Basic CPT Question About Categories

1. What are the 3 categories of CPT codes?
2. What types of procedures or services are included in each of the CPT code categories?
3. What are Category I CPT codes?
4. How many categories are in the CPT?
5. How are CPT codes determined?
6. What is CPT coding system?
7. What are Category 2 CPT codes?
8. What is 99213 Procedure Code?
9. What is the first step in determining a CPT code?
10. Who is responsible for CPT codes?
11. Are Hcpcs and CPT codes the same?
12. What is CPT short for?

What are the 3 categories of CPT codes?

There are three categories of CPT Codes: Category I, Category II, and Category III.

What types of procedures or services are included in each of the CPT code categories?

The 6 main sections of CPT^® Category I codes are

• Evaluation & Management Services (99201 – 99499)
• Anesthesia Services (01000 – 01999)
• Surgery (10021 – 69990) – further broken into body area or system within this code range.
• Radiology Services (70010 – 79999)
• Pathology and Laboratory Services (80047 – 89398)

What are Category I CPT codes?

Category I is the most common and widely used set of codes within CPT. It describes most of the procedures performed by healthcare providers in inpatient and outpatient offices and hospitals. Category II codes are supplemental tracking codes used primarily for performance management.

How many categories are in the CPT?

There are three types of CPT code: Category I, Category II, and Category III.

How are CPT codes determined?

Once a new code is approved, the specialty societies that represent the primary providers of the service or procedure conduct a survey to determine the value of the CPT code. Surveys are fielded to a random sample of practicing clinicians that perform the service or procedure.

What is CPT coding system?

The CPT coding system describes how to report procedures or services. The CPT system is maintained and copyrighted by the American Medical Association. Each CPT code has five digits. The AMA CPT Editorial Panel reviews and responds to requests for additions to or revisions of the CPT.

What are Category 2 CPT codes?

CPT Category II codes are supplemental tracking codes that can be used for performance measurement. The use of the tracking codes for performance measurement will decrease the need for record abstraction and chart review, and thereby minimize administrative burdens on physicians and other health care professionals.

What is 99213 Procedure Code?

CPT Code 99213: Office or other outpatient visit for the evaluation and management of an established patient, which requires a medically appropriate history and/or examination and a low level of medical decision making.

What is the first step in determining a CPT code?

The correct process for assigning accurate procedure codes has six steps: (1) review complete medical documentation; (2) abstract the medical procedures from the visit documentation; (3) identify the main term for each procedure; (4) locate the main terms in the CPT Index; (5) Verify the code in the CPT main text; and ...

Who is responsible for CPT codes?

The CPT® Editorial Panel is responsible for maintaining the CPT code set. The panel is authorized by the AMA Board of Trustees to revise, update, or modify CPT codes, descriptors, rules and guidelines. The panel is composed of 17 members.

Are Hcpcs and CPT codes the same?

HCPCS was created by the Centers for Medicare and Medicaid (CMS). CPT was developed by the American Medical Association (AMA). HCPCS has codes for both direct healthcare workers and non-direct healthcare workers. The CPT codes are only for the procedures that are to be operated upon a patient.

What is CPT short for?

CPT