What is a Current Procedural Terminology code?

Current Procedural Terminology (CPT) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations.

What are some common procedural coding mistakes?

Related Coverage

  • Unbundling codes.
  • Upcoding.
  • Failing to check National Correct Coding Initiative (NCCI) edits when reporting multiple codes.
  • Failing to append the appropriate modifiers or appending inappropriate modifiers.
  • Overusing modifier 22, Increased Procedural Services.

What are the six steps in the procedural coding process?

The correct process for assigning accurate procedure codes has six steps: (1) review complete medical documentation; (2) abstract the medical procedures from the visit documentation; (3) identify the main term for each procedure; (4) locate the main terms in the CPT Index; (5) Verify the code in the CPT main text; and …

What are the three levels of procedural coding?

There are three categories of CPT Codes: Category I, Category II, and Category III.

  • Category I CPT Codes:
  • Category II CPT Codes:
  • Category III CPT Codes:

When a service is rendered that is not listed in the CPT codebook?


Question Answer
When multiple lacerations are repaired in the same body area add the lengths of all lacerations and report them with a single code.
The largest section in the CPT book is the surgery section.
When a service is rendered that is not listed in the CPT codebook use a code with a description stating “unlisted”

Who creates CPT?

the American Medical Association (AMA)
The Current Procedural Terminology (CPT®) system, developed by the American Medical Association (AMA), is used for just these purposes.

What happens if a claim is coded incorrectly?

Inaccurate medical coding will cause your reimbursements to get delayed, denied, or only partially paid. Build up a cache of delayed reimbursements and you’ll have mounds of paperwork, stress, and lost revenue for your emergency medicine practice to deal with.

What are the steps for coding?

There are five main ingredients in the programming process:

  1. Defining the problem.
  2. Planning the solution.
  3. Coding the program.
  4. Testing the program.
  5. Documenting the program.

How many major sections are in the current procedural terminology reference book?

Review Questions # 2

Question Answer
How many major sections are in the Current Procedural Terminology reference book? seven
Which of the following is not included in the recommended procedure for researching CPT code numbers using the index choose a modifier for all diagnoses and procedures

How should procedures designated as each in the CPT manual be coded billed?

How should procedures designated as “each” in the CPT manual be coded/billed? They should be billed as per unit on the claim form. (Procedures designated as “each” should be billed per unit.)