Current Procedural Terminology - AbsoluteAstronomy.com

The Current Procedural Terminology (CPT) code set is maintained by the American Medical Association

American Medical Association

The American Medical Association , founded in 1847 and incorporated in 1897, is the largest association of medical doctors and medical students in the United States.-Scope and operations:...

through the CPT Editorial Panel. The CPT code set 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 2011. It is available in both a standard edition and a professional edition.

CPT coding is similar to ICD-9 and ICD-10

ICD-10

The International Statistical Classification of Diseases and Related Health Problems, 10th Revision is a medical classification list for the coding of diseases, signs and symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or diseases, as maintained by the...

coding, except that it identifies the services rendered rather than the diagnosis on the claim.

CPT is currently identified by the Centers for Medicare and Medicaid Services (CMS) as Level 1 of the Health Care Procedure Coding System.

Codes for Evaluation and Management: 99201-99499

(99201 - 99215) office/other outpatient services
(99217 - 99220) hospital observation services
(99221 - 99239) hospital inpatient services
(99241 - 99255) consultations
(99281 - 99288) emergency dept services
(99291 - 99292) critical care services
(99304 - 99318) nursing facility services
(99324 - 99337) domiciliary, rest home (boarding home) or custodial care services
(99339 - 99340) domiciliary, rest home (assisted living facility), or home care plan oversight services
(99341 - 99350) home services
(99354 - 99360) prolonged services
(99363 - 99368) case management services
(99374 - 99380) care plan oversight services
(99381 - 99429) preventive medicine services
(99441 - 99444) non-face-to-face physician services
(99450 - 99456) special evaluation & management services
(99460 - 99465) newborn care services
(99466 - 99480) inpatient neonatal intensive, and pediatric/neonatal critical, care services

Codes for Anaesthesia: 00100-01999; 99100-99150

(00100 - 00222) head
Head
In anatomy, the head of an animal is the rostral part that usually comprises the brain, eyes, ears, nose and mouth . Some very simple animals may not have a head, but many bilaterally symmetric forms do....
(00300 - 00352) neck
Neck
The neck is the part of the body, on many terrestrial or secondarily aquatic vertebrates, that distinguishes the head from the torso or trunk. The adjective signifying "of the neck" is cervical .-Boner anatomy: The cervical spine:The cervical portion of the human spine comprises seven boney...
(00400 - 00474) thorax
Thorax
The thorax is a division of an animal's body that lies between the head and the abdomen.-In tetrapods:...
(00500 - 00580) intrathoracic
(00600 - 00670) spine
Vertebral column
In human anatomy, the vertebral column is a column usually consisting of 24 articulating vertebrae, and 9 fused vertebrae in the sacrum and the coccyx. It is situated in the dorsal aspect of the torso, separated by intervertebral discs...

& spinal cord
Spinal cord
The spinal cord is a long, thin, tubular bundle of nervous tissue and support cells that extends from the brain . The brain and spinal cord together make up the central nervous system...
(00700 - 00797) upper abdomen
(00800 - 00882) lower abdomen
(00902 - 00952) perineum
Perineum
In human anatomy, the perineum is a region of the body including the perineal body and surrounding structures...
(01112 - 01190) pelvis
Pelvis
In human anatomy, the pelvis is the lower part of the trunk, between the abdomen and the lower limbs .The pelvis includes several structures:...

(except hip)
(01200 - 01274) upper leg (except knee)
(01320 - 01444) knee & popliteal area
(01462 - 01522) lower leg (below knee)
(01610 - 01682) shoulder
Shoulder
The human shoulder is made up of three bones: the clavicle , the scapula , and the humerus as well as associated muscles, ligaments and tendons. The articulations between the bones of the shoulder make up the shoulder joints. The major joint of the shoulder is the glenohumeral joint, which...

