CPT Codes And Why CPT Coding Is Needed

cpt codesOne of the most crucial aspect of medical billing and coding is the knowledge and usage of CPT codes, also referred to as Current Procedural Terminology. The CPT code is the standardized name authorized by the American Medical Association (AMA), classifying medical procedures.

Codes constitute five alpha numerical characters that indicate a precise procedure performed by the attending physician. The American Medical Association has the responsibility of updating the codes as well as issuing new codes every year, assuring their accuracy. Every year, medical offices ready themselves, for the new coding laws and updates. Sometimes they can be updated as much as twice a year, usually January and again in July.

CPT Codes

These special codes enable medical offices to be paid for their services, in a timely manner. Many times, these specialized codes have additional addendum codes, called modifiers. These codes are used when a certain code is not adequate in defining the procedures. The modifiers are used to better interpret, to the insurance companies, exactly what has been performed. In coding today, software programs can help, with the suggestions of certain modifiers pertaining to the diagnosis and treatment. With the use of modifiers, much time is saved in explanations, which results in expedient reimbursements for the medical office.

The Three Types Of CPT Codes

There are three levels of CPT coding systems. Level I, known as CPT, consists of the codes used for any in-patient or office visit, where treatments or supplies are used within the medical facility. Level II, is the HCPCS (Healthcare Common Procedure Coding System) which was developed by the Centers for Medicare and Medicaid Services (CMS). These are the codes used for billing ambulance services and other services, outside of an office visit. Level III is used as temporary coding for new and emerging technologies. This level is hardly used.

Education For CPT Coding

All medical billing and coding schools have the priority to educate their students in CPT coding procedures. The course outlines and trains the students to match codes with appropriate services. Giving them the “hands on”, experience. The American Medical Association also has a website that is an outstanding source of information to all bilkers and coders.

Many students wishing to become certified as a CPT Coding Specialist, would enlist in a more comprehensive course of study to enable them to sit for the certification exam. Online programs have become popular for this career, enabling the student to learn from their home. The courses may vary, from each schooling program to the next, but most often the below listed courses would be required.

  • CPT Codes
  • HCPCS
  • ICD-9
  • Medical Terminology
  • HIPPA Compliance
  • Insurance Compliance

Jobs And Salaries Of A CPT Coder

As a CPT coding specialist, one can expect to retain a very secure position in the medical field. With the difficult economic times we face today, this job has proven to be a very stable career choice. The well educated CPT coder is essential to any medical practice. In applying the thorough understanding of coding methodology and modifying techniques, a medical practice can expect due diligence in their coder, which translates into a successful cash flow.

Salary ranges for CPT coding can vary, depending on the education and experience. One can expect anywhere from $20,000.00 to $40,000.00 a year. It is most advised to obtain your certification, but is not necessary. Being that the salary range can differ in amounts, allows the candidate the room to grow within the field, and command higher salaries, as well as benefits.

Staying Up To Date On CPT Coding

As a CPT coder in today’s healthcare, one is required to be accurate, organized and abreast of any changes in the coding procedures, to best benefit their office, implementing the necessary CPT codes to insurance companies for the most expedient returns.