As the trusted authority behind CPT® guidance and insights, the American Medical Association continues to enhance its suite of CPT solutions to support confident coding decisions across the health care ecosystem. Accurate coding does more than support billing, it strengthens the data that informs research, policy and clinical workflows.
CPT® Intelligence combines robust, structured and highly attributed information from CPT® Refresh Premium with the rich contextual coding guidance of CPT® Assistant, CPT® Vignettes and CPT® Knowledge Base. When integrated into health care technology platforms, the solution will provide guidance to address coding questions, reduce complexity and enable coding accuracy at scale.
Bundling the products will enable an integrated capability that allows users to search across the existing CPT products and find the answers they need faster. CPT Intelligence supports queries using questions, keywords or a specific CPT code to surface coding insights across large complex datasets. Results will be relevance-ranked and prioritized, improving the accuracy and usability of the answers.
For end users
- Clinicians and coders benefit from coding guidance to enhance the next generation of workflows, coding, analytics and care management
- Revenue cycle management staff will be able to access information at the time of claims creation including order guidance aligned to coverage rules
- Access to the most current coding guidance and information
For health tech platforms
- Single API endpoint to embed CPT guidance and code information into platform
- CPT Intelligence leverages human inputs—not just keywords—to surface coding insights across large complex data sets
- Standardized response structure and search logic for simpler integration
- CPT Assistant contains over 35 years of educational content, updated monthly via the CPT Assistant publication, to provide detailed explanations, coding tips and clinical examples for the proper application of CPT codes.
- CPT Knowledge Base* is a centralized database of over 4,000 commonly asked coding questions thoughtfully answered by CPT experts which include the CPT Assistant Editorial Board and the AMA CPT Advisory Committee.
- CPT Vignettes*provide the authoritative clinical coding scenarios and comprehensive descriptions of services or procedures involved for the majority of CPT codes for the typical patient, providing clarity on the intended use of the CPT code for end users.
- CPT Refresh Premium simplifies the implementation of CPT code changes with structured data that integrates easily into existing workflows. It also informs coding workflows by providing rich contextual information from CPT® Professional Edition to educate on the appropriate use of CPT codes not only for billing, but also for data quality, research, interoperability and other functions. Users can navigate codes with confidence using relationship-driven data and contextual insights that enable intuitive search.
CPT Intelligence supports the work of technology vendors and their valued customers. Clinical and operational health technology vendors can maintain coding guidance internally by relying on continuously updated, authoritative content managed by the AMA. Clinical and operations professionals at health care organizations can trust that they are receiving guidance based on primary source CPT citations.
*CPT Knowledge Base and CPT Vignettes are exclusively included in the CPT® Advanced Coding Pack and are not available separately.
