CPT codes, short for Current Procedural Terminology codes, are a medical code set used to report medical, surgical, radiological, diagnostic and therapeutic procedures and services to insurance companies. CPT codes communicate uniform information about medical services and procedures provided to patients among physicians, coders, patients and accreditation organizations.
Key Takeaways:
CPT stands for Current Procedural Terminology. CPT codes are a medical code set maintained by the American Medical Association through the CPT Editorial Panel.
The CPT code set offers doctors, health care professionals, coders and accreditation organizations a uniform language to code medical services and procedures.
There are three types of CPT codes:
The main purposes of CPT codes are:
Current Procedural Terminology codes are 5 digit numeric codes. However, there are some rules regarding the format:
CPT codes are organized into six main sections:
There are also sections for Category II and III codes.
The official source for CPT codes is theAmerican Medical Association’s CPT code book which is updated and published annually.
Some other places to find CPT codes:
New CPT codes can be added each year so it’s important for coders to stay updated.
Finding the correct CPT code requires reading the code descriptions and studying medical documentation to identify the services performed. CPT code lookup tools can also help find codes.
No, CPT codes describe medical services while diagnosis codes report medical conditions and diseases. However, CPT and ICD-10 diagnosis codes are both used for reporting patient encounters.
The AMA publishes an annual CPT Code book that contains a comprehensive list of all active CPT codes. There are also abbreviated CPT code lists available online and free code lookup tools.
The CPT code set is universal and applies to all medical specialties and insurance payers in the United States. Some insurers may not reimburse for certain codes, but the CPT codes themselves are standardized across the country.
In summary, CPT codes are an important part of medical billing and coding to communicate uniform information about medical services rendered by healthcare providers. Understanding CPT codes helps improve medical documentation, streamline billing, and facilitate accurate payment for services.
The CPT code 28122 is used to report partial excision of a tarsal or metatarsal bone, excluding the talus or calcaneus. This procedure is commonly performed on the fifth metatarsal for conditions like: Key Points About CPT Code 28122 Typical Procedures Reported with 28122 Some examples of procedures reported with CPT 28122 include: Understanding Osteomyelitis…
Key Takeaways: What is the V2410 CPT Code? The V2410 CPT Code, updated for 2024, specifically refers to variable asphericity lenses. These are single vision lenses, utilized in both eyeglasses and contact lenses, providing clear vision for a single field of view. They are available in both glass and plastic materials. Understanding this code is…
CPT code 28308 describes the surgical procedure for osteotomy, metatarsal, base or shaft, single, with or without internal fixation. This procedure is done to correct deformities or malalignment in the metatarsal bones of the foot. Key Takeaways Overview of CPT Code 28308 CPT code 28308 describes an osteotomy procedure done on a single metatarsal bone…
The CPT code V2203 refers to the surgical insertion of an intrastromal corneal ring segment, a procedure used to correct vision problems like keratoconus and myopia. Key Takeaways: What is an Intracorneal Ring Segment? An intrastromal corneal ring segment (ICRS) is a small, crescent-shaped ring that is implanted into the cornea, the clear front surface…
CPT code 83516 is a crucial component in the medical billing and coding world. It plays a significant role in ensuring that healthcare providers are accurately reimbursed for specific laboratory tests. In this article, we will delve into the details of CPT code 83516, its usage, and its importance in the healthcare industry. Key Takeaways…
Sacroiliac (SI) joint injections are commonly used to help diagnose and treat low back and pelvic pain thought to originate from the SI joint. Proper coding is important for ensuring accurate billing and reimbursement for these procedures. This article will explore key details about g0260 CPT code for SI joint injections. Key Takeaways When to…
Gonioscopy is an eye examination procedure used to evaluate the angle in the eye where the iris meets the cornea. This angle is called the anterior chamber angle or drainage angle. Examining this area is important to check for conditions like glaucoma or other causes of increased eye pressure. The CPT code for gonioscopy as…
CPT code 83520 is an important medical code that is used for immunoassay testing. Here are some key takeaways about cpt code 83520: Full Description of CPT Code 83520 CPT code 83520 stands for: Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative, not otherwise specified It is part of the…
CPT Code 17250 often pops up in medical billing conversations, but what does it really mean? This code is more than just a number; it’s crucial in healthcare reimbursement. In this article, we’ll unpack CPT Code 17250, ensuring you understand its application, implications, and how it fits into the broader medical coding system. Key Takeaways:…
Trigger finger, also known as stenosing tenosynovitis, is a common hand condition where one of the fingers gets stuck in a bent position and pops or snaps when straightened. The ring finger and thumb are most commonly affected. CPT code 26055 is used to report surgical release procedures done to treat trigger finger. Key takeaways:…
Diabetic footwear is crucial for preventing foot complications in diabetic patients. Medicare and insurance providers cover diabetic shoes and inserts under the A5500 CPT code. This code covers custom fitted shoes, depth-inlay shoes, and multi-density inserts for diabetics. Key takeaways: What is the A5500 Code for Diabetic Shoes? A5500 is the Healthcare Common Procedure Coding…
CPT code 58558 is an important gynecological procedure code that is used for hysteroscopy with sampling or removal of tissue from the uterus. As a medical billing professional, it is key to understand proper billing and reimbursement for this CPT code. Key Takeaways: What is Included in CPT Code 58558? CPT code 58558 is defined…
CPT code 76937, a critical component in medical billing, involves ultrasound guidance for vascular access. This article aims to demystify the complexities surrounding this code, ensuring healthcare professionals and coders alike understand its correct application and billing practices. Key Takeaways: What is CPT Code 76937? CPT code 76937 is defined as ultrasound guidance for vascular…
The CPT code 97153 is an important code for behavioral health providers to understand. This code covers adaptive behavior treatment and reimbursement can vary depending on payer policies. Here are some key takeaways: What is CPT Code 97153? The Current Procedural Terminology (CPT) code 97153 covers adaptive behavior treatment with protocol modification requiring technician-level intervention….
