Prab: CSV import

2024-12-31T12:37:29Z

CSV import

Kondreddy Naveen at 17:04, 7 December 2023

2023-12-07T17:04:58Z

New page

Abbreviated commonly as [[CPT]], the '''Current Procedural Terminology''' ('''CPT''') code set is a [[medical coding|medical code set]] maintained by the [[American Medical Association]] through the CPT Editorial Panel.

== CPT code set ==
The CPT code set (copyright protected by the AMA) describes medical, surgical, and diagnostic services. They are designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes.

<youtube>
title='''{{PAGENAME}}'''
movie_url=http://www.youtube.com/v/P98EG3I-jeo
&rel=1
embed_source_url=http://www.youtube.com/v/P98EG3I-jeo
&rel=1
wrap = yes
width=750
height=600
</youtube>

== New editions ==
New editions are released each October.

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

== Level 1 coding system ==
CPT is currently identified by the Centers for Medicare and Medicaid Services (CMS) as Level 1 of the [[Healthcare Common Procedure Coding System]].

The Current Procedural Terminology (CPT) was developed by the American Medical Association (AMA).<ref name="cms.hhs" />

==Types of code==
There are three types of CPT code: Category I, Category II, and Category III.

===Category I===
Category I CPT Code(s). There are six main sections:<ref name="Moisio2009">{{cite book|author=Marie A. Moisio|title=Medical Terminology for Insurance and Coding|url=https://books.google.com/books?id=HjYEikV_n6MCandpg=PA80|accessdate=26 May 2011|date=8 April 2009|publisher=Cengage Learning|isbn=978-1-4283-0426-0|pages=80–}}</ref>

====Codes for evaluation and management: 99201–99499====
* (99201–99215) [[Outpatient|Office/other outpatient services]]
* (99217–99220) [[Medical observation|Hospital observation]] services
* (99221–99239) [[Inpatient|Hospital inpatient]] services
* (99241–99255) [[Consultation (doctor)|Consultations]]
* (99281–99288) [[Emergency department]] services
* (99291–99292) [[Intensive care medicine|Critical care]] services
* (99304–99318) [[Nursing facility]] services
* (99324–99337) Domiciliary, rest home ([[nursing home|boarding home]]) or custodial care services
* (99339–99340) Domiciliary, rest home ([[assisted living facility]]), or home care plan oversight services
* (99341–99350) [[home care|Home health]] services
* (99354–99360) Prolonged services
* (99363–99368) [[Medical case management|Case management]] services
* (99374–99380) Care plan oversight services
* (99381–99429) [[Preventive medicine]] services
* (99441–99444) [[Telemedicine|Non-face-to-face physician services]]
* (99450–99456) Special evaluation and management services
* (99460–99465) [[Neonatal care|Newborn care]] services
* (99466–99480) [[NICU|Inpatient neonatal intensive, and pediatric/neonatal critical, care services]]
* (99487–99489) [https://www.supercoder.com/cpt-codes-range/2959 Complex chronic care coordination] services
* (99495–99496) [[Transitional care]] management services
* (99499) Other evaluation and management services

====Codes for anesthesia: 00100–01999; 99100–99150====
* (00100–00222) [[head]]
* (00300–00352) [[neck]]
* (00400–00474) [[thorax]]
* (00500–00580) [[intrathoracic]]
* (00600–00670) [[Vertebral column|spine]] and [[spinal cord]]
* (00700–00797) upper abdomen<ref>{{cite web|url=https://www.supercoder.com/cpt-codes-range/26 |title=Anesthesia for Procedures on the Upper Abdomen |accessdate=2016-10-04 |url-status=live |archiveurl=https://web.archive.org/web/20161005122825/https://www.supercoder.com/cpt-codes-range/26 |archivedate=2016-10-05 }}, Anesthesia for procedures on the upper abdomen</ref>
* (00800–00882) lower abdomen<ref>{{cite web|url=https://www.supercoder.com/cpt-codes-range/30 |title=Anesthesia for lower abdomen}},Anesthesia for procedures on the lower abdomen </ref>
* (00902–00952) [[perineum]]
* (01112–01190) [[pelvis]] (except hip)
* (01200–01274) [[upper leg (except knee)]]
* (01320–01444) [[knee and popliteal area]]
* (01462–01522) [[lower leg (below knee)]]
* (01610–01682) [[shoulder]] and [[axilla]]ry
* (01710–01782) [[upper arm and elbow]]
* (01810–01860) [[forearm, wrist and hand]]
* (01916–01936) [[radiology|radiological procedures]]
* (01951–01953) [[burn excisions or debridement]]
* (01958–01969) [[obstetric]]
* (01990–01999) [[other procedures]]
* (99100–99140) [[qualifying circumstances for anesthesia]]
* (99143–99150) [[moderate (conscious) sedation]]

