The American Medical Association (AMA) first developed and published CPT in 1966. The first edition helped encourage the use of standard terms and descriptors.

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Presentation transcript:

The American Medical Association (AMA) first developed and published CPT in The first edition helped encourage the use of standard terms and descriptors to document procedures in the medical record; helped communicate accurate information on procedures and services to agencies concerned with insurance claims; provided the basis for a computer oriented system to evaluate operative procedures; and contributed basic information for actuarial and statistical purposes. The first edition of CPT contained primarily surgical procedures, with limited sections on medicine, radiology, and laboratory procedures.

في العام حيث ساعدت الطبعة الأولى في تشجيع استعمال المصطلحات القياسية والوصفات لتوثيق الإجراءات في السجلات الطبية، كما ساعدت في توصيل معلومات دقيقة عن الإجراءات والخدمات إلى الجهات المعنية مع متطلبات التأمين، ووفرت الأسس لنظم الكمبيوترالموجهة لتقييم الإجراءات التنفيذية، وساهمت في إعداد المعلومات الأساسية للأغراض الإحصائية. وقد احتوت الطبعة الأولى من CPT في المقام الأول على الإجراءات الجراحية، مع أقسام إضافية محدودة في مجال الأشعة والإجراءات المختبرتية.

The second edition was published in 1970, and presented an expanded system of terms and codes to designate diagnostic and therapeutic procedures in surgery, medicine, and the specialities. At that time, a five-digit coding system was introduced, replacing the former four- digit classification. Another significant change was a listing of procedures relating to internal medicine. والطبعة الثانية نشرت عام 1970 ، والتي قدمت نظام موسع للمصطلحات والرموز لتعيين الإجراءات التشخيصية والعلاجية في الجراحة وجميع التخصصات الطبية. في هذا الوقت، تم إدخال نظام الترميز بخمسة أرقام، ليحل محل التصنيف السابق المكون من أربعة أرقام. وقد حدث تغيير آخر كبير أيضا على قائمة الإجراءات المتعلقة بالطب الباطني.

In the mid to late 1970s, the third and fourth editions of CPT were introduced. The fourth edition, published in 1977, represented significant updates in medical technology and a system of periodic updating was introduced to keep pace with the rapidly changing medical environment. في منتصف وأواخر عام 1970 ، أدخلت الطبعات الثالثة والرابعة من CPT. الطبعةالرابعة نشرت في عام 1977 ، وقدمت تحديث مهم في إدخال التكنولوجيا الطبية ونظام التحديث الدوري لمواكبة التغير السريع للبيئة الطبية.

In 1983, CPT was adopted as part of the Centers for Medicare and Medicaid Services (CMS), formerly Health Care Financing Administration's (HCFA), Healthcare Common Procedure Coding System (HCPCS). With this adoption, CMS mandated the use of HCPCS to report services for Part B of the Medicare Program. In October 1986, CMS also required state Medicaid agencies to use HCPCS in the Medicaid Management Information System. In July 1987, as part of the Omnibus Budget Reconciliation Act, CMS mandated the use of CPT for reporting outpatient hospital surgical procedures. وفي عام 1983 اعتمدت CPT كجزء من مراكز الرعاية الصحية والخدمات الطبية (CMS) ، التي كانت سابقا إدارة التمويل للرعاية الصحية (HCFA) ، والرعاية الصحية نظام الترميز الداخلي الموحد (HCPCS). مع هذا التبني تم تكليف CMS باستخدام HCPCS لخدمات التقرير عن الجزء (B) من برنامج الرعاية الطبية. وفي أكتوبر 1986 طالبتً CMS وكالات المعونة الطبية باستخدام نظام HCPCS في المعلومات الطبية لنظام الإدارة. في 7/1987 وكجزء من قانون المصالحة للميزانية الجامع كلف CMS باستخدام CPT للإبلاغ عن العمليات الجراحية للمرضى الخارجيين في المستشفى

Today, in addition to use in federal programs (Medicare and Medicaid), CPT is used extensively throughout the United States as the preferred system of coding and describing health care services.. اليوم، بالإضافة إلى استعمالها في البرامج الاتحادية (الرعاية الصحية والطبية)، يستخدم CPT على نطاق واسع في جميع أنحاء الولايات المتحدة ويعتبر النظام المفضل للترميز وفق وصف خدمات الرعاية الصحية. كما أن معرفة ترميز CPT يمكن أن يتم استعماله في المكاتب الطبية في التسجيل والفوترة وسجلات أقسام المستشفى، وشركات التأمين الصحي كل على حد سواء. وقد قسمت إلى ثلاث أجزاء: * الفئة الترميز الأولى I)CPT). * فئة الترميز الثانية (II) CPT)– قياس الأداء. * فئة الترميز الثالثة (III) – التكنولوجيا المستجدة. وحالياً يتم استخدام المستوى 1 من نظام ترميز إجراءات الرعاية الصحية

HIPAA and CPT The Administrative Simplification Section of the Health Insurance Portability and Accountability Act (HIPAA)of 1996 requires the Department of Health and Human Services to name national standards for electronic transaction of health care information. This includes; transactions and code sets, national provider identifier, national employer identifier, security, and privacy. The FinalRule for transactions and code sets was issued on August 17, The rule names CPT (including codes and modifiers) and HCPCS as the procedure code set for:

Physician services. Physical and occupational therapy services. Radiological procedures. Clinical laboratory tests. Other medical diagnostic procedures. Hearing and vision services. Transportation services including ambulance. The Final Rule also named ICD-9-CM volume 1 and 2 as the code set for diagnosis codes, ICD- 9-CM volume 3 for inpatient hospital services, CDT for dental services, and NDC codes for drugs.