Do you have questions about CPT coding guidelines? If so, we are here to help. Current Procedural Terminology, or CPT codes for short, were initially published in 1966 to assist in determining the amount of reimbursement that medical providers receive for the services they’ve provided. CPT codes are maintained and copyrighted by the American Medical Association and are the United States standard for how medical professionals document and report medical services. All medical facilities and payers use thousands of CPT codes which are updated on an annual basis.
Three Categories of CPT CodesCPT codes fall into three categories which include Category I, Category II, and Category III. Let’s take a closer look at what each of these categories are.
- Category I: Category I codes are five digits and feature descriptors which correspond to a certain services or procedure. These codes range from 00100-99499. An example of a Category I code is 47350 which stands for “management of liver hemorrhage; simple suture of liver wound or injury.”
- Category II: Category II codes are alphanumeric tracking codes which are optional and used to measure execution. An examples of a Category II code that stands for postpartum care visit is 0503F.
- Category III: Category III codes are intended for new and ever-evolving technology, services, and procedures. These codes help collect data and assess new services and procedures. 0123T is a Category III code that stands for the fistulization of sclera for glaucoma through ciliary body.