====Codes for surgery: 10000–69990====
* (10000–10022) general
* (10040–19499) [[integumentary system]]
* (20000–29999) [[musculoskeletal system]]
* (30000–32999) [[respiratory system]]
* (33010–37799) [[cardiovascular system]]
* (38100–38999) [[hemic]] and [[lymphatic system]]s
* (39000–39599) [[mediastinum]] and [[Thoracic diaphragm|diaphragm]]
* (40490–49999) [[digestive system]]
* (50010–53899) [[urinary system]]
* (54000–55899) [[human male genitalia|male genital system]]
* (55920–55980) [[reproductive system]] and [[intersex]]
* (56405–58999) [[human female genitalia|female genital system]]
* (59000–59899) [[maternity care]] and [[Childbirth|delivery]]
* (60000–60699) [[endocrine system]]
* (61000–64999) [[nervous system]]
* (65091–68899) [[human eye|eye]] and [[ocular adnexa]]
* (69000–69979) [[auditory system]]

====Codes for radiology: 70000–79999====
* (70010–76499) [[diagnostic radiology]]
* (76500–76999) [[diagnostic ultrasound]]
* (77001–77032) [[radiologic guidance]]
* (77051–77059) breast [[mammography]]
* (77071–77084) [[bone]]/[[joint studies]]
* (77261–77999) [[radiation oncology]]
* (78000–79999) [[nuclear medicine]]

====Codes for pathology and laboratory: 80000–89398====
* (80000–80076) [[organ or disease-oriented panels]]
* (80100–80103) [[drug testing]]
* (80150–80299) [[therapeutic drug assays]]
* (80400–80440) [[evocative/suppression testing]]
* (80500–80502) [[consultations (clinical pathology)]]
* (81000–81099) [[urinalysis]]
* (82000–84999) [[chemistry]]
* (85002–85999) [[hematology]] and [[coagulation]]
* (86000–86849) [[immunology]]
* (86850–86999) [[transfusion medicine]]
* (87001–87999) [[microbiology]]
* (88000–88099) [[anatomic pathology (postmortem)]]
* (88104–88199) [[cytopathology]]
* (88230–88299) [[cytogenetic studies]]
* (88300–88399) [[surgical pathology]]
* (88720–88741) [[in vivo (transcutaneous) lab procedures]]
* (89049–89240) [[other procedures]]
* (89250–89398) [[reproductive medicine procedures]]

