CPT Coding
The purpose of CPT coding is an accepted, world code that is useful to medical procedures and services purposely for the patient records. “CPT codes are the same codes that doctors, hospitals, patients, insurance companies, and other third parties use,” (Marka G. Hayes, 2001).
It is used for reimbursement by the CPT codes will be utilized for determining the reimbursement amount which will be received by the practitioner. Everybody uses the same code that mean the same thing, they are efficiency. Efficiency understands what the service is and the amount that practitioners get reimbursed will not always be the same. Let’s say for example that you went to see your doctor for a physical check up, code 99396, and you got reimbursed $100 by your insurance company. You went to another doctor’s office for the same check up and his reimbursement might only be $90.
The history of CPT coding is it dates back in the 17th century. In 1863, the International Statistical Institute established a standard system for classifying deaths. “The list was prepared by a Paris statistician named Jacque Bertillon and he was called the Bertillion Classification,” (Trisha Torrey, 2011).
By the 1900, 26 countries encountered the Bertillion Classification. In 1928, the Heath Organization of the league of Nation increased to tracking of the diseases. In 1949, World Health Organization realizes the morality for tracking disease as well as the causes in a daily basis. “ICD has served as a foundation for the practice of medical coding,” (Marka G. Hayes, 2001).
The Essay on Describing CPT Coding Categories
The medical coding process can be very difficult to understand. Today, I will do my best to try and explain it as simply as possible. It is my goal to make you, the employees, understand this process better so that your job becomes easier to complete. Category I codes are always procedure codes. They are codes which exist for any and all types of procedures that are done within our facility. It ...
The AMA (American Medical Association) is the one that develops the CPT coding. The CPT codes are updated annually by AMA.
The six sections of the CPT coding is Evaluation and Management (E/M), Anesthesiology, Surgery, Radiology, Pathology and Laboratory, and Medicine. Evaluation and Management (E/M) is the procedure by which physician-patient meetings are related into five digit CPT codes to facilitate billing. “Anesthesiology is the practice of medicine dedicated to the relief of pain and total care of the surgical patient before, during and after surgery,” (Trisha Torrey, 2011).
Surgery is the performance or procedures of an operation. Radiology is the division of medicine that deals with analyze and function of imaging equipment like x-rays and radiation to diagnosing and treating disease. Pathology and Laboratory is responsible for the laboratory tests and tissue diagnoses for all patients and outpatients at Hospitals for Special Surgery. “Medicine is the practice of the diagnosis, treatment, and prevention of disease,” (G. Hayes, 2001).
Medicine also can be a drug or other preparation used for the treatment or prevention of disease. The codes that are used for Evaluation and Management (E/M) are from 99201 through 99499. The codes that are used for Anesthesiology are from 00100 through 01999 and/or from 99100 through 99140. The codes that are used for Surgery are from 11021 through 69990. The codes that are used for Radiology are from 70010 through 79999. The codes that are used for Pathology and Laboratory are from 80048 through 89356. The codes that are used for Medicine are from 90281 through 99199 and/or from 99500 through 99602.
References
Marka G. Hayes, 2001. Retrieved from:
Trisha Torrey, 2011. Retrieved by:
http://patients.about.com/od/costsconsumerism/a/cptcodes.htm
Introduction to CPT coding. Retrieved from:
assn.org/MEDIA/ProductCatalog/m2310979/Intro%20to%20CPT%20Coding%20
%20Chapter%201%20Sample%20Pages.pdf
