CPT® Data Files, OPTUM

CPT® Data Files, OPTUM™
  • 2014
  • Optum Coding - Ingenix
  • CPT only © 2014 American Medical Association
  • Coding, Classification

 

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Description

CPT® is based on the America Medical Association's Physicians' Current Procedural Terminology (CPT)® coding system, which is copyrighted and owned by the physician organization. CPT® is the nation's official, HIPAA, compliant code set for procedures and services provided by physicians, ambulatory surgical centers, and hospital outpatient services, as well as laboratories, imaging centers, physical therapy clinics, urgent care centers and others.

This best-selling annual title serves as a reference tool to understanding each of the CPT® code changes found in the CPT® 2014 codebook. Organized in the same manner as the CPT codebook, this guide provides the official AMA rationales for every new, revised and deleted CPT code and guideline.

New to this Edition:

• 122 New Codes
• 83 Changed Codes
• 54 Deleted Codes

 

Medicare pays physicians for services based on submission of a claim using one or more specific CPT® codes. Each CPT® code has a Relative Value Unit (RVU) assigned to it which, when multiplied by the conversion factor (CF) and a geographical adjustment (GPCI), creates the compensation level for a particular service. To understand this more fully, the calculations can be broken into three components - RVUs, the geographical adjustment and the conversion factor.

 

This title updates: Quarterly

 

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