Thursday, October 16, 2014

Filled Under:

The Complications Of Medical Billing Are Made Easier By The System Of Cpt Codes

By Patty Goff


Medical billing can be a complicated endeavor. There are a high number of illnesses, surgeries and much information to remember. The person who functions in this medical position will use the Current Procedural Terminology or cpt codes, on a regular basis.

There is a panel of experts overseeing the application of them called The CPT Editorial Panel. They perform under the directions of the AMA. The code is nd protected under the auspices of that 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.

ICD-10 coding identifies the illness or condition a patient is suffering from. Three types of CPT code exist, identified as Category I, Category II and Category III. In Category I you will find six sections. Some examples of Category I are Office or outpatient, Critical care and Home health care services.

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.

Individual numbers assigned to surgical services may include pelvic, reproductive system and auditory system. To make the billing very specific, a cochlear implant surgery is classified under auditory system. Billing is rendered less complicated when used in the bills sent out to the patient.

Radiology includes diagnostic ultrasound, radiation oncology and mammography. The mammogram is most often a routine check for breast cancer. It is administered by a nurse and read by a physician.

Another classification is for laboratory codes and pathology examinations, also known as autopsy examinations. These, of course, are done post-mortem. Some brain diseases can only be confirmed after the patient has died. Transfusions also fall in this category.

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.

This same classifications for medicine include psychiatry, special otorhinolaryngologic services and noninvasive vascular diagnostic studies. The otorhinolaryngologic specialist is also known as an ear, nose and throat man or woman.

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.

Under Category III you will find the ones for psychotherapy and other counseling services. From time to time codes are retired. This year will not see a change in the psychological testing code. Each year they are re-evaluated.

It is true that CPT is a copyright protected registered trademark belonging to the American Medical Association. However, its use is not limited to that organization. It is used by other health care organizations. Some examples are the Centers for Medicare and Medicaid, and the Federal Register. Each pays a licensing fee to entitle them to utilize the code.




About the Author:







0 comments:

Post a Comment