CPT Codes - What Are They?

06.12.24 08:00 AM - By Motion Connected

Current Procedural Terminology (CPT) codes are a set of codes used to describe medical, surgical, and diagnostic services provided by healthcare providers. These codes are developed and maintained by the American Medical Association (AMA) and are used by healthcare providers, insurers, and other entities to standardize the reporting of medical services and procedures. Each CPT code corresponds to a specific medical service or procedure and is used to facilitate billing, coding, and reimbursement processes in healthcare.

CPT codes can provide transparency and understanding about the healthcare services received. 

Here's what CPT codes mean to all of us, as consumers of healthcare:

1) Understanding Services:You can edit text on your website by double clicking on a text box on your website. Alternatively, when you select a text box a settings menu will appear. your website by double clicking on a text box on your website. Alternatively, when you select a text box

2) Billing and Insurance: CPT codes are used for billing and insurance purposes. You may see these codes on your medical bills, which can help you understand the charges and how they relate to the services provided.

3) Insurance Coverage: Insurance companies use CPT codes to determine coverage and process claims. Understanding the CPT codes associated with your care can help you understand what services are covered by insurance and what you may be responsible for paying out of pocket.

4) Advocacy and Communication: Understanding the CPT codes for healthcare services can help you communicate more effectively with your healthcare providers, insurers, and other entities. It can also be useful for advocating for yourself if there are discrepancies or issues with your care or billing.

5) Comparison Shopping: In some cases, you may be able to use CPT codes to compare prices for healthcare services across different providers or facilities. This can help you make more informed decisions about where to seek care based on cost and quality considerations.

You can research medical Current Procedural Terminology (CPT) codes through various methods to better understand medical procedures, the costs, and how they impact healthcare coverage. 

Here are some steps you can take to review CPT codes:

1) Consult Healthcare Providers: You can ask your healthcare providers for information about the procedures you are undergoing or considering. Providers can provide CPT codes and explain what they represent.

2) Use Online Resources: You can input specific CPT codes within a search engine to better understand the service and description prior to rendering or after receiving a bill. 

3) Review Medical Bills: You can review your medical bills to see which procedures were performed and which CPT codes were used. This can help you understand the costs associated with your care.

4) Contact Insurance Companies: Insurance companies can provide information about covered procedures and associated CPT codes. You can contact your insurance company directly (there is often a number on the back of your ID card) or review your plan documentation.

5) Utilize Healthcare Cost Estimator Tools: Some insurance companies and healthcare providers offer cost estimator tools that provide estimates for procedures based on CPT codes. These tools can help you understand the potential costs of your care. Typically, you can find these tools on the carrier or provider website. 

By understanding and researching CPT codes, you can gain a better understanding of your medical procedures, associated costs, and insurance coverage, empowering you to make the most informed healthcare decisions.

Motion Connected