How are CPT codes generally structured?

CPT codes are designed to facilitate a uniform language for reporting medical procedures and services. They are structured in a 5-digit format, which allows for a comprehensive classification of a wide array of medical services. The five digits represent specific procedures or services provided by healthcare professionals.

Moreover, while the core 5-digit code identifies the procedure, it may also be accompanied by modifiers. Modifiers are two-digit codes that provide additional information about the service provided, such as whether a procedure was altered in some way or if multiple procedures were performed on the same day. This level of detail is crucial for precise billing and coding, ensuring that claims submitted to insurance payers accurately reflect the services provided.

The correct structure of CPT codes ensures that healthcare providers can communicate effectively about the medical services rendered, thus streamlining the billing process and reducing the potential for errors in claims.