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Thứ Hai, 20 tháng 10, 2014

Cpt Codes Are Used To Facilitate Medical Billing

By Patty Goff


There are so many complicated procedures in the medical field that it makes billing difficult. All the illnesses, procedures and medicines have complicated names. The individual who is qualified to work as a coder will have to be familiar with the Current Procedural Terminology or cpt codes to perform those duties.

Experts sitting on a panel, the CPT editorial panel, oversee the administration of the coding. Of experts exists called the CPT Editorial Panel. They work under the auspices and direction of the AMA. There is a copyright owned and protected by that august 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.

There are three types of CPT code, which differentiates between procedures. These are Category I, Category II and Category III. Some examples of the first category are outpatient care, Home health care and in-patient care in a retirement home.

They are item specific. One category applies to the administration of anesthesia. Each body part that is being operated on uses a separate code. Some examples include the extremities, the head and the eyes.

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.

Codes for radiological procedures include radiation oncology, mammography and all diagnostic ultrasound procedures. This includes those used to examine the baby when a woman is pregnant. Sometimes the sex of the baby can be identified in this procedure.

Another category is pathology and laboratory. Drug testing, a simple urinalysis and various testing of the blood fall under this category. Transfusions are included. The postmortems, also known as autopsies, are classified here.

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.

Treatments by medical specialists come under the class of those indicating medicine. The specialists can be board-certified in psychiatry, cardiology or otorhinolaryngology. The psychiatrist treats the mind, the cardiologist the heart and the otorhinolaryngologist, the ears, nose and throat.

Numbers in Category II have four numbers followed by an alphabetical letter to identify them. This classification contains eleven codes. Included are routine physical exams, diagnostic screenings and taking the patients medical history.

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.

The American Medical Association owns the registered trademark and the copyright belongs to them. They license it out to other medical organizations for their use. The Centers for Medicare and Medicaid, and the Federal Register make use of these codes to make their billing work function smoothly.




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