Current procedural terminology; a primer
- 3 March 2014
- journal article
- review article
- Published by BMJ in Journal of NeuroInterventional Surgery
- Vol. 7 (4), 309-312
- https://doi.org/10.1136/neurintsurg-2014-011156
Abstract
In 1966, The American Medical Association (AMA) working with multiple major medical specialty societies developed an iterative coding system for describing medical procedures and services using uniform language, the Current Procedural Terminology (CPT) system. The current code set, CPT IV, forms the basis of reporting most of the services performed by healthcare providers, physicians and non-physicians as well as facilities allowing effective, reliable communication among physician and other providers, third parties and patients. This coding system and its maintenance has evolved significantly since its inception, and now goes well beyond its readily perceived role in reimbursement. Additional roles include administrative management, tracking new and investigational procedures, and evolving aspects of 'pay for performance'. The system also allows for local, regional and national utilization comparisons for medical education and research. Neurointerventional specialists use CPT category I codes regularly--for example, 36,215 for first-order cerebrovascular angiography, 36,216 for second-order vessels, and 37,184 for acute stroke treatment by mechanical means. Additionally, physicians add relevant modifiers to the CPT codes, such as '-26' to indicate 'professional charge only,' or '-59' to indicate a distinct procedural service performed on the same day.Keywords
This publication has 6 references indexed in Scilit:
- The RUC: a primer for neurointerventionalists: Table 1Journal of NeuroInterventional Surgery, 2013
- Component coding and the neurointerventionalist: a tale with an endJournal of NeuroInterventional Surgery, 2012
- Effectiveness of Clinical Decision Support in Controlling Inappropriate ImagingJournal of the American College of Radiology, 2011
- Comparative Effectiveness of Minimally Invasive vs Open Radical ProstatectomyJAMA, 2009
- CPT®: An Open System That Describes All That You DoJournal of the American College of Radiology, 2008
- From concept to CPT code to compensation: how the payment system worksJournal of the American College of Radiology, 2004