Current Procedural Terminology

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The Current Procedural Terminology (CPT) code set is maintained by the American Medical Association through the CPT Editorial Panel.[1] The CPT code set describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes.

New editions are released each October.[2] The current version is the CPT 2011. It is available in both a standard edition and a professional edition.[3][4]

CPT coding is similar to ICD-9 and ICD-10 coding, except that it identifies the services rendered rather than the diagnosis on the claim.

CPT is currently identified by the Centers for Medicare and Medicaid Services (CMS) [5] as Level 1 of the Health Care Procedure Coding System.

Contents

[edit] Types of codes

There are three types of CPT codes: Category I, Category II, and Category III.

[edit] Category I

Category I CPT Code(s). There are six main sections:[6]

[edit] Codes for Evaluation and Management: 99201-99499

[edit] Codes for Anaesthesia: 00100-01999; 99100-99150

[edit] Codes for Surgery: 10021-69990

[edit] Codes for Radiology: 70010-79999

[edit] Codes for Pathology & Laboratory: 80047-89398

[edit] Codes for Medicine: 90281-99189; 99500-99607

[edit] Category II

  • Category II CPT Code(s) – Performance Measurement (optional)[7] (Category II codes: 0001F-7025F)

[edit] Category III

  • Category III CPT Code(s) – Emerging Technology (Category III codes: 0016T-0207T[8])

[edit] Copyright

CPT is a registered trademark of the American Medical Association., and the AMA holds the copyright for the CPT coding system.[9]

Despite the copyrighted nature of the CPT code sets, the use of the code is mandated by almost all health insurance payment and information systems, including by Centers for Medicare & Medicaid Services (CMS) and HIPAA, and the data for it appear in the Federal Register. As a result, it is necessary for most users of the CPT code (principally providers of services) to pay license fees for access to the code. [10]

[edit] Limited CPT Search Offered by the AMA

The AMA offers a limited search of the CPT manual for personal, non-commercial use on its website:

https://ocm.ama-assn.org/OCM/CPTRelativeValueSearch.do

[edit] See also

[edit] References

  1. ^ AMA (CPT) CPT Process
  2. ^ Laura Southard Durham (1 June 2008). Lippincott Williams & Wilkins' Administrative Medical Assisting. Lippincott Williams & Wilkins. pp. 2–. ISBN 9780781797894. http://books.google.com/books?id=b9NyTDdaEEsC&pg=RA2-PA102. Retrieved 26 May 2011. 
  3. ^ Michelle Abraham; Jay T. Ahlman; Angela J. Boudreau; Judy L. Connelly, Desiree D. Evans, Rejina L Glenn (30 October 2010). CPT 2011 Standard Edition. American Medical Association Press. ISBN 9781603592161. http://books.google.com/books?id=vZv5RQAACAAJ. Retrieved 26 May 2011. 
  4. ^ American Medical Association; American Medical Association (COR); Michelle Abraham; Jay T. Ahlman, Angela J. Boudreau, Judy L. Connelly (30 October 2010). CPT 2011 Professional Edition. American Medical Association Press. ISBN 9781603592178. http://books.google.com/books?id=-FP1RQAACAAJ. Retrieved 26 May 2011. 
  5. ^ Centers for Medicare & Medicaid Services
  6. ^ Marie A. Moisio (8 April 2009). Medical Terminology for Insurance and Coding. Cengage Learning. pp. 80–. ISBN 9781428304260. http://books.google.com/books?id=HjYEikV_n6MC&pg=PA80. Retrieved 26 May 2011. 
  7. ^ Holly Hosford-Dunn; Ross J. Roeser; Michael Valente (2008). Audiology practice management. Thieme. pp. 323–. ISBN 9783131164124. http://books.google.com/books?id=r2wBJFACx0wC&pg=PA323. Retrieved 26 May 2011. 
  8. ^ CPT 2010
  9. ^ AMA (CPT) CPT Licensing
  10. ^ http://www.ama-assn.org/ama1/pub/upload/mm/37/2009-annual-report.pdf

[edit] External links
Topographical codes
TA · TH · TE · SNOMED T axis · MeSH A axis
Diagnostic codes

general: ICD-10 · ICD-9 · ICPC-2 · NANDA · Read codes · SNOMED D axis

specialized: ICD-O · ICSD · ICHD · ILDS · DSM-IV · BPA
Procedural codes
Pharmaceutical codes
ATC · NDC · SNOMED C axis · DIN
Outcomes codes
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