AMA Current Procedural Terminology (CPT) Code Set
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An American Medical Association's Current Procedural Terminology (AMA-CPT) Code Set is a medical code set that maintained by the American Medical Association (AMA) and that can be used to bill outpatient and office procedures.
- AKA: AMA Current Procedural Terminology (CPT) Code Set, AMA-CPT Code Set.
- Context:
- It can be integrated into a Clinical Terminology Standard.
- It can be mapped into a LOINC Code Set by a LOINC-to-CPT Mapping System.
- It can range from being a Category I CPT Code, to being a Category II CPT Code, to being a Category III CPT Code.
- …
- Example(s):
- Counter-Example(s):
- See: Medical Terms, Veterinary Medicine, Anatomy, Diseases, Microorganisms, Standard-Developing Organization (SDO), American National Standards Institute (ANSI), International Organization for Standardization (ISO), Clinical Trial Data, Health Level Seven (HL7) Standard, OpenEHR, Logical Observation Identifiers Names and Codes (LOINC) Standard, IHTSDO, Electronic Health Record, Controlled Vocabulary.
References
2022a
- (AMA, 2022) ⇒ https://www.ama-assn.org/practice-management/cpt/need-coding-resources Retrived:2022-2-27.
- QUOTE: The American Medical Association (AMA) has several resources to help accurately bill procedures and services with the Current Procedural Terminology (CPT) code set and Healthcare Common Procedure Coding System (HCPCS) codes(...)
Only the AMA, with the help of physicians and other health care experts, create and maintain the CPT code set. And only CPT Professional Edition can provide the official guidelines to code medical services and procedures properly. Users can also request a CPT Data File license, which makes it easy to import codes and descriptions into electronic systems.
- CPT QuickRef app - The fully loaded, award-winning CPT QuickRef app combines the best of the AMA’s CPT content with educational content to help ensure accurate, efficient coding. Individuals can download the free app and register for a 14-day preview, then purchase in-app or through the CPT Professional Edition & CPT QuickRef App Package.
- CPT changes: An insider's view - Gain a deeper understanding of updates made to the CPT codebook with rationales for, and implications of, the changes and more.
- CPT Coding Essentials - Each of the eight titles within this series focuses on a subset of specialty-specific CPT codes and provides plain English descriptors, relative value units (RVU), modifiers, CCI edits, related HCPCS codes, ICD-10 crosswalks and more (...)
- QUOTE: The American Medical Association (AMA) has several resources to help accurately bill procedures and services with the Current Procedural Terminology (CPT) code set and Healthcare Common Procedure Coding System (HCPCS) codes(...)
2022b
- (HIMSS, 2022) ⇒ https://www.himss.org/resources/interoperability-healthcare#Part2 Retrieved:2022-02-27.
- QUOTE: Vocabulary/terminology standards address the ability to represent concepts in an unambiguous manner between a sender and receiver of information, a fundamental requirement for effective communication. Health information systems that communicate with each other rely on structured vocabularies, terminologies, code sets and classification systems to represent health concepts. Some common vocabulary standards currently used in the marketplace include:
- Current Procedural Terminology (CPT): A code set, maintained by the American Medical Association (AMA), used to bill outpatient and office procedures.
- Healthcare Common Procedure Coding System: A set of healthcare procedure codes based on CPT that is used for Medicare reimbursement.
- (...)
- QUOTE: Vocabulary/terminology standards address the ability to represent concepts in an unambiguous manner between a sender and receiver of information, a fundamental requirement for effective communication. Health information systems that communicate with each other rely on structured vocabularies, terminologies, code sets and classification systems to represent health concepts. Some common vocabulary standards currently used in the marketplace include:
2022c
- (LOINC) ⇒ https://loinc.org/kb/faq/loinc-and-other-standards/ Retrieved:2022-02-27.
- QUOTE: CPT codes may be used for ordering and billing purposes. Often, CPT codes are not as specific as LOINC codes. For example, one CPT code may have multiple LOINC codes associated with it. Many lab tests will not have specified CPT codes associated with the "parts" of a lab test. For example, % basos, though there is a CPT code tor order a differential (Blood count; automated differential WBC count), but there is not an individual code to represent the result of percent basophils in a differential.
The National Library of Medicine has sponsored a LOINC to CPT mapping. The first draft mappings are available through the UMLS website and NLM is happy to receive comments about the usefulness of this mapping.
- QUOTE: CPT codes may be used for ordering and billing purposes. Often, CPT codes are not as specific as LOINC codes. For example, one CPT code may have multiple LOINC codes associated with it. Many lab tests will not have specified CPT codes associated with the "parts" of a lab test. For example, % basos, though there is a CPT code tor order a differential (Blood count; automated differential WBC count), but there is not an individual code to represent the result of percent basophils in a differential.
2022d
- (Wikipedia, 2022) ⇒ https://en.wikipedia.org/wiki/Current_Procedural_Terminology Retrieved:2022-2-27.
- The Current Procedural Terminology (CPT) code set is a medical code set maintained by the American Medical Association through the CPT Editorial Panel. AMA (CPT) CPT Process The CPT code set (copyright protected by the AMA) describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes. New editions are released each October. The current version is the CPT 2020. It is available in both a standard edition and a professional edition. CPT coding is similar to ICD-9 and ICD-10 coding, except that it identifies the services rendered, rather than the diagnosis on the claim (ICD-10-CM was created for diagnostic coding- it took the place of Volume 3 of the ICD-9). The ICD code sets also contain procedure codes (ICD-10-PCS codes), but these are only used in the inpatient setting. CPT is currently identified by the Centers for Medicare and Medicaid Services (CMS)Centers for Medicare and Medicaid Services as Level 1 of the Healthcare Common Procedure Coding System.
The Current Procedural Terminology (CPT) was developed by the American Medical Association (AMA).
- The Current Procedural Terminology (CPT) code set is a medical code set maintained by the American Medical Association through the CPT Editorial Panel. AMA (CPT) CPT Process The CPT code set (copyright protected by the AMA) describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes. New editions are released each October. The current version is the CPT 2020. It is available in both a standard edition and a professional edition. CPT coding is similar to ICD-9 and ICD-10 coding, except that it identifies the services rendered, rather than the diagnosis on the claim (ICD-10-CM was created for diagnostic coding- it took the place of Volume 3 of the ICD-9). The ICD code sets also contain procedure codes (ICD-10-PCS codes), but these are only used in the inpatient setting. CPT is currently identified by the Centers for Medicare and Medicaid Services (CMS)Centers for Medicare and Medicaid Services as Level 1 of the Healthcare Common Procedure Coding System.