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What are CPT Codes?

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Summary

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CPT codes are numbers that doctors and hospitals use to describe medical services and procedures. These codes help insurance companies know what care was given to a patient.

Frequently Asked Question

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What are CPT codes?

CPT codes are numerical codes used to describe medical, surgical, and diagnostic services.

Why are CPT codes important?

They ensure accurate billing and standardized communication between healthcare providers and insurance companies.

How do CPT codes benefit kids with special needs?

They help accurately document the medical services provided, ensuring proper reimbursement and tracking of care.

Who assigns CPT codes to services?

Healthcare providers assign CPT codes based on the services they deliver to patients.

Scientific Definition

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Current Procedural Terminology (CPT) codes are a set of medical codes used by healthcare professionals to document and report medical, surgical, and diagnostic services. They ensure uniform communication about medical services across different healthcare providers and insurers. A relevant fact: CPT codes are maintained by the American Medical Association.

Helpful Resources

Story About CPT Codes in Action

Introduction: This story will show how CPT codes work in a real-life scenario with a child named Alex, who has ADHD and needs regular check-ups.

  • Regular Check-ups: Alex goes to the doctor every three months for a check-up.
  • Doctor Uses CPT Codes: The doctor uses CPT codes to record each visit and the services provided.
  • Insurance Billing: These codes are sent to the insurance company to make sure the visits are covered.
  • Parent Understanding: Alex’s parents can see the CPT codes on their insurance statements, which helps them understand what services were billed.

Thanks to CPT codes, Alex’s medical care is clearly communicated and covered by insurance.

How CPT Codes are Used

Introduction: CPT codes are used in various ways to ensure accurate billing and communication in healthcare. Here are some examples:

  • Billing: Doctors use CPT codes to bill for specific services.
  • Insurance Claims: Insurance companies use CPT codes to process claims.
  • Medical Records: Hospitals and clinics use these codes in medical records for consistency.
  • Research: Researchers use CPT codes to track treatment outcomes.
Purpose Example
Billing Doctor’s office visit
Insurance Claims Processing payments
Medical Records Consistency in documentation
Research Tracking treatments

CPT codes make healthcare billing and communication clear and accurate, benefiting both providers and patients.