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    Home » » Cpt Codes Exist To Facilitate Medical Billing

    Cpt Codes Exist To Facilitate Medical Billing

    Posted by Unknown Posted on 3:21 AM with No comments
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    By Patty Goff


    Medical billing can be a complicated endeavor. There are a high number of illnesses, surgeries and much information to remember. The person who functions in this medical position will use the Current Procedural Terminology or cpt codes, on a regular basis.

    There is a panel of experts overseeing the application of them called The CPT Editorial Panel. They perform under the directions of the AMA. The code is nd protected under the auspices of that organization.

    The code facilitates clarity in communication from one medical department to another. It covers descriptions of diagnostic, surgical and medical care for coders. It identifies what service a patient is being billed for.

    ICD-10 coding identifies the illness or condition a patient is suffering from. Three types of CPT code exist, identified as Category I, Category II and Category III. In Category I you will find six sections. Some examples of Category I are Office or outpatient, Critical care and Home health care services.

    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.

    Each surgery has a separate number to identify it. For example, surgery to the reproductive system, repairing a deviated septum and a cochlear implant would each be assigned a number. This makes a bill easier for the patient and insurance carrier to understand.

    Radiology includes diagnostic ultrasound, radiation oncology and mammography. The mammogram is most often a routine check for breast cancer. It is administered by a nurse and read by a physician.

    Another classification is for laboratory codes and pathology examinations, also known as autopsy examinations. These, of course, are done post-mortem. Some brain diseases can only be confirmed after the patient has died. Transfusions also fall in this category.

    Under those identifying Medicine you will find vaccines, any immunization administration and kidney dialysis. The individual with advanced kidney disease will have to undergo dialysis on a regular basis to remain alive. Many of these patients are waiting for a kidney transplant.

    This same classifications for medicine include psychiatry, special otorhinolaryngologic services and noninvasive vascular diagnostic studies. The otorhinolaryngologic specialist is also known as an ear, nose and throat man or woman.

    They include a letter of the alphabet to indicate they belong in Category II. There will be four numbers and then a letter of the alphabet. There are eleven Category II codes that include diagnostic screenings, taking a patient history and physical examination.

    Psychotherapy and other counseling services are in Category III. It does not include psychiatric counseling. Some of the numbers are retired when experts feel they are no longer needed. They are evaluated on a yearly basis.

    It is true that CPT is a copyright protected registered trademark belonging to the American Medical Association. However, its use is not limited to that organization. It is used by other health care organizations. Some examples are the Centers for Medicare and Medicaid, and the Federal Register. Each pays a licensing fee to entitle them to utilize the code.




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