What does CPT stand for, and what services does it code for?

CPT stands for  Current Procedural Terminology. It is a set of medical codes used to describe the procedures and services performed by healthcare providers. These codes are essential for billing, insurance claims, and record-keeping. CPT codes are maintained and updated by the American Medical Association (AMA) and are widely used across the healthcare industry.

Services Coded by CPT:

Evaluation and Management (E/M):

  • Office visits
  • Hospital consultations
  • Emergency room services

Anesthesia:

  • General anesthesia
  • Regional anesthesia
  • Monitored anesthesia care

Surgery:

  • Minor surgical procedures
  • Major surgical procedures
  • Specialized surgeries (e.g., cardiovascular, orthopedic)

Radiology:

  • Diagnostic imaging (X-rays, MRIs, CT scans)
  • Interventional radiology procedures
  • Radiation oncology

Pathology and Laboratory:

  • Blood tests
  • Tissue biopsies
  • Cytology examinations

Medicine (excluding Anesthesia):

  • Immunizations and vaccinations
  • Chemotherapy administration
  • Physical therapy and rehabilitation

Category II Codes:

  • Performance measurement tracking
  • Preventive care practices
  • Patient history and physical examination details

Category III Codes:

  • Emerging technologies
  • Experimental procedures
  • New services awaiting FDA approval
CPT codes facilitate clear communication among healthcare providers, patients, and insurers, ensuring accurate and efficient handling of  medical services and billing.

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