CPT Codes
CPT coding is a fact of life in the provision of healthcare today. CPT stands for Current Procedural Terminology, and is a system first developed by the AMA (American Medical Association) in 1966 "to convert widely accepted, uniform descriptions of medical, surgical and diagnostic services rendered by healthcare providers into five-numeric codes" (Medical Coding Experts, p. 1). CPT codes are necessary in order for accurate reimbursement to be obtained for services rendered and procedures performed. Inaccurate coding may result in a loss of reimbursement or, should extra codes be assigned and/or submitted, insurance fraud.
Category one CPT codes are the standard set of codes, and are divided into six sections. These sections are: evaluation and management; anesthesiology; surgery; radiology; pathology and laboratory; and medicine (Medical Coding Experts, p. 4). Each section has a discrete span of numbers that applies to the procedures classified under that section heading. They are as follows: evaluation and management, 99201-99499; anesthesiology, 00100-01999, 99100-99140; surgery, 11021-69990; radiology, 70010-79999; pathology and laboratory, 80048-89356; and medicine, 90281-99199, 99500-99602 (American Medical Association, p. 3).
One example of an evaluation and management code is...
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