& axilla
(01710 - 01782) upper arm & elbow
(01810 - 01860) forearm, wrist & hand
(01916 - 01936) radiological procedures
(01951 - 01953) burn excisions or debridement
(01958 - 01969) obstetric
(01990 - 01999) other procedures

Codes for Surgery: 10021-69990

(10021 - 10022) general
General
A general officer is an officer of high military rank, usually in the army, and in some nations, the air force. The term is widely used by many nations of the world, and when a country uses a different term, there is an equivalent title given....
(10040 - 19499) integumentary system
Integumentary system
The integumentary system is the organ system that protects the body from damage, comprising the skin and its appendages...
(20000 - 29999) musculoskeletal system
Musculoskeletal system
A musculoskeletal system is an organ system that gives animals the ability to move using the muscular and skeletal systems...
(30000 - 32999) respiratory system
Respiratory system
The respiratory system is the anatomical system of an organism that introduces respiratory gases to the interior and performs gas exchange. In humans and other mammals, the anatomical features of the respiratory system include airways, lungs, and the respiratory muscles...
(33010 - 37799) cardiovascular system
(38100 - 38999) hemic & lymphatic system
Lymphatic system
The lymphoid system is the part of the immune system comprising a network of conduits called lymphatic vessels that carry a clear fluid called lymph unidirectionally toward the heart. Lymphoid tissue is found in many organs, particularly the lymph nodes, and in the lymphoid follicles associated...

s
(39000 - 39599) mediastinum
Mediastinum
The mediastinum is a non-delineated group of structures in the thorax, surrounded by loose connective tissue. It is the central compartment of the thoracic cavity...

& diaphragm
Diaphragm
-Optics and photography:* Diaphragm , a stop in the light path of a lens, having an aperture that regulates the amount of light that passes* Diaphragm shutter, a type of leaf shutter consisting of a number of thin blades in a camera-Acoustics:...
(40490 - 49999) digestive system
(50010 - 53899) urinary system
Urinary system
The urinary system is the organ system that produces, stores, and eliminates urine. In humans it includes two kidneys, two ureters, the bladder and the urethra.-Kidney:...
(54000 - 55899) male genital system
(55920 - 55980) reproductive system
Reproductive system
The reproductive system or genital system is a system of organs within an organism which work together for the purpose of reproduction. Many non-living substances such as fluids, hormones, and pheromones are also important accessories to the reproductive system. Unlike most organ systems, the sexes...

& intersex
Intersex
Intersex, in humans and other animals, is the presence of intermediate or atypical combinations of physical features that usually distinguish female from male...
(56405 - 58999) female genital system
(59000 - 59899) maternity care & delivery
Delivery
Delivery may refer to:*Delivery, in childbirth*Delivery , of goods*Delivery *Delivery , in cricket, a single action of bowling a cricket ball towards the batsman*Delivery , of a joke...
(60000 - 60699) endocrine system
Endocrine system
In physiology, the endocrine system is a system of glands, each of which secretes a type of hormone directly into the bloodstream to regulate the body. The endocrine system is in contrast to the exocrine system, which secretes its chemicals using ducts. It derives from the Greek words "endo"...
(61000 - 64999) nervous system
Nervous system
The nervous system is an organ system containing a network of specialized cells called neurons that coordinate the actions of an animal and transmit signals between different parts of its body. In most animals the nervous system consists of two parts, central and peripheral. The central nervous...
(65091 - 68899) eye
Eye
Eyes are organs that detect light and convert it into electro-chemical impulses in neurons. The simplest photoreceptors in conscious vision connect light to movement...

& ocular adnexa
(69000 - 69979) auditory system
Auditory system
The auditory system is the sensory system for the sense of hearing.- Outer ear :The folds of cartilage surrounding the ear canal are called the pinna...

Codes for Radiology: 70010-79999

(70010 - 76499) diagnostic imaging
(76506 - 76999) diagnostic ultrasound
(77001 - 77032) radiologic guidance
(77051 - 77059) breast mammography
Mammography
Mammography is the process of using low-energy-X-rays to examine the human breast and is used as a diagnostic and a screening tool....
(77071 - 77084) bone
Bone
Bones are rigid organs that constitute part of the endoskeleton of vertebrates. They support, and protect the various organs of the body, produce red and white blood cells and store minerals. Bone tissue is a type of dense connective tissue...

