CPT code
Pronunciation: see-pee-tee
Also written as: CPT — Current Procedural Terminology
A standardized coding system used to describe medical procedures and services for billing and documentation purposes.
Full Definition
Current Procedural Terminology (CPT) codes are a uniform coding system developed by the American Medical Association to describe medical, surgical, and diagnostic services. In occupational therapy, specific CPT codes are used to bill for different types of interventions, evaluations, and consultations. Common OT codes include evaluation codes (97165-97167), therapeutic activity codes (97530), and self-care training codes (97535). Proper CPT code selection requires matching the code description to the actual service provided and ensuring adequate documentation supports the billed service. Incorrect coding can result in claim denials, audits, or compliance issues.
Usage
Usage note: Always verify current year codes as CPT codes are updated annually; distinguish from diagnostic ICD codes.
In Context
- "CPT code 97530 was used to bill for the therapeutic activity focused on meal preparation skills." — Billing documentation
- "The evaluation was coded using CPT 97167, reflecting the high complexity of the client's condition." — Insurance authorization