How CPT Code Set’s Public Process helps Health Innovation Thrive

The CPT Editorial Panel is an independent body of 21 volunteer physicians and other qualified health care professionals (QHPs) appointed by the AMA Board of Trustees. Operating autonomously and prioritizing openness and transparency, the Panel collects broad input from stakeholders across the health care community to ensure CPT content reflects the coding and data-driven demands of a modern health care system. The Panel is supported by over 200 advisers who are nominated by specialty societies. The Centers for Medicare & Medicaid Services (CMS) has an advisory role on the Panel, and representatives from the Food and Drug Administration and the Centers for Disease Control and Prevention were recently invited to the table.

Medigy Insights

In addition to facilitating innovation of digital health tools, CPT codes are foundational to value-based care models because they account for the medical services and procedures that physicians and QHPs deliver to patients. By capturing and communicating data associated with cost and quality measures, digitally enabled care and emerging technologies, and coordination of patient care, the CPT code set supports new and novel care delivery models.Care-management CPT codes are another example of how the CPT code set reflects current clinical practice. “We realized that practices were devoting a huge amount of time and effort into managing patients when they weren't face to face

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