Dexamethasone sodium phosphate is a corticosteroid medication used to treat conditions like allergies, arthritis, blood disorders, and certain cancers. The HCPCS Level II code J1100 is used for injectable dexamethasone sodium phosphate. Understanding proper billing, reimbursement, and documentation guidelines for this code is key for receiving payment. Key Takeaways What is J1100 Used For? J1100…
CPT code 92521 is a crucial medical billing code for speech-language pathologists (SLPs) who perform comprehensive evaluations of speech fluency. This code properly captures the work involved in assessing patients for fluency disorders like stuttering. Correct usage of 92521 allows SLPs to receive reimbursement for these skilled services. Key Takeaways on 92521 CPT Code: What…
CPT code 92508 is an important billing code that allows speech-language pathologists (SLPs) to receive reimbursement for providing group speech therapy services. However, to appropriately utilize this code, it is essential to understand key billing and documentation guidelines. Key Takeaways: What is CPT Code 92508? CPT codes are a standardized set of codes maintained by…
CPT code 96125 is an important billing code that allows speech-language pathologists (SLPs) and other clinicians to be reimbursed for providing cognitive testing and assessment services. However, proper usage of this code requires understanding key billing guidelines. This overview will explain when and how to correctly use CPT code 96125. Key Takeaways on CPT Code…
CPT code 96105 is an important billing code for speech-language pathologists who perform assessments of aphasia and cognitive-linguistic deficits. This code properly captures the work involved in testing patients for language and neurocognitive disorders. Correct usage of 96105 allows SLPs to receive reimbursement for these skilled services. Key Takeaways on CPT Code 96105: What is…
CPT codes are integral in healthcare for documenting and billing medical procedures. Among these, the 92612 CPT code holds significant importance in the field of otorhinolaryngology. This article aims to demystify the 92612 CPT code and related codes, ensuring clear understanding for both healthcare professionals and patients. Key Takeaways What is 92612 CPT Code? The…
Dysphagia, or difficulty swallowing, is a common medical condition that can affect people of all ages. It occurs when there is a problem with the swallowing mechanism, often resulting in food or liquid going down the airway into the lungs. Dysphagia can lead to serious complications such as aspiration pneumonia, malnutrition, and dehydration. An important…
Augmentative and alternative communication (AAC) provides a way for patients with severe speech or language impairments to communicate. As an SLP, prescribing AAC devices is an important service you can provide. Properly billing for AAC evaluations with CPT code 92608 is key to getting reimbursed. This guide will cover everything you need to know about…
As a speech-language pathologist (SLP), having a solid grasp of the CPT (Current Procedural Terminology) coding system is imperative for accurate billing and reimbursement. One important code that SLPs need to understand is CPT code 92523, used for the evaluation of speech sound production and language comprehension and expression. This code plays a key role…
CPT code 92506 is used to report an evaluation of speech, language, voice, communication, and/or auditory processing. This code is an important tool for speech-language pathologists and audiologists to receive reimbursement for their services. Key takeaways: CPT code 92506 falls under the range of codes used for diagnostic speech-language pathology and audiology services. Specifically, it…
Evaluation of oral and pharyngeal swallowing function is an important service provided by speech-language pathologists (SLPs) treating dysphagia, or swallowing disorders. Proper coding for these services ensures accurate documentation and billing. This guide will explain everything SLPs need to know about CPT code 92610, including proper use, billing requirements, and reimbursement. What is CPT Code…
CPT code 92526 is an important code for speech-language pathologists (SLPs) who provide feeding therapy services. This code allows SLPs to bill for the treatment of swallowing dysfunction and oral feeding issues. However, to use CPT code 92526 correctly, it is essential to understand what this code entails. Key Takeaways on CPT Code 92526: What…
CPT code 92507 is an important code used by speech-language pathologists (SLPs) for billing speech therapy services. This code applies specifically to the “Treatment of Speech, language, voice, communication, and/or auditory processing disorder; individual” session. Key Takeaways: What is CPT Code 92507? CPT, or Current Procedural Terminology, is a set of medical code used to…