Frequently asked coding questions.
Current Procedural Terminology (CPT) coding is not an exact science. Although the CPT code set was developed to describe clearly and comprehensively services provided by health care professionals, the intended application of individual codes is not always clear. In addition, coding that may be correct in terms of CPT definitions and instructions may contradict instructions from payment policies set by insurers. This article provides answers to the gastroenterologists' most commonly asked questions and provides primary sources for coding and payment policies when possible. Answers to the questions are accurate as of the date of publication but may be subject to change.
Narramore
Leslie
L
MARC Associates, 1101 17th Street, NW, Suite 1102, Washington, DC 20036, USA.
Wiersema
Maurits J
MJ
Mergener
Klaus
K
Cameron
R Bruce
RB
Brill
Joel V
JV
D001706:Biopsy / Q000191:economics; D016292:Procedural Sedation / Q000145:classification / Q000191:economics; D039702:Current Procedural Terminology; D016099:Endoscopy, Gastrointestinal / Q000145:classification / Q000191:economics; D019160:Endosonography / Q000145:classification / Q000191:economics; D005743:Gastrectomy / Q000145:classification / Q000191:economics; D005762:Gastroenterology / Q000145:classification / Q000191:economics*; D005767:Gastrointestinal Diseases / Q000175:diagnosis / Q000191:economics; D006801:Humans; D007344:Insurance Claim Reporting; D012051:Reimbursement Mechanisms; D014481:United States