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We maintain and annually update a List of Current Procedural Terminology (CPT)/Healthcare Common Procedure Coding System (HCPCS) Codes (the Code List), which identifies all the items and services included within certain designated health services (DHS) categories or that may qualify for certain exceptions.
COVID-19: New ICD-10-CM Code and Interim Coding Guidance. Medicare Monoclonal Antibody COVID-19 Infusion Program Instruction Fact sheet for State and Local Governments About CMS Programs and Payment for Hospital Alternate Care Sites Frequently Asked Questions to A.
The Medicaid NCCI includes 2 edit types: Procedure-to-Procedure (PTP) Edits define pairs of HCPCS and CPT codes that providers shouldn’t report together for various reasons. PTP edits prevent improper payments when you report incorrect code combinations. Each edit has a Column 1 and a Column 2 HCPCS/CPT code.
Physicians shall report the Healthcare Common Procedure Coding System/Current Procedural Terminology (HCPCS/CPT) code that describes the procedure performed to the greatest specificity possible. A HCPCS/CPT code shall be reported only if all services described by the code are performed.
Physicians shall report the Healthcare Common Procedure Coding System/Current Procedural Terminology (HCPCS/CPT) code that describes the procedure performed to the greatest specificity possible. A HCPCS/CPT code shall be reported only if all services described by the code are performed.
Procedure Fee Audit Trail information and CPT, HCPC, Dental Procedure, and Revenue Codes.
UnitedHealthcare Community Plan reimbursement policies use Current Procedural Terminology (CPT®*), Centers for Medicare and Medicaid Services (CMS) or other coding guidelines. References to CPT or other sources are for definitional purposes only and do not imply any right to reimbursement.
Use Codify for fast CPT code lookup and search. Access CPT codes and get help in describing exactly what service a healthcare provider has performed.
AMA releases CPT 2025 code set. Current Procedural Terminology (CPT®) codes provide a uniform nomenclature for coding medical procedures and services. Here you'll find the AMA's latest updates on new CPT codes, new code proposals, CPT code revisions and more.
Some procedure codes are very specific defining a single service (e.g., CPT code 93000 (electrocardiogram)) while other codes define procedures consisting of many services (e.g., CPT code 58263 (Vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s) with repair of enterocele)).