CPT CodesExplained From Start to Finish

CPT CodesExplained

You might have heard about medical coding while having a conversion with your physician or patients. The coding helps to understand the specific purpose and the common medical codes used are ICD (International Classification of Disease), CPT coding, and LOINC.

ICD is established and copyrighted by the World Health organization (WHO);it’s widely recognized and used to record diagnoses. It follows a standard coding system that contains alphanumeric codes and is interpreted by every medical expert worldwide.

Current Procedural Terminology is abbreviated as CPT, which is a medical code used while reporting clinical and diagnostic procedures. The MRI CPT codes are generally used while communicating with healthcare accreditation companies and doctors or physicians. During electronic medical billing procedure, the codes are combined with numerical coding, like ICD-9-CM or ICD-10-CM.

MRI CPT Code list is comprehensive and computer language that’s used while evaluating contraindications. It includes cochlear implants, a metallic piece in any part of the body, and neurostimulators implants. The pathology of the face and neck is diagnosed into the nasopharynx, oropharynx, tumors, infection of soft tissues, and hereditary abnormalities.

CPT CodesExplained From Start to Finish

MRI or Magnetic Resonance Imagining is a noninvasive diagnosis that involves uniform magnetic field in identifying the functions of internal molecules. They are highly used in analyzing the superior tissues of the nervous system disorders.

There are three categories in the CPT code and the current one is called CPT 2014. All the CPT codes are registered from American Medical Association (AMA).

What’s Category 1 in CPT codes?

It covers the present medical procedures and practices that are implemented widely. In Category 1, the code sections identify the 5-digit numerical code procedure or service, approved by FDA.

The codes are enrolled by providing the supporting documents to FDA performed by the existing healthcare experts.

Category 1 has 6 sections that deal with:

  1. Estimation
  2. Anesthesia
  3. Surgical procedure
  4. Radiation test
  5. Laboratory and pathology test
  6. Pharmacy

What’s Category 2?

A clinical laboratory test is included in Category 2, and consists of tracking additional codes that measures performance. This, in turn, helps in getting feedback about the quality of care provided. The Category 2 CPT codes are not a permanent or substitute for Category 1 codes; they are just optional medical code.

What’s Category 3?

This category consists of the codes that are temporarily used in developing the technologies, services, and procedures. These codes are entirely different from Category 1 MRI CPT Code list and identify services that are not used widely by healthcare experts. The reason is it might not have approved by FDA and no proper documentation to prove the clinical efficacy.

What are the requirements to submit CPT codes in Category 1 and 3?

Criteria for Category 1 CPT Codes

  1. All the devices or drugs that are vital in performing the procedure or service must receive the FDA approval and clearance certificate.
  2. The procedures or services can be performed frequently with the anticipated clinical use and by physicians, or qualified healthcare persons.
  3. The procedures or service clinical efficacy should match the requirements that are documented and be ready for code change application.

Criteria for Category 3 CPT codes

  1. The ongoing procedure or service should match one or two criteria, such as the application supported by one CPT or HCPAC counselor demonstrating the use of procedure or service.
  2. The potential of clinical efficacy of the procedure is maintained by peer reviews from the editorial panel.

The purpose of developing a common medical code is to provide the record the clinical data that contains patient disease history. That’s recorded electronically and can be beneficial in future.