CPT Codes Process

Current Procedural Terminology (CPT) codes are medical codes that are updated and organized by the American Medical Association (AMA) and the CPT Editorial Panel. The CPT Editorial Panel is a group of physicians, AMA members and a third-party payer representative who meet to update, modify, establish or revise CPT codes.

What are CPT Codes?

Most physicians know what CPT codes are, but here are some more details. CPT codes are 5 digit codes that are used to designate the type of medical service provided by a healthcare provider. There are around 7,800 CPT codes in use currently, however this number can vary when new codes or variations to current codes are established every October. These codes are used to indicate what services have been rendered to patients. The codes are sent to third-party payers (insurance providers) to claim payment for the healthcare services provided.

Categories of CPT Codes

Category 1- Strictly Numerical

Categories for Evaluation and Management

-Anesthesia Codes

-Surgery Codes

-Radiology Codes

-Pathology and Laboratory Codes

-Medicine Codes

Category 2- 4 Numerical Digits followed by the Letter “F”

-Composite Measures

-Patient Management

-Patient History

-Physical Examination

-Diagnostic/Screening Process

-Therapeutic, Intervention and Preventative

-Follow-Up

-Patient Safety

-Structural Measures

Category 3- 4 Numerical Digits followed by the Letter “T”

-Emerging Technology

 

CPT Process for Physicians and Healthcare Providers

So what does the CPT coding process look like at your office? Is your office staff qualified and certified for CPT coding tasks? Is it efficient and are you receiving all claims revenue you are due? These are questions that are worth asking at the end of each quarter for every healthcare provider. Your CPT coding process should include accurate coding and claims management following the rendering of any services provided. It should also take into account the yearly revising of CPT codes by the AMA Editorial Panel. These revisions to the codes should then be correctly implemented into the CPT coding process. As you can see this process can be complicated and difficult for practice administration to successfully accomplish. However, there are options…

Outsourcing CPT Coding Process to Certified Coders

Applied Medical Systems (AMS) in Durham, NC provides certified billing and coding to medical practices and medical providers across the country. Our certified billers and coders can completely cover your medical billing and coding process with 97% or greater accuracy. Our practice management consultants can also work with you and your staff to make your CPT coding workflow as efficient and as accurate as possible. By outsourcing your CPT coding to AMS, you can get back to focusing on exceptional patient care.

For more information about our services, contact us today.