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What does CPT mean?

What does the acronym CPT mean for medical billing

CPT stands for: Current Procedural Terminology.

CPT codes are a medical code set maintained by the American Medical Association through the CPT Editorial Panel. CPT codes are updated each year, released in October.

You will use CPT codes for medical billing in dentistry for services such as office visits and x-rays, as well as other procedures such as trigger point injections, bone grafts, implants, etc.

CPT codes are different from ICD (diagnosis) codes and HCPCS (supply & equipment) codes.

Each medical claim requires at least 1 CPT code, and up to 6 can be entered into field 24D on the CMS1500 medical claim form:


 

Below are a few examples of CPT codes commonly used in medical billing in dentistry:

21210 - graft, bone; nasal, maxillary, or malar areas

21215 - graft, mandibular

21248 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); partial (3 or less)

21249 - Reconstruction of mandible or maxilla, endosteal implant (eg, blade, cylinder); complete (4 or more)

41000 - Intraoral incision and drainage of abscess, cyst or hematoma of tongue or floor of mouth; lingual

70350 - Cephalogram, orthodontic

70355 - Orthopantogram (eg, panoramic x-ray)

99201 - Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A problem focused history; A problem focused examination; Straightforward medical decision making. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the presenting problem(s) are self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.

99211 - Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.