Procedural Terminology Research Paper

Current procedural terminology is an imperative part of the medical billing process. CPT codes are standard procedure codes used for medical, surgical and diagnostic services. Payers use these CPT codes to determine payments, CPT codes work with ICD codes to create a full picture of the healing process for the payer. Having the correct procedural codes ensures that providers receive the appropriate reimbursement. There are three types of CPT codes: Category I, Category II and Category III. I try to remember the codes as “five digits to performance for technology.” Category 1 codes are five-digit numeric codes that are the main body of CPT. These codes are used to identify the CPT and represent procedures done within the medical practice. The regulations have
Category II codes are used to supplemental tracking codes and for performance measurement. These codes consist of four digits and followed by the alpha F. Codes are used to collect information about the quality of care. According to "American Academy Of Orthopaedic Surgeons" (1995-2016), " templates services and procedures or test result described in this category make use of alpha characters as the 5th character in the string and these digits are not intended to reflect the placement of the code in the regular group I part of the CPT code set.” An example of a Category II system would be (2000F-2050F) Diagnostic/Screening processes or results. Category III codes are created for data collection and to track new procedures and emerging technology. Category III codes are intended for data collection purposes in the Food and Drug Association approval process. Payment for these procedures is usually based on the policies of the payers and Medicare. An example of a Category III would be ( 0016T -0207T) emerging. I have learned how important CPT codes are in the billing process and how they are used for diagnosis and