By making small metaphors for each code helped me better understand CPT coding. Because Learned <span>Current Procedural Terminology is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations. </span>
A CPT code is a five-digit code that identifies in brackets in the Medicare summary (MSN), your insurer's explanation of benefits (EOB), or the account statements issued by doctors and hospitals. This code represents a specific medical service that the patient received. The AMA (American Medical Association) created and was responsible for maintaining the codes. There are miles of different codes, which AMA boards evaluate and update every year.
Explanation:
Health care providers and insurance companies use CPT codes to simplify the process at the time of claim. The idea is that providers and insurers use specific words and numbers to identify all medical procedures and services. Therefore, since the same codes with the same meaning are used, there is a uniformity in the health system. An example of this, after a visit to the doctor for a physical examination and a flu vaccine, we should receive a summary of such services. The doctor will circle 99214 for the physical exam and 90658 for the flu vaccine. The codes that your health care provider uses will determine how much money will determine part of your insurance company.
