All terms
CPT Codes
AMA-maintained codes that describe medical procedures and services.
Reviewed by Christian Espinosa, Founder, Blue Goat CyberLast reviewed May 5, 2026
Definition
Current Procedural Terminology codes are five-digit numeric codes maintained by the American Medical Association that describe physician and other professional services. Category I codes are permanent; Category III codes are temporary tracking codes for emerging services.What this means in practice
Without an applicable CPT code, physicians cannot bill for procedures involving a new device. Securing a Category III code is often the first reimbursement milestone; conversion to Category I follows demonstrated utilization and evidence. Common pitfalls
- •Assuming an existing CPT code adequately describes a novel procedure - payers can deny based on miscoding.
Related terms
Shared paths + categoryReimbursement
HCPCS Codes(HCPCS)
CMS-maintained codes for products, supplies, and services not in CPT.
Reimbursement & Market Access · adjacent
Reimbursement
New Technology Add-On Payment(NTAP)
Supplemental Medicare payment for inpatient use of qualifying new technologies.
Reimbursement & Market Access
Reimbursement
Category III CPT Code
Temporary CPT code for emerging technologies and services.
Same category
Reimbursement
Current Procedural Terminology Codes(CPT)
AMA-maintained codes used to report medical procedures and services for billing.
Reimbursement & Market Access · adjacent
Reimbursement
Budget Impact Model(BIM)
Financial model that estimates the total cost consequences of adopting a new technology to a payer's budget over a defined horizon.
Reimbursement & Market Access
Reimbursement
Health Technology Assessment(HTA)
Systematic evaluation of clinical and economic value of a health technology.
Reimbursement & Market Access
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Primary references
2 sourcesLink health: 2 verified· last checked 2026-06-20
AMA·1AdvaMed·1
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