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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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

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

  1. September 2017 pages 11-12

    Introductory publication details and the scope of the coding update. Covers general changes to CPT symbols, modifiers, and appendices.

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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.

  8. 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.

  9. 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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Boost Your Coding Precision with CPT Assistant

Welcome to the ultimate resource for mastering CPT coding – the CPT® Assistant. This indispensable tool, brought to you by the American Medical Association (AMA), is designed specifically for medical coders, auditors, and billers who strive for accuracy and efficiency in their daily work with patient charts. Whether you are validating codes, training staff, or appealing insurance denials, CPT Assistant provides the authoritative guidance you need to excel.

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  • Expert Insights: Explanations and interpretations by the CPT Assistant Editorial Board.

  • Curated Content: Articles addressing key coding topics are meticulously curated for your convenience.

  • Visual Learning: Detailed examples, charts, graphs and illustrations to help you understand correct coding practices.

  • Monthly Updates: Regular updates on the latest coding changes and best practices.

  • Extensive Archive: Access more than 25 years of historical reference material.

  • Search Capabilities: Enjoy simple and effective search functions by keyword, code number, or article index.

Advantages and Benefits

With CPT Assistant, you can navigate the complexities of medical coding with unparalleled confidence. This resource offers authoritative answers and expert explanations that help reduce coding errors, leading to fewer claim denials and streamlined appeals processes. The comprehensive archive of articles, updated monthly, ensures you always have the most current information at your fingertips, enhancing your ability to stay ahead of industry changes and trends.

CPT Assistant’s visual aids, such as anatomical illustrations and procedural charts, make complex codes easier to understand, improving your accuracy and efficiency. By integrating this resource into your daily workflow, you can save valuable time and enhance your productivity.

Furthermore, CPT Assistant supports your professional growth by providing ongoing education and insights that keep you informed about the latest coding practices. This not only boosts your professional credibility but also enhances your ability to train and support your team effectively.

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