses This book, which is updated yearly by the AMA and the CPT Editorial Board. The Current Procedural Terminology (CPT) code set is a medical code set maintained by the .. Print/export. Create a book · Download as PDF · Printable version. CPT (Current Procedural Terminology) is a listing of standardized Count on AAPC's CPT® books to help you choose and report the right CPT® code.

Category 1 covers procedures and contemporary medical practices that are widely performed. Category 1 is the section coders usually identify with when talking about CPT and are five-digit numeric codes that identify a procedure or service that is approved by the Food and Drug Administration FDA , performed by healthcare professionals nationwide, and is proven and documented.

The Category 2 CPT medical code set consists of the supplementary tracking codes that are used for performance measures and are intended to help collect information about the quality of care delivered. The use of this medical code set is optional and is not a substitute for Category 1 codes. The Category 3 CPT code list consists of temporary codes that cover emerging technologies, services and procedures.

Current procedural terminology

They differ from the Category 1 medical CPT codes list in that they identify services that may not be widely performed by healthcare professionals, may not have FDA approval and also may not have proven clinical efficacy.

To be eligible, the service or procedure must be involved in ongoing and planned research. The purpose of these CPT codes is to help researchers track emerging technologies and services.

CPT codes, or procedural codes, describe what kind of procedure a patient has received while ICD codes, or diagnostic codes, describe any diseases, illnesses or injuries a patient may have. The psychotherapy code revisions consist of two changes. The first change is the description of psychotherapy CPT codes.

The second change is to the description of family psychotherapy CPT codes. Whereas before there was no time indicated in the description.

Current Procedural Terminology (CPT) code

The revision clarifies in order to bill the service, the clinician must meet the midpoint of 50 minutes. In other words, the clinician must provide at least 25 minutes of documented service.

CPT codes are made up of five characters. These characters could be numeric and alphanumeric depending on which category -- the division of the CPT code set -- the CPT code is in.

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For instance, the Surgery section, which is by far the largest, is organized by what part of the human body the surgery would be performed on. Likewise, the Radiology section is organized into sections on diagnostic ultrasound, bone and joint studies, radiation oncology, and other fields. Please refer to the eBook for a complete breakdown of the subfields used in each of the code fields.

Each of these fields has its own particular guidelines when it comes to use. For example, the Surgery section has a guideline for how to report extra materials used such as sterile trays or drugs and how to report follow-up care in the case of surgical procedures. If a procedure is indented below another code, the indented procedure is an important or noteworthy variation on the above procedure, and would replace the first code.

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The first, which comes before the semicolon, is the general procedure. If we look in the CPT manual, we find the code below These modifiers are two-digit additions to the CPT code that describe certain important facets of the procedure, like whether the procedure was bilateral or was one of multiple procedures performed at the same time.

CPT modifiers are relatively straightforward, but are very important for coding accurately. For now, just recognize that the CPT code set has a number of instructions that inform the medical coder on how to best code the procedure performed.

Remember that you always need to code to the highest level of specificity, and a miscoded procedure can be the difference between an accepted and rejected claim.

Category I CPT codes are numeric, and are five digits long. Each of these sections has its own subdivisions, which correspond to what type of procedure, or what part of the body, that particular procedure relates to. Category III codes are important for maintaining the integrity of the CPT process, since they permit a means to track the use of new technology, before such technology is widely adopted. The use of similar Category I codes for new technology is clearly discouraged by the CPT rules; in fact, the rules, in their strictest sense, actually prohibit this.

The other alternative is the use of unlisted procedure Category I code, but when physicians do this, it becomes impossible to measure the actual usage of a specific technology.

Thus, the preferred route for coding new technology is the development and application of a Category III code. CPT has evolved since its introduction, and the AMA has a specific process for monitoring the integrity of CPT and adapting for changes in physician practice and medical technology.

Current Procedural Technology: Posted on December 11, Category I CPT codes are assigned to procedures that are deemed to be within the scope of medical practice across the US. In general, such codes report services whose effectiveness is well supported in the medical literature and whose constituent parts have received clearance from the US Food and Drug Administration FDA.Proposals for a new code go through the following steps: The CPT descriptive terminology and associated code numbers provide the most widely accepted medical nomenclature used to report medical procedures and services for processing claims, conducting research, evaluating healthcare utilization, and developing medical guidelines and other forms of healthcare documentation.


The Panel is authorized to revise, update, or modify the codes. If the original requestors of the code want to continue use of the code, they must submit a proposal for continuing the code as a Category III code or promoting it to Category I status. There are a few important CPT Modifiers, which provide additional information about the procedure performed.