Alternative medicine Home

Beauty Info

Massage techniques

Pure Natural Aromatherapy Essential oils

CPT Codes; What are you Getting Billed for?

All of us visit some sort of medical office from time to time and some of us make the visit a routine. No matter how many times we go in for a checkup or treatment we usually end up paying a relatively inexpensive co-pay for the services rendered to us. So who makes up the difference and how do they pay it? Obviously, the doctors and nurses that we visit are not making a living off of our co-pay; so how do they obtain the additional money from our heath care provider? In this article, I will tell you the basic information about CPT Codes and what they are used for.

CPT Code background

Before CPT Codes existed and when ICD-9-CM codes were just being developed, doctors had to write out in words what symptoms a patient had, what the diagnosis most likely was, and what visits, services, and procedures they thought they should get paid for. Then in 1966 Current Procedural Terminology or CPT was designed by the American Medical Association to assist doctors in billing Medicare and health providers using codes. Doctors use the CPT Codes to specify to health care providers the service rendered so that they can get paid. Currently with 8,568 codes and descriptors available with the CPT 2005 Codes, it is easy to see why these codes can sometimes drive doctors crazy with regard to knowing which ones to use and for what. However, the general idea behind the codes was to help doctors and create a standard as to what Medicare and health providers will pay for.

Where do CPT Codes come from?

There is a panel of 17 members, called the CPT Editorial Panel, who meet 4 times every year to consider proposals for changes to the CPT Codes. The American Medical Association provides this staff which is responsible for editing, adding, and deleting CPT Codes. There is also a CPT Advisory Committee, made up of representative form over 90 medical societies and heath care organizations, which assist the Editorial Panel in its efforts to maintain the CPT Codes.

What are the CPT Code categories?

CPT Codes are classified into three categories. Category I are five digit codes that make up the main body of CPT Codes. When someone refers to CPT Codes, they are generally referring to category I. The codes found in category I represent procedures that are consistent with contemporary medical practice and are widely performed. Category I codes are then broken down into the following six sections.

1. Evaluation and Management

2. Anesthesiology

3. Surgery

4. Radiology

5. Pathology and Laboratory

6. Medicine

Category II CPT Codes are supplemental tracking codes that are used for performance measurement. They typically describe services that are included in an evaluation and management service. They are optional four digit codes followed by the letter “F” which should not be used as a substitute for category I codes.

Category III CPT Codes represent temporary codes for new and developing technologies. They were created to allow for data collection and tracking for new procedures and services. Category III codes are different from Category I CPT codes in that they identify services that may not be performed by many health care professionals. The hope behind these codes is to help researchers track developing technology and services to facilitate widespread use and clinical effectiveness. The Category III codes are four digits long followed by the letter “T”. These codes are intended to be temporary and will be abandoned if the procedure or service is not accepted as a Category I code within five years.

As you can see, CPT Codes are a valuable asset to the medical world. They create a unified system of coding that is accepted and used throughout the United States. These codes are modified and updated every year to account for the changes in the medical field. You now have a better knowledge of how your medical health provider is charged each and every time you have any medical work performed.

Mike Nielsen is a client account specialist with 10xmarketing - More Visitors. More Buyers. More Revenue. For more information about CPT Code, visit


BBC News

How maggots can lower Kenyan hospital bills
BBC News
Patients in Kenya may soon start receiving live maggots as a treatment after promising results from a pilot study using the age-old practice. In a country where everyone has to pay for their medication, the method of healing infected flesh wounds with ...

and more »

The State Press

ASU scientists discover genetic code for tail regeneration in lizards
The State Press
20 via the online database PLOS One, and they suggest a bright future in medicine for those suffering from disabilities such as spinal cord injuries and birth defects. Jeanne Wilson-Rawls, a biology professor at ASU who participated in this research ...

The Real Driver of Economic Growth
This week I was confronted with a single FDA bureaucrat slowing down a new medical technology by what may be five months. Doesn't sound like much time, does it? ... I am watching some of the most promising new technology companies involved in extending ...

and more »

The implacable economics of the Venezuela-Colombia border
Washington Post (blog)
Medicines are disappearing from Venezuelan pharmacies too, worsening the sense that the country is being systematically cleaned out. To block ... "We're putting a stop to the hemmorage and healing our economy," he said last month. Yet the market ...

and more »

Veterans Find Help From Horses
Huffington Post
I heard incredible stories of triumph and healing by brave men and women facing post-traumatic stress disorder, traumatic brain injuries, and sexual trauma. I heard a story of a veteran that was suicidal; he slept with a gun next to his ... several ...

and more »

New hope for Virginia Beach Police Officer hit by a drunk driver
It actually forces the oxygen to dissolve into the plasma, the bloodstream, the tissues, the muscle and promote accelerated healing,” explained Sarah Stoltman-Miller, program director at Hampton Roads Hyperbaric Therapy. Marriner has studied the ...

Wall Street Journal

Health Care and the $20000 Bruise
Wall Street Journal
The care was spectacular. My son was diagnosed with a small, 11-day-old bleed inside his head, which was healing, and insignificant. I was proud to see the health-care system working, to see academic medicine working, and most of all to see my son run ...

Healing Yoga for Cancer. Drop-in yoga classes emphasizing a series of gentle movements to let go of stress and encourage relaxation. 11 a.m. Thursdays. Free. Herrick Campus' Meffly Auditorium, 2001 Dwight Way, Berkeley. (510) 451-3004.

MediLodge creates a 'haven for healing' in Novi
This premier rehabilitation center, designed to create a “haven for healing,” recently opened its door and is now reaching out to potential residents. By using ... From the chef to the medical director, the staff is fully committed to a well-rounded ...

Cemetery enters 140th year
Huntington Herald Dispatch
Events include the Healing Field, featuring the display of thousands of American flags, a Patriot Day ceremony to honor the lives lost in the Sept. 11 terrorist attacks, a Memorial Bell Tower 5K, an amateur photography contest, a kids coloring contest ...

Google News

Alternative home | site map | Beauty | Massage oils | Essential Oils | Privacy and FAQ | Alternative medicine Courses
Massage oils 365 © 2011 Alternative medicine