Accurate coding is critical to the success of a medical practice. Each patient interaction is documented in the medical record along with the appropriate diagnostic code to describe the patient’s presenting problems and a procedural code describing the medical services provided. Fee-for-service billing is automated and the insurer uses the procedure and diagnostic codes to determine the amount of payment the practice will receive.
The Current Procedural Terminology (CPT), published by the American Medical Association, is the standard procedural code that describes medical and surgical procedures, office encounters, laboratory tests, imaging procedures, and all other patient services.
Since accurate coding is essential for documenting patient services and ensuring correct payment, providers need to have correct coding.