CSHCN 2009 > Claims Filing, Third-Party Resources, and Reimbursement > Coding

   
 

5.6.2.2 Level I

The following is information about the American Medical Associations (AMA) physicians' CPT codes:

The codes are all numeric, consisting of five digits

CPT codes represent 80 percent of HCPCS

Maintenance of CPT is the responsibility of the AMA (AMA updates on a yearly basis)

Updates by the AMA are coordinated with CMS before distribution of modifications to third-party payers

Anesthesia codes from CPT must be used

Note: Claims for anesthesia must list the CPT anesthesia procedure codes. Use of narrative descriptions or CPT surgical codes result in claim denial.


Texas Medicaid & Healthcare Partnership
CPT only copyright 2008 American Medical Association. All rights reserved.
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