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The CPT Code

  • Austin Ward
  • J. Scott Roth
Chapter

Abstract

As healthcare has evolved, documentation and coding have become increasingly complicated. With the increasing complexity came a requirement for standardized tracking of procedures across healthcare entities. Resultantly, the American Medical Association (AMA) developed and published the Current Procedural Terminology (CPT) code, which has become the standard language across providers, hospitals, and healthcare payers for documenting procedures and services. By providing a standardized code set, consistent communication is enhanced to improve patient safety. Today, the CPT code set is divided into three categories that describe commonly procedures performed, measure the performance of quality measures, and track new and emerging practices. The creation and change of the code set is standardized and accessible to allow fair change and maintenance of the code set across the healthcare community.

Keywords

CPT code CPT applications Modifier HCPCS 

References

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    AMA. Principles of CPT coding. 7th ed. Chicago: American Medical Association; 2012. p. 506.Google Scholar
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    Grider DJ, American Medical Association. Coding with modifiers: a guide to correct CPT and HCPCS level II modifier usage. 5th ed. Chicago: American Medical Association; 2014. xv, 497 p. p.Google Scholar
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    AMA. CPT Coding change request instructions AMA website: American Medical Association; 2015. [cited 2015 10/10/2015]. http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billing-insurance/cpt/applying-cpt-codes/request-form-instructions.page?.
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Copyright information

© Springer International Publishing Switzerland 2017

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Kentucky College of MedicineLexingtonUSA
  2. 2.Richard Schwartz Commonwealth Professor of Physician Leadership, Chief, Society of American Gastrointestinal and Endoscopic Surgeons Advisor to the AMA CPT Panel, Gastrointestinal Surgery, Director, Minimally Invasive SurgeryUniversity of Kentucky Albert B. Chandler Medical CenterLexingtonUSA

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