CPT: Current Procedural Terminology

1
?? ??? ???

• CPT Current Procedural Terminology

2
???? ???? ??????? ??????? ????? ( ICPM )1 ????
???? ????? ??? ??????? ??????? ?????? ?? ??? 1978
???? ??????? ????? ?????? ?? ???? ?? ???? ?????
?? . ?????????? ?? ???? ???? ?????? ????? ?? ???
????? ????? ?????? ???? ??????? ?? ????? ??????
ICD ??? ???? ???? ????? ??????? ? ????????
??????? ?? ??? 1971 ? ?? ?????? ?????????????
????? ????? ?????????? ?????? ???? ??? ??? .
1 International Classification Of
Procedures in Medicine
????? ?? ???? ???
3
??? ???? ???? ???? 9 ???? ?? ??? ??? ?? ????
1 ) ??????? ????? ??? 2 ) ??????? ?????????? 3
) ??????? ??????????? 4 ) ??????? ??????? 5 )
??????? ????? 6 ? 7 ) ?????? ? ???? ??? ?
????????? 8 ) ???? ??????? ?????? 9 ) ???????
???? ???????? ?? ? ?? ? ????? ? ???? ? ??? ? ? ??
( 6 ???? ) ?? ???? ?? ? ???????? ?? ? ?? ? ??? (
3 ???? ) ?? ???? ?? ???? ???? ???? ??? . ??????
???? ????? ??? ???? ???? ?? ?? ???? ????? ??? ?
???? ??? ?????? ??? ??????? ? ???? ??? ????
??????? ?? ?? ?? ??? ???? ?? ??? ?? ???? ??????
?? ??? ??? ???? ???? ??????? ????? ??????? ??
???? .
????? ?? ???? ???
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??? ???? ???? ???? ?????? ?? ?????? ??????? ?? ??
???? ?? ???? ?????? ?? ?? ?? ????? ????? ?? ???
?????? ???? ????? ???? ?????? ?? ????? ?????
????? ??????? ???? ??? . ???? ?? ?????? ????????
???????? ??????? ?? ????? ??????? ??????? ??
?????? ??? ???? ? ?? ??? ????? ????? ??? ????? .
???? ???????? ?????? ????????? ?????? ??????
?????? ????? ???? ????? ????????? ?????? ????? ??
?????? ????? ?? ICPM ?? ???? ICD 10 ?????
???? . ?? ???1987 ????? ????????? ???? ???? ???
?????? ???????? ?? ?????? ????? ?????? ????????
??? ?? ?????? ??????? ????? ( ??? ???? ) ICPM ??
???? ?????? ??? ???? ??????? ???? ??? . ?? ????
?? ??? ??????? ? ??????? ??????? ?? ???????
?????? ?????? ?? ????????? ? ?????? ?????? ??
????? ??? ??????? ???? ????? ? ?? ???? ??? ??????
??????? ???? .
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CPTCurrent Procedural Terminology???????? ????
??????

• Current Procedural Terminology (CPT), Fourth
  Edition, is a listing of descriptive terms and
  identifying codes for reporting medical services
  and procedures
• ????? ?? ???? ??? ????? ??? ? ????? ???? ????
  ????? ??????? ? ????? ????? ?? ????.
• ???? ???? CPT? ????? ???? ????? ?? ?? ???? ???
  ????? ??? ??? ?? ?????? ????????? ?? ?????? ??
  ????? ?? ???.

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?????? ????? ?????

• CPT is Current Procedural Terminology, and was
  developed by the American Medical Association in
  1966. Each year, an annual publication is
  prepared, that makes changes corresponding with
  significant updates in medical technology and
  practice. The most recent version of CPT, CPT
  2006, contains 8,568 codes and descriptors.

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?????

•  1.????? ?? ???? ???? ???? ????? ?????
  ??????????? ???????
• 2.????? ??????? ???? ??? ?????? ????? ?????
  ??????? ????? ??????????????? ?????? ????
• 3.????? ??????? ??????? ??? ?????? ??? ???? ?????
  
• 4.????? ??????? ???? ????? ???????????? ????
  ??????? ????? ?????
• 5.????? ???? ???? ???? ????? ? ???????
• 6.????? ????? ???? ?????? ???? ??? ??? ?????? ??
  ? ????

