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  2. Medical Coding and Billing: A Beginner's Guide - AAPC

    www.aapc.com/resources/getting-started-in-medical-coding...

    Medical coding involves the use of standardized codes to describe diagnoses, procedures, and medical services rendered to patients. These codes are used to communicate with insurance providers, government agencies, and other healthcare stakeholders. Medical billing, on the other hand, is the process of submitting claims to insurance companies ...

  3. Need coding resources? - American Medical Association

    www.ama-assn.org/practice-management/cpt/need-coding-resources

    Contents. Trusted for more than 50 years, the Current Procedural Terminology (CPT®) medical billing and codes set drives communication across health care by enabling the seamless processing and advanced analytics for coding medical procedures and services. CPT® is also the code to medicine’s future. Constantly updated by the CPT® Editorial ...

  4. CPT Codes - American Medical Association

    www.ama-assn.org/topics/cpt-codes

    Current Procedural Terminology (CPT®) codes provide a uniform nomenclature for coding medical procedures and services. Medical CPT codes are critical to streamlining reporting and increasing accuracy and efficiency, as well as for administrative purposes such as claims processing and developing guidelines for medical care review. The AMA develops and manages CPT codes on a rigorous and ...

  5. CPT® Evaluation and Management (E/M) Code and Guideline Changes

    www.ama-assn.org/.../files/2023-e-m-descriptors-guidelines.pdf

    The basic format of codes with levels of E/M services based on medical decision making (MDM) or time is the same. First, a unique code number is listed. Second, the place and/or type of service is specified (eg, office or other outpatient visit). Third, the content of the service is defined. Fourth, time is specified.

  6. CPT® code set quick reference guide - American Medical...

    www.ama-assn.org/about/cpt-editorial-panel/cpt-code-set...

    The Current Procedural Terminology (CPT®) codes offer physicians and health care professionals a uniform language for coding medical services and procedures to streamline reporting, increase accuracy and efficiency. Innovation could provide better care for patients, and a CPT code could help. CPT codes can remove obstacles to care, so that ...

  7. Medical Coding Modifiers - CPT®, NCCI & HCPCS Level II - AAPC

    www.aapc.com/resources/what-are-medical-coding-modifiers

    A medical coding modifier is two characters (letters or numbers) appended to a CPT ® or HCPCS Level II code. The modifier provides additional information about the medical procedure, service, or supply involved without changing the meaning of the code. Medical coders use modifiers to tell the story of a particular encounter.

  8. Code and Guideline Changes | AMA - American Medical Association

    www.ama-assn.org/system/files/2019-06/cpt-office-prolonged...

    Codes 99415, 99416 are used when a prolonged evaluation and management (E/M) service is provided in the office or outpatient setting that involves prolonged clinical staff face-to-face time beyond the highest total time of the E/M service, as stated in the ranges of time in the code descriptions.

  9. Evaluation and Management Coding, E/M Codes - AAPC

    www.aapc.com/resources/what-are-e-m-codes

    Evaluation and management (E/M) coding is the use of CPT ® codes from the range 99202-99499 to represent services provided by a physician or other qualified healthcare professional. As the name E/M indicates, these medical codes apply to visits and services that involve evaluating and managing patient health.

  10. Sequence ICD-10-CM Codes for Proper Payment - AAPC

    www.aapc.com/blog/51940-sequence-icd-10-cm-codes-for...

    C16.1 Malignant neoplasm of fundus of stomach. When you look up this code in the Tabular List of the ICD-10-CM code book, you’ll find that this category has the instructional note “Use additional code to identify alcohol abuse and dependence.”. M36.0 Dermato (poly)myositis in neoplastic disease.

  11. Behavioral health coding guide - American Medical Association

    www.ama-assn.org/.../behavioral-health-coding-guide

    Download the AMA's Behavioral health coding guide (PDF) to learn more. Please also check out the BHI Collaborative’s Behavioral Health Integration Compendium , which serves as a tool to help provide health care organizations with a proven pathway for delivering integrated behavioral care and ensure they have the most recent, actionable ...