CPT - Current Procedural Terminology
The CPT Editorial Panel is engaged in an ongoing process improvement effort which currently includes re-examination of the CPT Category I and Category III criteria. Based on these efforts periodic changes to this website should be expected. Please be sure to contact CPT staff if you have any questions.
CPT® RUC Schedule
Calendar for the CPT Editorial Panel process and the AMA-Specialty Society RVS Update process
Telehealth Services Workgroup
The AMA is pleased to announce the formation of a CPT® Telehealth Services Workgroup, which will be chaired by members of the CPT Editorial Panel. The workgroup will be comprised of relevant medical specialties/organizations and industry stakeholders. The workgroup will recommend additions and changes to the CPT code set related to medical services utilizing telehealth technology. The charge of this ad-hoc workgroup is to:
- Recommend solutions for the reporting of current non-telehealth services when using remote telehealth technology (to include but not limited to E/M services). Considerations will include potential new codes, use of current codes without or with modifier, add-on code(s).
- Address the accuracy of current code set in describing the services provided when telehealth data is reviewed and analyzed, including potential code set revisions and/or education for:
- Appropriate code use (e.g., E/M versus data analysis codes);
- Potential code development to report analysis of transmitted data;
- Definition of data types whose interpretation will require differentiation and consideration of separate reporting of current E/M services/codes
- Potential new E/M services codes based on emerging new patterns for sites of service.
- Recommend whether any other telehealth service codes should be developed based upon services currently being provided.
- Develop new introductory language or modify existing introductory language to guide coding of telehealth services.
The workgroup will also help facilitate discussions with key stakeholders who may wish to bring forward telehealth services applications for consideration. According to the CPT Editorial Panel AdHoc Workgroup Organizational Structure and Processes guidance, all workgroup recommendations will be presented in a Code Change Application(s) for consideration by the CPT Editorial Panel. Participation in the Telehealth Services Workgroup does not preclude the submission of a separately developed code change application for consideration by the Editorial Panel.
If you are interested in participating in the CPT Telehealth Services Workgroup, please submit a written statement that provides your rationale for participation in this workgroup and a brief description of your particular expertise that would ensure the success of the workgroup. Please submit your written response with the relevant information by September 4, 2015, to firstname.lastname@example.org by return email.
If selected, you will be notified via email by AMA staff of upcoming Telehealth Services Workgroup meetings, which will include one or more teleconference meetings among workgroup members (specific dates to be determined). In addition, a face-to-face meeting will be held in Philadelphia, PA during the October 2015 CPT Editorial Panel meeting.
The workgroup seeks input from individuals who can provide the technical expertise regarding telehealth services to assure the ongoing relevance of the CPT code set. Participation in this workgroup is limited to parties with demonstrated expertise relevant to current telehealth technology and the clinical procedural aspects of telehealth services/procedures. Participants are expected to perform or represent those who perform the services under consideration by the workgroup and have the expertise and interest necessary to contribute to the workgroup. Participation is intended to provide expertise relating to general categories of telehealth and not to advance the proprietary interests of specific parties. As such, preference will be granted to professional and trade organizations that reflect a category of telehealth services rather than a single product. Applicants will be notified of the composition of the Telehealth Services Workgroup during the week of September 14-18.View some background information on Telehealth Services.
CPT Editorial Panel Meeting
Registration is now open for the October, 2015 CPT Editorial Panel Meeting which will be held at the Loews Philadelphia Hotel, Philadelphia, PA.
Scheduling Discussion of Agenda Items
Sometimes requests are received for the Panel to plan discussion of an item of business in order to accommodate the schedule of presenters. While we try to work with the needs of those participating in the meeting, we are unable to guarantee when an item of business will be brought before the Panel. To ensure that the agenda flows smoothly, presenters should plan to be present for the entire meeting schedule.
The Calendar of Upcoming CPT Editorial Panel meetings shows the meeting dates through September,2017, locations, and other dates pertinent to each meeting.
Important Dates and Deadlines for the Upcoming CPT Editorial Panel Meeting:
|Dates of the upcoming CPT Editorial Panel Meeting||October 8 - 10, 2015|
|Location of upcoming CPT Editorial Panel Meeting||Loews Philadelphia Hotel
|Deadline for Submitting Coding Change Applications||July 8, 2015|
|Deadline for posting the meeting agenda to the public AMA/CPT website||August 8, 2015|
|Online Registration opens for Editorial Panel Meeting||August 10, 2015
|Online Registration opens for Hotel Lodging||August 10, 2015
|Deadline for Submitting Coding Change applications for February, 2016 CPT Editorial Panel Meeting||November 4, 2015|
Molecular Pathology Coding Workgroup (MPCW)
The AMA invites you to attend a meeting of the Molecular Pathology Coding Workgroup (MPCW).
