Current Procedural Terminology, HCPCS, and Procedural Coding for Professionals and Physicians

By: Kimberly Huey

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Synopsis: This textbook provides basic training and practice in the application of procedural codes from the Current Procedural Terminology (CPT) and the Healthcare Common Procedure Coding System (HCPCS). CPT is published by the American Medical Association (AMA). Updated annually on January 1, CPT is a proprietary terminology created and maintained by the AMA. Its purpose is to provide a uniform language for describing and reporting the professional services performed by physicians. HCPCS is maintained by the Centers for Medicare and Medicaid Services (CMS). Its purpose is to provide a system for reporting the medical services received by Medicare beneficiaries. HCPCS is made up of two parts: Level I is composed entirely of the current version of CPT; HCPCS Level II provides codes to represent medical services that are not covered by the CPT system, such as medical supplies and services performed by healthcare professionals who are not physicians.