====Codes for medicine: 90281–99099; 99151–99199; 99500–99607====
* (90281–90399) [[immune globulins]], [[Serum (blood)|serum]] or [[recombinant prods]]
* (90465–90474) [[immunization administration]] for [[vaccines]]/[[toxoids]]
* (90476–90749) [[vaccines, toxoids]]
* (90801–90899) [[psychiatry]]
* (90901–90911) [[biofeedback]]
* (90935–90999) [[dialysis]]
* (91000–91299) [[gastroenterology]]
* (92002–92499) [[ophthalmology]]
* (92502–92700) [[special otorhinolaryngologic services]]
* (92950–93799) [[cardiovascular]]
* (93875–93990) [[noninvasive vascular diagnostic studies]]
* (94002–94799) [[pulmonary]]
* (95004–95199) [[allergy and clinical immunology]]
* (95250–95251) [[endocrinology]]
* (95803–96020) [[neurology and neuromuscular procedures]]
* (96101–96125) [[central nervous system assessments/tests (neuro-cognitive, mental status, speech testing)]]
* (96150–96155) [[health and behavior assessment/intervention]]
* (96360–96549) [[hydration, therapeutic, prophylactic, diagnostic injections and infusions, and chemotherapy and other highly complex drug or highly complex biologic agent administration]]
* (96567–96571) [[photodynamic therapy]]
* (96900–96999) [[special dermatological procedures]]
* (97001–97799) [[physical medicine and rehabilitation]]
* (97802–97804) [[medical nutrition therapy]]
* (97810–97814) [[acupuncture]]
* (98925–98929) [[osteopathic manipulative treatment]]
* (98940–98943) [[chiropractic manipulative treatment]]
* (98960–98962) education and training for patient self-management
* (98966–98969) non-face-to-face nonphysician services
* (99000–99091) special services, procedures and reports
* (99170–99199) other services and procedures
* (99500–99602) home health procedures/services
* (99605–99607) medication therapy management services

===Category II===
CPT II codes describe clinical components usually included in evaluation and management or clinical services and are not associated with any relative value. Category II codes are reviewed by the Performance Measures Advisory Group (PMAG), an advisory body to the CPT Editorial Panel and the CPT/HCPAC Advisory Committee. The PMAG is composed of performance measurement experts representing the Agency for Healthcare Research and Quality (AHRQ), the American Medical Association (AMA), the Centers for Medicare and Medicaid Services (CMS), the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the National Committee for Quality Assurance (NCQA) and the Physician Consortium for Performance Improvement. The PMAG may seek additional expertise and/or input from other national health care organizations, as necessary, for the development of Category II codes. These may include national medical specialty societies, other national health care professional associations, accrediting bodies and federal regulatory agencies.

Category II codes make use of an alphabetical character as the 5th character in the string (i.e., 4 digits followed by the letter F). These digits are not intended to reflect the placement of the code in the regular (Category I) part of the CPT codebook. Appendix H in CPT section contains information about performance measurement exclusion of modifiers, measures, and the measures' source(s). Currently there are 11 Category II codes. They are:

* (0001F–0015F) Composite measures
* (0500F–0584F) Patient management
* (1000F–1505F) Patient history
* (2000F–2060F) Physical examination
* (3006F–3776F) Diagnostic/screening processes or results
* (4000F–4563F) Therapeutic, preventive or other interventions
* (5005F–5250F) Follow-up or other outcomes
* (6005F–6150F) Patient safety
* (7010F–7025F) Structural measures
* (9001F–9007F) Non-measure claims-based reporting

CPT II codes are billed in the procedure code field, just as CPT Category I codes are billed. Because CPT II codes are not associated with any relative value, they are billed with a $0.00 billable charge amount.<ref>AMA coding manual</ref>

===Category III===
* Category III CPT Code(s) – Emerging technology (Category III codes: 0016T-0207T<ref>CPT 2010</ref>)

==See also==
* [[Medical classification]]
* [[Procedure code]]
* [[ICD|ICD-9]]
* [[ICD-10]]
* [[ICD-10-PCS]]
* [[Health Care Procedure Coding System|HCPCS]]
* [[Specialty Society Relative Value Scale Update Committee]]

==External links==
* [https://ocm.ama-assn.org/OCM/CPTRelativeValueSearch.do Official site] by the AMA
* [https://www.aapc.com/resources/medical-coding/cpt.aspx What is CPT®] by the AAPC

{{Medical classification}}
{{stub}}
{{adapted}}
[[Category:Medical manuals]]
[[Category:American Medical Association]]
[[Category:Clinical procedure classification]]

Current Procedural Terminology - Revision history

Prab: CSV import

Kondreddy Naveen at 17:04, 7 December 2023