Ultrasound Reimbursements & CPT Codes
Current Procedural Terminology (CPT) are numerical codes used to identify various medical procedures. These codes have many purposes but are not limited to: providing a uniform language for coding medical procedure, claims processing, developing guidelines and reporting to private health insurance programs.
There are three CPT code categories:
Category I CPT
Category I CPT codes are used to describe certain procedures or services. These codes are 5-digit numbers and are released annually.
Category II CPT
Category II CPT codes are used for performance measurement. These codes are optional and not required for accurate coding. Category II CPT codes are alphanumeric codes that are released three times a year.
Category III CPT
Category III CPT codes are temporary and are used for new and developing technology/procedures. These codes are typically used for data collection and often used in the FDA approval process. New alphanumeric codes are release twice a year.
CPT Code Management
The CPT editorial Panel, who is authorized by the AMA(American Medical Association), is responsible for updating and modifying coding rules, descriptions and guidelines.
GE Ultrasound Reimbursements
Please see the below links for more information regarding reimbursements and CPT codes for GE Ultrasound machines. These codes can be used for various areas of care but not limited to cardiovascular ultrasound, urology, point of care, sports medicine and women's healthcare. Ultrasound machines that can utilize these can include Vivid T9, Vivid S70, Vivid IQ, Nextgen Logiq e R8, Versana Premier, Versana Active and more.
Ultrasound CPT Codes
American Medical Association: CPT Application Frequently Asked Questions. www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billing-insurance/cpt/cpt-process-faq.pagewww.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billing-insurance/cpt/cpt-process-faq.page
U.S. Centers for Medicare and Medicaid Services: HCPCS—General Information. www.cms.gov/Medicare/Coding/MedHCPCSGenInfo/index.html
National Center for Biotechnology Information: CPT® Codes: What Are They, Why Are They Necessary, and How Are They Developed?