MEDICAL CODING TRAINING CENTRE IN CALICUT

CURRENT PROCEDURAL TERMINOLOGY

(CPT) 

                   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. The most common CPT codes used by family physicians for medical billing are 99213 and 99214.

MAIN SECTION OF CPT

  • Evaluation & Management Services (99202 – 99499)
  • Anesthesia Services (01000 – 01999)
  • Surgery (10021 – 69990) – further broken into body area or system within this code range
  • Radiology Services (70010 – 79999)
  • Pathology and Laboratory Services (80047 – 89398)
  • Medical Services and Procedures (90281 – 99607)

TYPES CPT CODES

  • Category 1: Procedures and contemporary medical practices
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.

Category 1 codes are broken down into six sections:

  1. evaluation and management
  2. anesthesiology
  3. surgery
  4. radiology
  5. pathology and laboratory
  6. medicine

  • Category 2: Clinical Laboratory Services

    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.

  • Category 3: Emerging technologies, services and procedures

    The Category 3 CPT code list consists of temporary codes that cover emerging technologies, services and procedures. 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.





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