Medical Coding and Billing - CPT Coding
(2022/2023) Rated A
CPT ✔✔CPT stands for current procedural terminology. It provides ervices and procedure codes
reported on insurance claims.
Overview of CPT ✔✔CPT provides a
...
Medical Coding and Billing - CPT Coding
(2022/2023) Rated A
CPT ✔✔CPT stands for current procedural terminology. It provides ervices and procedure codes
reported on insurance claims.
Overview of CPT ✔✔CPT provides a list of identifying and descriptive codes for procedures and
service.
CPT coding is the uniform language that describes surgical procedures and services.
CPT codes are used to report services and procedures.
CPT codes are linked with ICD-9 codes.
CPT codes are used to justify need for service or procedure.
CPT Supports electronic data ✔✔EDI, CPR, EMC
EDI ✔✔Electronic Data Interchange.
CPR ✔✔Computer-based Patient Record.
EMC ✔✔Electronic Media Claims.
Category 1 ✔✔Category 1 contains procedures and/or services identified by 5 digit codes.
Category 2 ✔✔Category 2 contains performance measurement tracking codes in an
alphanumeric identifier with a letter in the last field.
(EX: 4246C)
Category 3 ✔✔Category 3 contains emerging technology and temporary codes assigned for data
purposes.
CPT's 6 Sections ✔✔Evaluation and Management (E/M)
Anesthesia
Surgery
Radiology
Pathology and Laboratory
Medicine
Unlisted procedures/services ✔✔Codes are assigned when a procedure or service is performed
by a provider for which there is no CPT code.
Special report ✔✔When an unlisted procedure or service code is reported a special report is
created.
Narrative document ✔✔A narrative document must accompany claim to describe nature and
extent of the need of service or procedure.
Modifiers ✔✔CPT modifiers are used to clarify services and procedures performed by providers.
A list of all CPT modifiers with a brief description is located insider the front cover of the coding
manual.
Coding Surgeries Correctly ✔✔Three questions must be asked:
What body system was involved?
What anatomic site was involved?
What type of procedure was performed?
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