AMA CPT® Assistant - 2017 Issue 9 (September)
Coding Update: CPT Code Symbols, Modifiers, and Appendices (September 2017)
September 2017 pages 11-12 Coding Update: CPT Code Symbols, Modifiers, and Appendices Current Procedural Terminology (CPT®) code symbols were last addressed in the January 2010 issue of CPT® Assistant in the article, “Back to Basics: What’s New in the CPT Codebook." Since then, new symbols, modifiers, and appendices have been added to the CPT code set, and some symbols and appendices have been deleted. This article provides an updated list of the current CPT code symbols, modifiers, and appendices, and their definitions. Code Symbols CPT code symbols are found throughout the CPT code set. Understanding what they...
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Article Overview
This article reviews changes to CPT code symbols, modifiers, and appendices as of September 2017. It is aimed at coders and billing professionals who need a current overview of the structure and notation used in the CPT code set, including updated symbols, newly added modifiers, and appendix changes. The article also includes general examples and references to the CPT Assistant context for these updates.
Why This Topic Matters
Understanding CPT notation changes helps readers recognize current code-book markings and locate related guidance in the CPT code set. This is relevant for anyone maintaining coding accuracy or tracking annual updates to CPT reference materials.
Article Sections
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September 2017 pages 11-12
Introductory publication details and the scope of the coding update. Covers general changes to CPT symbols, modifiers, and appendices.
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Code Symbols
Overview of current CPT symbol categories and the types of information they signal within the code set. Includes discussion of symbol changes and resequencing-related notation.
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Modifiers
General explanation of CPT modifiers and an overview of newer modifiers introduced since 2010. Also discusses examples showing how modifier usage is presented in context.
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Modifier 33
Focused discussion of one CPT modifier and how it relates to preventive-service reporting examples. Includes illustrative material tied to common preventive care scenarios.
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Modifier 95
Focused discussion of one CPT modifier related to synchronous telemedicine service reporting. Includes a brief example and references to telemedicine-related appendix material.
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Appendices
Summary of appendix additions and deletions in the CPT code set since 2010. Introduces the role of the newer appendices in organizing related coding information.
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Appendix N
Overview of an appendix focused on resequenced codes and out-of-sequence presentation. Describes the purpose of this appendix within the code set.
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Appendix O
Overview of an appendix covering a specialized group of multianalyte assay-related codes and administrative entries. Describes the kind of information included for these procedures.
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Appendix P
Overview of an appendix identifying services associated with synchronous telemedicine reporting. Describes the communication mode and general appendix purpose.
What You Will Learn
- How CPT symbols are organized and updated over time
- What kinds of modifier updates were highlighted in this coding update
- How appendix changes affect the layout and supporting material in CPT
- Which general topics are covered in the 2017 update to CPT notation and appendices
Who Should Read This
- Medical coders
- Coding educators
- Billing and reimbursement staff
- Practice managers
- Compliance staff
Codes Discussed
Modifiers Discussed
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