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?????? CPT

• ?????? CPT ????? ???? ???????? ????? ???? ???????
  ???? ????? ??????? ? ????? ????? ?? ?????? ???
  ???? ?????? ????? ? ????? ???. CPT ?????? ???
  ????? ?????? ????? ??? ?????? ??????? ? ?????
  ?????????? ??? ????? ?????? ??? ????? ??????
  ????. ?????? ??? ???? ????? ????? ????? ????
  ?????? ???? ??? ?? ???? ????? ????? ?? ? ???
  ????? ?? ???. ?????? ????? ?? ?????? ??? ?????? ?
  ??????? ??? ????? ???? ?????? ?? ?????? ????? ??
  ????? ????? ??????? ? ????? ????? ?????? ???????
  ??????? ?? ???
• ??? ????? ????? ??? ?????? ???? ??? ?????? ?
  ??????? ?????? ??????? ???? ????? ????? ?????
  ?????? ??? ????????? ? ??? ???? ???? ?? ????
  ??????? ???? ?? ????

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??????

• ???? ????? ??????? ????? ?????? ?? ????????? ??
  ?? CPT ??????? ?? ???. ??? ?? 7000????? ? ????
  ????? ?? ????? ???? ???.??? ????? ???? ?????????
  ??????????? ?????? ? ???? ????? ??????? ????
  ???? ?? ??? ? ???? ?? ??? ?? ????? ?? ??? ?????
  ????? ??? ???.
• ??? ????? ????? ??? ? ?????? ???? ??? ?????? ?
  ??????? ?????? ??????? ???? ????? ????? ????? ???
  ????????? ? ??? ???? ???? ?? ???? ??????? ???? ??
  ????.

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????? ??? ????? ??????

• 1.???? ??? ?????????
• 2.????? 4 ????
• 3.????? ??????? ???? ????? ??? ????
• 4.????? ????? ????????? ???? ??????? ???????
• 5.????? ??????? ???? ????? ?????
• 6.???? ??????? ????? ???? ? ?? ??? ????? ?????
  ?????????? ? ?????????

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????? ??? ????? ??????1970

• 1.????? ????? ???? ?? ? ???? ???? ?????
  ????????????? ? ?????
• 2.????? 5 ????
• 3.????? ?? ??????? ????? ?? ?? ?????

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????? ??????? ??????1977

• ????? ????? ?? ??? ?? ??? ??? ??? ?????? ??
  ??????? ???? ??????????
• CPT is an accurate, up-to-date, comprehensive
  listing of medical procedures and services
  identified by a five-digit code.
• CPT-4 Published annually by the AMA proprietary
•  
•  
• v Communicates what service was provided
•  
• v Divided into 6 major sections
•  
• vCPT 2003 contains 8,262 codes
•  
•      428 code changes in 2003
•  

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CPT ??? ???

• ???? 3 ??? ?? ????
• ??? ??? ??? ?? ????? ?? ???? ???? ?? ?? ?? 5
  ???? ???? ? ?? ????? ????? ???? ????
  ?????1400????? ?? ????? ???? ??? ? ???? 6 ???
  ???? ???
• 1.????? 2.?????? 3.????? 4.???? ?????
  5.???? ?????(?????????) 6.??????? ? ??????

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CPT ??????

• 1.     Anesthesia
  
• 00100-01999 AND 99100-99140
• 2.     Surgery
  
• 10040-69979
• 3.     Radiology
  
• 70010-79999
• 4.     Pathology and Laboratory
• 80002-89399
• 5.     Medicine
  
• 90701-99199
• evaluation and Management
• 99201-99499

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CPT ???

• Perforcement measurement ??? ???
  ?????? ????? ???? ????? ??????? ??????? ?? ????.
  ??? ????? ???? 2500?? ?? ???? ???? ???? ??????
  ?????.?? 4???? ?? ??? (A-V) ????? ??? ???.?? ???
  ?? ????? ?? ??? ?????? ? ????? ?? ??? ???? ? ????
  ?? ??? ?? ???? ????? ?? ????. ??? ???? ???
  ???? ? ???? ???? ????? ??????? ?? ? ?????? ????
  ??? ???? ???? ?? ?????.
• ???? ???? ??? ???? ????????? ??????????
  ???????? ?? ???????????????????? ?????? ? ?????
  ???????? ?? ????.

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CPT ???

