The Current Procedural Terminology (CPT®) is a code set developed and maintained by the American Medical Association (AMA) that describes physicians' and other qualified healthcare professionals' (QHPs) medical services and procedures. CPT is also the designated code set for reporting services provided by facilities or other entities in specific circumstances. This course covers the basic structure, format, purpose, and usage of the CPT code set. This course includes an overview of the CPT sections and appendices, and the format of CPT codes, as well as the code symbols and terminology used throughout the codebook. A current copy of Current Procedural Terminology (CPT®), Professional Edition, is strongly recommended to optimize your understanding of the content covered.
The Current Procedural Terminology (CPT®) is a code set developed and maintained by the American Medical Association (AMA) that describes physicians' and other qualified healthcare professionals' (QHPs) medical services and procedures. CPT is also the designated code set for reporting services provided by facilities or other entities in specific circumstances. This course covers the basic structure, format, purpose, and usage of the CPT code set. This course includes an overview of the CPT sections and appendices, and the format of CPT codes, as well as the code symbols and terminology used throughout the codebook. A current copy of Current Procedural Terminology (CPT®), Professional Edition, is strongly recommended to optimize your understanding of the content covered.
“This program has been approved for 0.5000 continuing education unit(s) for use in fulfilling the continuing education requirements of the American Health Information Management Association (AHIMA). Granting prior approval from AHIMA does not constitute endorsement of the program content or its program sponsor.”
This activity is approved for 0.5000 contact hours.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Overview of CPT
What Is CPT?
The CPT Code Set
Categories of Codes
Overview of the CPT Process
CPT Coding and Reimbursement
Understanding Coverage Policies
Correct Coding Edits
Review
Section 3: CPT Format and Structure
Sections and Subsections
Terminology
Format of the Terminology
Add-on Codes
Review
Unlisted Procedures
Code Modifiers
Guidelines
Time
Review
Section 4: CPT Symbols
The Symbols
Review
Section 5: CPT Index
Alphabetical Reference Index
Using the CPT Index
Steps for Using the CPT Index
Review
Section 6: CPT Appendices
Appendices
Review
Section 7: Conclusion
Course Summary
Course Contributor
Resources
References
Glossary
Exam and BrainSparks
Sarah is a Subject Matter Expert/Writer for Relias's Revenue Cycle and Coding online education. Sarah is credentialed by AHIMA as a Certified Coding Specialist (CCS) and Certified Coding Specialist Physician-based (CCS-P), as well as an approved ICD-10-CM/PCS Trainer. She is also credentialed by AAPC as a Certified Professional Coding Instructor (CPC-I), a certified coder of physician/professional (CPC) and outpatient hospital services (COC), and a Certified Risk Adjustment Coder (CRC), with specialty certification in Evaluation and Management Services (CEMC). Sarah has extensive experience in both professional and facility ICD-10-CM/PCS, CPT and HCPCS coding, auditing, and revenue cycle management and as an educator of hospital and professional medical coding curriculum. She has served as Director of Physician Billing and Reimbursement for a regional health system, Manager of Coding and Compliance for a hospital and cancer center, and Business Manager of Physician Practices at a teaching hospital, as well as a coding auditor and consultant. Sarah has also authored coding textbooks and instructional resources.
Disclosure: Sarah A. Serling, CCS, CPC, CRC, COC, CCS-P, CEMC, CPC-I, ICD-10-CM/PCS Trainer discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
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