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


WPI student dies in fall from parking garage
Boston Globe
“In this time of sadness, I encourage you in advance to join with other community members so that we may help each other, not only to mourn Patrick, but to cope with the loss of this vibrant member of the WPI family and to begin the healing process ...
WPI student dies after fall off of Worcester parking garageThe Republican -

all 6 news articles »

Form to follow function in new Moore medical design
Norman Transcript
... and the medical office was placed centrally over the main floor, with the focus being convenient access for our patients,” Splitt said. The proposed two- to three-story atrium will bring light into the facility. Splitt said the Art for Healing ...

and more »

Doctor disciplined by state in drug prescription flap
Springfield News-Leader
The medical director of a nonprofit medical clinic in Fordland has been disciplined by state regulators after reports he violated state rules about prescribing drugs to patients. Dr. Mark Brady was publicly reprimanded by the State Board of ... The ...

and more »


Allergy and asthma sufferers seek relief at Bethesda, Md. salt cave
BETHESDA, Md. (AP/WTOP) - When Janine Narayadu, a registered massage practitioner, was searching for a location for her new business, she was faced with an obstacle most business owners don't encounter: She needed a landlord who would let her ...

Hattiesburg American

Join the Conversation
Hattiesburg American
Meeting: Hattiesburg Chapter of Toastmasters International, 7-8 a.m. every Tuesday, Wesley Medical Center's cafeteria community room. Interested people are invited to attend and develop better speaking, listening and presentation skills. Details: Andre ...

Psychiatric boarding a longtime issue locally
The Columbian
The patients boarded at PeaceHealth do receive visits from therapists and medication, but the situation is not ideal. "When (the patients) are sitting here, waiting for a bed, there's no healing. They are just waiting to get things started. The rooms ...

Cooking, healing among topics at HCE event
Janesville Gazette
It is a safe, painless and effective way to treat a wide variety of medical problems. Cost is $2 for HCE members and $5 for non-members. Registration is required; money is due with registration. Participants can choose to attend one class or both classes.

Holden doctor with Ebola has improving appetite
Worcester Telegram
She said her husband, who has been at the Nebraska Medical Center since returning from Liberia two weeks ago, has also benefited from some home cooking by the medical center staff. "One of the nurses brought a huge bowl of homemade chicken noodle soup ...

and more »

Mountain Xpress

Musical mission: Exploring the art of sound healing
Mountain Xpress
“Sound healing” — what exactly is it? If you have been in Asheville for longer than a week, you've probably heard of it or seen a flyer for musical healing offerings. Seeking to learn more, I contacted local musicians, therapists and yoga teachers. I ...

'Release and Healing' ceremony helps those affected by suicide
WKBT La Crosse
With September being Suicide Prevention Month the Tomah VA is helping their loved ones heal. The medical center held a “Release and Healing” ceremony in its chapel Tuesday night. The ceremony helps veterans and people affected by suicide find ...

Google News

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