•  Emerging Tecnology ??? ???
• ??? ???? ???? ?????. ?? ?? ???? ???? ?? ??????
  ????? ??? ????? ???? ?? ??? ?? ?????? ?? ?? ???
  ??? ?????? ??????? ??? . ??? ???? ??????????
  ????? ?? ?? ???X, W) Y,Z) ?4 ??? ? ?? ???? ??????
  ??2??? ?3 ????? ????? ???? ???.???? ?? ??? ?? ???
  ?????? ? ????? ?? ??? ???? ????? ?? ??? ?? ????
  ????? ?? ????.

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??? ??? ????????

• ???? ???????? ????? ?? ??????? ??? ???? ???????
  ?????? ?? ??????? ????? ???.???? ??????? ? ????
  ???? ?? ????? ???? ???? ?? ???????? ?? ??? ????
  ??? ???? ??? ??? ??????? ??? ????? ???? ?? ????.
  ???? 
• 25100 Arthrotomy, Wrist Joint for
  Biopsy
• 25105 for Synovectomy
• ????? ???? ????? ?? ?? 25105 ???? ???? ??????
  ???
• 25105 Arthrotomy, Wrist Joint for
  synovectomy

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???? ??

• Starred () Procedures/Minor Surgical Procedures
•  
• Medicare characterizes as 
• vThose procedures taking 5 minutes or less 
• v Those involving relatively little medical
  decision making once the need has been
  determined 
• vExample suturing of a small, simple laceration

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Separate Procedur ?????? ????

• ???? ?? ??? ???? ?? ?????? ???? ???? ??? ?? ??
  ???? ?? ???? ??? ??? ????? ?? ?? ????? ??????
  ???? ???? ??? ??? ???? ?? ???? ???? ?? ??? ?????
  ?? ??? ? ?? ??? ?????? ???? ???? ?? ???. 
• Example If a breast biopsy (19100)were
  performed in conjunction with a modified radical
  mastectomy (19240) ,only the 19240 would be coded
  .The 19100code has(separate procedure )after
  it.

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CPT??????

•  ?????? ?? ???? ??????? ?? ??? ???? ???? ?????
  ???.?? ??? ?? ???? ??? ???? ? ?? ????? ???? ????
  ????? ??? ? ??????? ?? ?? ???? ?? ??? ?? ???? ???
  ???? ??? ?? ???? ????.
• ????? ???? ?? ??? ?? ?? ??? ??? ???? ?? ????.
• 1.Range 22210-22230
• 2.Single Code 38115
• 3.Multiple Codes 54420,54430
•   ???? ?? ?? ????? ???? ???? ??? ??? ???? ?? ????
  ???? ???? ?????? ?? ???? ?? ???? ???? ???? ??????
  ???. ??????? ?? ???? ?? ????? ??? ??? ?? ???? ???
  ?? ?? ?? ????? ???.
• ????? ?? ?? ????? ?? ????? ?? ??? ?? ???? ????
  ???? ???? ?? ????? ??? ?? ?? ???? ????? ?????
  ???.

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• ?????? ?? ????? ??????? ?? ??? ??? ?? ????
• Section Surgery
• Sub section Cardiovascular System
• Sub heading Arteries and Veins
• Category Ambulatory
• Sub category Arteries with or without Catheter

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• ????? ??? ?????? ??
• ????? ????? ???? ????? ????? ?????? ??????? ?
  ??????? ????? ???.?????? ????? ????? ????? ??????
  ? ??????? ?????? ? ???? ??? ?? ??? ????? ?? ????.
  ?? ??? ????? ??? ??????? ?? CPT ? ???????? ??????
  ?? ?????? ?????. ?? ??? ????? ?????? ????
  ??????? ?? ?? ????? ????.???? ??? ?? ????? ????
  ?????? ?? ????? ??? ?? ????? ????? ?????
  ???(?????) ???? ? ????? ???? ??????? ?? ??????
  ????? ???.
• ???? ??? ????
• 97530 Therapeutic activities, direct (one on one)
  patient
• contact by the provider (use of dynamic
  activities to improve functional performance),
• 1 unit _ 8 minutes to lt 23 minutes
• 2 units _ 23 minutes to lt 38 minutes
• 3 units _ 38 minutes to lt 53 minutes
• 4 units _ 53 minutes to lt 68 minutes
• 5 units _ 68 minutes to lt 83 minutes
• 6 units _ 83 minutes to lt 98 minutes
• 7 units _ 98 minutes to lt 113 minutes
• 8 units _ 113 minutes to lt 128 minutes