Along with the regular business of the MPCW, the AMA plans to continue the discussion regarding the coding provisions within the Protecting Access to Medicare Act (PAMA) and their implementation in the Medicare Clinical Diagnostic Laboratory Tests Payment System proposed rule. The AMA is interested in engaging all interested stakeholders to gain insight into key issues specific to coding for diagnostic laboratory tests under PAMA and to discuss the role of CPT presented in the proposed rule.
The meeting will start with a general working session of the MPCW and move to the PAMA coding discussion. The MPCW will meet on Thursday, October 8, 2015 from 12:00 pm - 1:00 pm (eastern) at the Loews Philadelphia Hotel, 1200 Market St., Philadelphia, PA. This meeting is being held in conjunction with the AMA CPT Editorial Panel meeting (Thursday, Friday and Saturday, October 8-10, 2015).
If you are unable to attend the MPCW meeting and wish to participate via conference call, please email Judy Connelly as soon as possible. If you plan to participate via conference call, you will need to complete a Confidentiality agreement and return it no later than October 2, 2015. Please email or fax (312) 224-6916 the form to Judy Connelly. After October 5th, we will be unable to add you to the security list for access to the call.
Slides from the May, 2015, meeting of the MPCW are available.
Quantitative Drug Testing Workgroup (QDTW)
The Quantitative Drug Testing Workgroup Notice contains the new, revised and deleted codes in the Drug Testing, Therapeutic Drug Assay, and Chemistry sections. These codes will be effective January 1, 2015.
CPT® Process - How a Code Becomes a Code
Did you ever wonder how CPT codes are created and how the code set is maintained? This section provides a brief overview and history of CPT, the process of code request submission and review, and the roles that the Panel and Advisory Committee groups have in the process.
CPT® Process Rules
The CPT Process Rules documents are provided for reference for those individuals participating in the CPT Editorial or Workgroup processes to provide an understanding of the standards and expectations in place to ensure the integrity and quality of the CPT Code process and the resulting CPT code set.
These are the current versions of the CPT Process Rules Documents. The CPT Editorial Panel is engaged in an ongoing process improvement effort which currently includes re-examination of the CPT Category I and Category III criteria. Based on these efforts periodic changes to this website should be expected. Please be sure to contact CPT staff if you have any questions.
- CPT Editorial Panel AdHoc Workgroup Organizational Structure and Processes
- Review of CPT Editorial Panel Actions - Requests for Reconsideration
- Application FAQ's
- Statement on Lobbying
- CPT Editorial Panel Conflict of Interest Policy
- CPT Editorial Panel Confidentiality Agreement for Attendance at Meetings
- Guidelines for Medical Specialty Societies' Coding and Nomenclature Committees
- Guidance for CPT HCPAC Advisors
Preparing, Reviewing and Commenting on Applications, Educating your Society and Coordinating with your Society's RUC Advisors
Transforming Molecular Diagnostic Testing and Advancing Personalized Medicine
CPT CodeBridge™ is new system to map Z-Code™ Identifiers to Current Procedural Terminology (CPT®) codes. Detailed information is available on the CPT CodeBridge™ page.
Sign up to receive email notification when changes are posted to the AMA website for CPT Announcements, Category II codes, Category III codes, Vaccine codes, Errata and Panel Agenda Proposals and Subsequent Actions. You may also receive notice when registration opens for the CPT Editorial Panel meeting.
The CPT® Network is an internet-based system that provides members and subscribers the tools to quickly research a database of commonly asked questions and clinical examples (vignettes). If the answer to a specific question cannot be found in the database, authorized users will have the capability to submit an electronic inquiry using a standardized form directly to the staff of CPT coding experts.
CPT® products and services
Information on AMA's CPT Products and Services. Downloadable copies of the CPT, ICD-9-CM and HCPCS files are available for purchase.
The AMA is committed to making CPT widely available at low cost. The AMA holds copyright on CPT and use or reprinting of CPT in any product or publication requires a license. License applications are available here.
HCPCS - Special announcements and reports
ICD-9-CM 2009 product updates and errata
Post-publication updates for the ICD-9-CM products shows the code application names, code(s) affected, and a description of the request. During the time period between now and the Panel meeting, the agenda will, most likely, be modified to reflect changes – additions, deletions or updates. Please check back frequently for the most up to date information.