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Cpt Codes Are Used To Facilitate Medical Billing

By Patty Goff


There are so many complicated procedures in the medical field that it makes billing difficult. All the illnesses, procedures and medicines have complicated names. The individual who is qualified to work as a coder will have to be familiar with the Current Procedural Terminology or cpt codes to perform those duties.

Experts sitting on a panel, the CPT editorial panel, oversee the administration of the coding. Of experts exists called the CPT Editorial Panel. They work under the auspices and direction of the AMA. There is a copyright owned and protected by that august organization.

This code was created to make clear what was administered to each patient in the communications transmitted from one medical department to another. Separate ones identify diagnoses, surgeries and all other medical processes.

There are three types of CPT code, which differentiates between procedures. These are Category I, Category II and Category III. Some examples of the first category are outpatient care, Home health care and in-patient care in a retirement home.

They become very specific. One is used for any administration of anesthesia. A separate set of numbers is used to refer to each body part that is operated on. Examples include head, back, extremities, which have separate numbers.

Individual numbers assigned to surgical services may include pelvic, reproductive system and auditory system. To make the billing very specific, a cochlear implant surgery is classified under auditory system. Billing is rendered less complicated when used in the bills sent out to the patient.

There are those for radiology, which include treatments of radiation oncology, mammograms and ultrasound tests. Pregnant women can be reassured that the baby is healthy. It is often possible to identify if the baby is a boy or girl.

Another category is pathology and laboratory. Drug testing, a simple urinalysis and various testing of the blood fall under this category. Transfusions are included. The postmortems, also known as autopsies, are classified here.

The ones for the category named medicine include routine vaccinations, administering those immunizations and treatments for kidney disease, which are transfusions to clean the blood. It is dialysis that maintains the patients life while they wait for a kidney transplant. After that, if successful, they will no longer require dialysis treatments.

Treatments by medical specialists come under the class of those indicating medicine. The specialists can be board-certified in psychiatry, cardiology or otorhinolaryngology. The psychiatrist treats the mind, the cardiologist the heart and the otorhinolaryngologist, the ears, nose and throat.

Numbers in Category II have four numbers followed by an alphabetical letter to identify them. This classification contains eleven codes. Included are routine physical exams, diagnostic screenings and taking the patients medical history.

Category III codes include those for psychotherapy and other counseling. Some will be retired as of 2014. However psychological testing codes will not be changed. Codes are re-evaluated on an annual basis.

Although the AMA is the owner of both the registered trademark and the copyrights to the CPT code, they share it with other medical facilities. Some are The Federal Register and the organization that bills for Medicare and Medicaid. Each is required to pay for a license that entitles them to use it. It makes their billing systems run smoothly.




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