AMA Current Procedural Terminology (CPT) Code Set
An American Medical Association's Current Procedural Terminology (AMA-CPT) Standard is a Clinical Terminology Standard that is maintained by the American Medical Association (AMA) and used to bill outpatient and office procedures.
- AKA: AMA Current Procedural Terminology (CPT).
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- Example(s):
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- 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
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.
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- 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.