/joint studies
(77261 - 77799) radiation oncology
(78000 - 79999) nuclear medicine
Nuclear medicine
In nuclear medicine procedures, elemental radionuclides are combined with other elements to form chemical compounds, or else combined with existing pharmaceutical compounds, to form radiopharmaceuticals. These radiopharmaceuticals, once administered to the patient, can localize to specific organs...

Codes for Pathology & Laboratory: 80047-89398

(80047 - 80076) organ or disease-oriented panels
(80100 - 80103) drug testing
(80150 - 80299) therapeutic drug assays
(80400 - 80440) evocative/suppression testing
Evocative/suppression testing
Evocative/suppression testing refers to a class of tests performed where one substance is measured both before and after the administration of another substance to determine if the levels are stimulated or suppressed....
(80500 - 80502) consultations (clinical pathology)
(81000 - 81099) urinalysis
Urinalysis
A urinalysis , also known as Routine and Microscopy , is an array of tests performed on urine, and one of the most common methods of medical diagnosis...
(82000 - 84999) chemistry
Chemistry
Chemistry is the science of matter, especially its chemical reactions, but also its composition, structure and properties. Chemistry is concerned with atoms and their interactions with other atoms, and particularly with the properties of chemical bonds....
(85002 - 85999) hematology
Hematology
Hematology, also spelled haematology , is the branch of biology physiology, internal medicine, pathology, clinical laboratory work, and pediatrics that is concerned with the study of blood, the blood-forming organs, and blood diseases...

& coagulation
Coagulation
Coagulation is a complex process by which blood forms clots. It is an important part of hemostasis, the cessation of blood loss from a damaged vessel, wherein a damaged blood vessel wall is covered by a platelet and fibrin-containing clot to stop bleeding and begin repair of the damaged vessel...
(86000 - 86849) immunology
Immunology
Immunology is a broad branch of biomedical science that covers the study of all aspects of the immune system in all organisms. It deals with the physiological functioning of the immune system in states of both health and diseases; malfunctions of the immune system in immunological disorders ; the...
(86850 - 86999) transfusion medicine
Transfusion medicine
Transfusion medicine is the branch of medicine that is concerned with the transfusion of blood and blood components. The blood bank is the section of the clinical laboratory where medical technologists process and distribute blood products under the supervision of a medical director, often...
(87001 - 87999) microbiology
Microbiology
Microbiology is the study of microorganisms, which are defined as any microscopic organism that comprises either a single cell , cell clusters or no cell at all . This includes eukaryotes, such as fungi and protists, and prokaryotes...
(88000 - 88099) anatomic pathology (postmortem)
(88104 - 88199) cytopathology
Cytopathology
Cytopathology is a branch of pathology that studies and diagnoses diseases on the cellular level. The discipline was founded by Rudolf Virchow in 1858. A common application of cytopathology is the Pap smear, used as a screening tool, to detect precancerous cervical lesions and prevent cervical...
(88230 - 88299) cytogenetic studies
(88300 - 88399) surgical pathology
Surgical pathology
Surgical pathology is the most significant and time-consuming area of practice for most anatomical pathologists. Surgical pathology involves the gross and microscopic examination of surgical specimens, as well as biopsies submitted by non-surgeons such as general internists, medical subspecialists,...
(88720 - 88741) in vivo (transcutaneous) lab procedures
(89049 - 89240) other procedures
(89250 - 89398) reproductive medicine procedures

Codes for Medicine: 90281-99189; 99500-99607

(90281 - 90399) immune globulins, serum
Serum
Serum may refer to:*Blood serum, a component of blood which is collected after coagulation.**Antiserum, blood serum with specific antibodies for passive immunity*Serous fluid, any clear bodily fluid*any drug derived from an animal's blood or serous fluid...

