How Do you Determine the Right CPT Code for a Service?

CPT code selection requires matching the service provided to the most specific code description available. Review the complete code description, including any parenthetical notes and code-specific guidelines. Consider the anatomical location, approach, and extent of the service. Check for bundling rules and mutually exclusive edits that might require modifiers. When multiple codes could apply, select the one that most accurately describes the work performed. Regular training on coding updates and specialty-specific coding guidelines helps ensure accuracy.