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The second edition, published inexpanded each code to 5 digits, with the — code series representing radiology. In the mid- and late s, the third and fourth editions of CPT were released.

CPT Professional Edition

Not surprisingly, each version was progressively more detailed, in line with the increasingly complex health care system. This evolution has continued since. Just as the International Classification of Diseases published by the World Health Organization cpt 2016 professional edition an updated classification of medical conditions, CPT maintains an updated classification of medical procedures.


This analysis resulted in the establishment of the CPT-5 project. CPT was expanded very meaningfully with new nomenclature that included tracking new procedures and services. In addition, specific reporting measures that could be used in performance-based payment were built into CPT.

InCPT became the national coding standard for reporting medical services and procedures. The CPT codebook remains a living document that undergoes cpt 2016 professional edition updates.

CPT Professional Edition

For example, the edition offers over code changes, of which are new, revised, and 93 deleted. The CPT Editorial Panel presides over the development of new and revised codes and is important in the maintenance of code sets.


The Advisory Committee assists the CPT Editorial Panel by proposing code set changes and, crucially, by providing insights into coding proposals submitted by other interested cpt 2016 professional edition eg, other societies, insurance carriers, and industry vendors.

Category I codes constitute the CPT codes common in clinical practice. These codes require US Food and Drug Administration approval for any drugs or devices, must have demonstrated clinical efficacy supported by the peer-reviewed literature, and must be commonly practiced by multiple physicians in the United States.

Category II codes are used to report quality performance initiatives and are designed to simplify participation in quality measures by diminishing administrative cpt 2016 professional edition such as medical record review. Category II codes cannot substitute for Category I codes.

They are designed to facilitate data collection, tracking of performance measures, and compliance with state or federal law, but are not to be used for coding services or procedures that are ultimately billed. In keeping with the explosive increase in Physician Quality Reporting System measures, the number of category II codes is increasing.

These temporary codes are characterized with an alphanumeric descriptor eg, T. Data accumulated by these tracking codes can aid in the US Food and Drug Administration approval process. Category III codes are not assigned a professional work value, and payment for these services, if any, is at the discretion of Medicare and private payers.

Category III codes are by definition temporary and are only approved for a 5-year period; this can be extended once. If cpt 2016 professional edition by cpt 2016 professional edition evidence, a Category III code can be converted into a Category I code before the expiration of the initial or renewal term.

If the procedure has not been proved effective by that point, the code is allowed to expire.


The advisors and panel members use standard, rigorous protocols for determining medical evidence. During the administration of President George H.

CPT 2016: Professional Edition

Bush, as a result of the Omnibus Budget Reconciliation Act ofCMS started to use a system of relative value units RVUs to calculate the cost for providing physician work, which evolved into the framework of a resource-based relative value scale. Through the American College of Radiology, the radiology community has benefited from continuous representation at the RUC since this committee's inception.

Explicit in its charter was that a review of cpt 2016 professional edition entire resource-based relative value scale needed to be performed every 5 years.

After the third such review inan ongoing review process was created at the urging of CMS. The underlying premise of this screen is that CPT codes, cpt 2016 professional edition are typically reported together on a single Medicare patient on the same day of service ie, CT abdomen and CT pelvismay have efficiencies that should be accounted for in determining overall relative value.