or recombinant prods
(90465 - 90474) immunization administration for vaccines/toxoids
(90476 - 90749) vaccines, toxoids
(90801 - 90899) psychiatry
Psychiatry
Psychiatry is the medical specialty devoted to the study and treatment of mental disorders. These mental disorders include various affective, behavioural, cognitive and perceptual abnormalities...
(90901 - 90911) biofeedback
Biofeedback
Biofeedback is the process of becoming aware of various physiological functions using instruments that provide information on the activity of those same systems, with a goal of being able to manipulate them at will...
(90935 - 90999) dialysis
Dialysis
In medicine, dialysis is a process for removing waste and excess water from the blood, and is primarily used to provide an artificial replacement for lost kidney function in people with renal failure...
(91000 - 91299) gastroenterology
Gastroenterology
Gastroenterology is the branch of medicine whereby the digestive system and its disorders are studied. The name is a combination of three Ancient Greek words gaster , enteron , and logos...
(92002 - 92499) ophthalmology
Ophthalmology
Ophthalmology is the branch of medicine that deals with the anatomy, physiology and diseases of the eye. An ophthalmologist is a specialist in medical and surgical eye problems...
(92502 - 92700) special otorhinolaryngologic services
(92950 - 93799) cardiovascular
(93875 - 93990) noninvasive vascular diagnostic studies
(94002 - 94799) pulmonary
(95004 - 95199) allergy & clinical immunology
(95250 - 95251) endocrinology
Endocrinology
Endocrinology is a branch of biology and medicine dealing with the endocrine system, its diseases, and its specific secretions called hormones, the integration of developmental events such as proliferation, growth, and differentiation and the coordination of...
(95803 - 96020) neurology & neuromuscular procedures
(96101 - 96125) central nervous system assessments/tests (neuro-cognitive, mental status, speech testing)
(96150 - 96155) health & behavior assessment/intervention
(96360 - 96549) hydration, therapeutic, prophylactic, diagnostic injections & infusions, and chemotherapy & other highly complex drug or highly complex biologic agent administration
(96567 - 96571) photodynamic therapy
Photodynamic therapy
Photodynamic therapy is used clinically to treat a wide range of medical conditions, including malignant cancers, and is recognised as a treatment strategy which is both minimally invasive and minimally toxic...
(96900 - 96999) special dermatological procedures
(97001 - 97799) physical medicine & rehabilitation
(97802 - 97804) medical nutrition therapy
Medical nutrition therapy
Medical nutrition therapy is a therapeutic approach to treating medical conditions and their associated symptoms via the use of a specifically tailored diet devised and monitored by a registered dietician...
(97810 - 97814) acupuncture
Acupuncture
Acupuncture is a type of alternative medicine that treats patients by insertion and manipulation of solid, generally thin needles in the body....
(98925 - 98929) osteopathic manipulative treatment
(98940 - 98943) chiropractic manipulative treatment
(98960 - 98962) education & training for patient self-management
(98966 - 98969) non-face-to-face nonphysician services
(99000 - 99091) special services, procedures and reports
(99100 - 99140) qualifying circumstances for anesthesia
(99143 - 99150) moderate (conscious) sedation
(99170 - 99199) other services & procedures
(99500 - 99602) home health procedures/services
(99605 - 99607) medication therapy management services

Category II

Category II CPT Code(s) – Performance Measurement (optional) (Category II codes: 0001F-7025F)

Category III

Category III CPT Code(s) – Emerging Technology (Category III codes: 0016T-0207T)

Copyright

CPT is a registered trademark of the American Medical Association., and the AMA holds the copyright for the CPT coding system.

Despite the copyrighted nature of the CPT code sets, the use of the code is mandated by almost all health insurance payment and information systems, including by Centers for Medicare & Medicaid Services (CMS) and HIPAA, and the data for it appear in the Federal Register

Federal Register

The Federal Register , abbreviated FR, or sometimes Fed. Reg.) is the official journal of the federal government of the United States that contains most routine publications and public notices of government agencies...

. As a result, it is necessary for most users of the CPT code (principally providers of services) to pay license fees for access to the code.

Limited CPT Search Offered by the AMA

The AMA offers a limited search of the CPT manual for personal, non-commercial use on its website:

https://ocm.ama-assn.org/OCM/CPTRelativeValueSearch.do

External links

Official site by the AMA* Description of the three sections from the AMA
History from the AMA
Q&A from the American Academy of Family Physicians
American Academy of Family Physicians
The American Academy of Family Physicians was founded in 1947 to promote the science and art of family medicine. It is one of the largest medical organizations in the United States, with over 100,000 members...

The source of this article is wikipedia, the free encyclopedia. The text of this article is licensed under the GFDL.