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What Is CPT Coding?


Current Procedural Terminology (CPT) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations.

What does CPT stand for in medical terms?

Use the Current Procedural Terminology (CPT®) code set to bill outpatient & office procedures.

What are the 3 categories of CPT codes?

There are three categories of CPT Codes: Category I, Category II, and Category III.

How do you get a CPT code?

In order to establish new CPT codes, an individual, a physician, or a specialty group must submit a coding change request form. The CPT Advisory Committee then reviews the proposed code. Attached are the coding change request forms for Category I, II and III code sets from the AMA.

Why is CPT coding important?

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.

What is another name for the CPT manual?

The Current Procedural Terminology (CPT) code set is a medical code set maintained by the American Medical Association through the CPT Editorial Panel.

What is CPT in nursing?

Current Procedural Terminology (CPT) coded services provided by nurse specialists.

What does CPT 4 stand for?

Acronym. Definition. CPT-4. Current Procedural Terminology, 4th Edition.


What is CPT slang?

For people unfamiliar with it, that’s Colored People’s Time — usually abbreviated, in the black communities I’ve lived in, to C.P.T. — and it means clock-challenged. It’s often used by colored peoples to describe habitually tardiness.

How many CPT codes are there 2020?

As mentioned, there are almost 400 different 2020 CPT code changes.

What is a Level 1 CPT code?

Level I codes consist of the AMA’s CPT codes and is numeric. Level II codes are the HCPCS alphanumeric code set and primarily include non-physician products, supplies, and procedures not included in CPT. Some payers prefer that coders report the Level III codes in addition to the Level I and Level II code sets.

What is a CPT code example?

CPT codes are, for the most part, grouped numerically. The codes for surgery, for example, are 10021 through 69990. In the CPT codebook, these codes are listed in mostly numerical order, except for the codes for Evaluation and Management. The code 99214, for a general checkup, is listed in the E&M codes, for example.

Where can I find CPT codes for free?

Relative value units (RVU) resources The Centers for Medicare & Medicaid Services offer a free search (CPT code lookup) for RVU for every CPT code. Users can also request a CPT/RVU Data File license from the AMA to easily import codes and descriptions into existing claims and medical billing systems.

What are the CPT code ranges?

Codes range from 00100–99499 and are generally ordered into sub-categories based on procedure/service type and anatomy.

What is CPT modifier?

CPT modifiers (also referred to as Level I modifiers) are used to supplement the information or adjust care descriptions to provide extra details concerning a procedure or service provided by a physician. Code modifiers help further describe a procedure code without changing its definition.

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