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CPT4 Code

      A CPT4 code or a Current Procedural Terminology Code Medical Billing is a numeric code that describes the service performed by the physician.  A complete listing of CPT codes comes in a CPT4 book.  Each procedure is described and assigned a specific number.

     It is very important to use current CPT codes as codes change every year and when they are outdated, the insurance companies will no longer accept them and your claims will be denied for the outdated codes.  These codes are updated annually and it is important to be aware of the changes each year.  Sometimes the changes are minimal, but sometimes there are a lot of changes and it impacts a provider greatly. 

     CPT Coding is pretty complicated and coding classes are available where you can obtain a certification in medical insurance coding.  It is important that correct CPT codes are chosen for the appropriate services.  Payment and or denial can be based upon the codes you use.

     You can avoid some denials for bundling if you file the claims correctly. Here's some information on bundling of medical cpt codes by the insurance carriers.    

     CPT Code Books also contain a list of modifiers.  Modifiers indicate that a service was altered in some way from the stated CPT descriptor without changing the definition. The American Medical Association (AMA) CPT modifiers are two-digit numeric codes listed after a procedure code. 

     There are a wide variety of coding books available.  These books can be purchased from below:

 More information on Code Books.

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