№ lp_2_3_25865
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This document provides detailed guidelines for formatting and submitting proposals for changes to the CPT (Current Procedural Terminology) code set.
Year:
2026
Region / City:
USA
Topic:
Medical Coding
Document Type:
Instructional Guide
Organization / Institution:
American Medical Association
Author:
American Medical Association
Target Audience:
Healthcare professionals involved in medical coding
Period of Validity:
Ongoing
Approval Date:
Not specified
Date of Changes:
Not specified
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The product description is provided for reference. Actual content and formatting may differ slightly.
Year:
2022
Region / City:
Fort Lauderdale, FL
Theme:
Curricular Practical Training, Academic Internship
Document Type:
Form
Organization / Institution:
Nova Southeastern University
Author:
Office of International Affairs
Target Audience:
Undergraduate Students
Period of Validity:
Not specified
Approval Date:
April 2022
Date of Changes:
Not specified
Year:
2016
Region / City:
Chicago, IL
Topic:
CPT Editorial Panel Actions
Document Type:
Summary
Organization / Institution:
American Medical Association (AMA)
Author:
CPT Editorial Panel
Target Audience:
Medical professionals, applicants, and interested parties
Effective Period:
May 2016
Approval Date:
June 10, 2016
Change Date:
June 24, 2016
Year:
2017
Note:
Region / City
Topic:
Colorectal cancer screening, medical diagnostics
Document Type:
Clinical guideline
Organization / Institution:
HERC
Target Audience:
Healthcare professionals, medical reviewers
Approval Date:
November 2017
Year:
2026
Region / City:
United States
Topic:
Hearing Aid Services, Medical Coding
Document Type:
Informational Letter
Organization / Institution:
[Name of State Medicaid program or private health insurance plan]
Author:
[Your Name]
Target Audience:
Healthcare Providers, Audiologists, Medicaid and Private Health Insurance Program Administrators
Period of Effectiveness:
From January 1, 2026
Approval Date:
N/A
Revision Date:
N/A
Jurisdiction:
North Carolina, United States
Subject:
NC I/DD Waiver Benefit and Mental Health Services
Document Type:
Supplemental statistical and coding tables
Statistical Measure:
Risk Ratio (95% CI) with P-values
Geographic Unit:
County-level random intercepts
Clinical Classification System:
ICD-10-CM
Service Coding Systems:
CPT, HCPCS, Revenue Codes
Outcomes Defined:
Emergency Department Visit
Content Includes:
Diagnoses of interest, comorbid conditions, screening codes, treatment codes
Year:
2026–2027
Subject:
ICD-10-CM diagnosis code changes and CPT obstetric coding revisions
Type of document:
Coding update bulletin
Relevant specialties:
Maternal Fetal Medicine (MFM), Obstetrics
New ICD-10-CM Codes (2026):
487
Revised ICD-10-CM Codes (2026):
38
Deleted ICD-10-CM Codes (2026):
28
Effective date (ICD-10-CM changes):
October 1, 2026
Approved changes (CPT Editorial Panel):
September 2025
Effective date (CPT obstetric changes):
January 1, 2027
Issuing/related organizations:
Centers for Medicare & Medicaid Services (CMS); American Medical Association (AMA); Society for Maternal-Fetal Medicine (SMFM); American College of Obstetricians and Gynecologists (ACOG)
Audience:
Maternal Fetal Medicine clinicians and coders
Referenced resources:
2026 ICD-10-CM Addendum; September 2025 CPT Editorial Panel Summary of Actions
Year:
2025
Region / City:
United States
Topic:
Audiology and Hearing Aid Procedures
Document Type:
Procedure Codes List
Organization:
American Medical Association
Author:
American Medical Association
Target Audience:
Healthcare professionals
Period of Validity:
2025
Approval Date:
2025
Date of Changes:
Not specified
Year:
2022
Region / City:
Not specified
Subject:
Medical coding and documentation
Document type:
Coding portfolio project
Institution / Organization:
Not specified
Author:
Rodney Balbo (patient case)
Target audience:
Healthcare coding students or professionals
Period covered:
Weeks 2–6
ICD-10-CM Codes:
S01.01XA, W18.2XXA, G44.309, I10, R53.83, R40.0, S06.5X0A, Z48.811
CPT Codes:
12002, 99215, 70552, 61312, 61316, 00211, 62146, 62148, 00215
HCPCS Level II Codes:
N/A, A9585
APC Codes:
19991
Procedures described:
Laceration repair, office visit for headache, MRI brain with contrast, craniectomy, cranial bone graft, cranioplasty with autograft
Medical conditions:
Traumatic head injury, brain hematoma, post-traumatic headache, controlled hypertension, drowsiness
Year:
2018
Region / City:
United States
Topic:
Ultrasound, Medical Imaging
Document Type:
Guidelines
Organization:
HERC
Author:
HERC staff
Target Audience:
Medical professionals, healthcare policy decision-makers
Effective Period:
November 2018
Approval Date:
November 2018
Date of Changes:
November 2018
Contextual Description:
Medical guideline detailing CPT codes for ultrasound with microbubbles in non-cardiac imaging applications, with emphasis on FDA approval status and evidence review.
Year:
2018
Region / City:
USA
Topic:
Minimally Invasive Percutaneous Interventions for Low Back Pain
Document Type:
Coverage Guidance
Organization / Institution:
HERC
Author:
Evidence-based Guidelines Subcommittee (EbGS)
Target Audience:
Healthcare providers, insurance companies
Effective Period:
January 2018
Approval Date:
1/18/2018
Amendment Date:
N/A
Year:
2020
Region / City:
United States
Subject:
Reproductive Health Care, Family Planning Services
Document Type:
List
Organization / Institution:
American Medical Association (AMA)
Author:
American Medical Association (AMA)
Target Audience:
Healthcare providers, family planning agencies
Period of Validity:
Not specified
Approval Date:
September 2020
Date of Changes:
Not specified
Year:
2026
Region / City:
Not specified
Theme:
Medical, Oncology, Breast Cancer
Document Type:
Medical Reference
Organization / Institution:
Not specified
Author:
Not specified
Target Audience:
Medical Professionals
Effective Period:
Not specified
Approval Date:
Not specified
Date of Modifications:
Not specified
Year:
2021
Region / City:
USA
Topic:
Audiology procedures and diagnostic codes
Document Type:
Medical reference document
Institution:
American Medical Association
Author:
Not specified
Target Audience:
Healthcare professionals, audiologists, insurance providers
Period of Validity:
Not specified
Approval Date:
Not specified
Revision Date:
Not specified
Year:
2021
Region / City:
N/A
Topic:
Medical Coding, CPT, ICD-10-CM, Billing and Coding Guidelines
Document Type:
Portfolio Project
Organization / Institution:
N/A
Author:
Claudia Gjondla
Target Audience:
Medical Billing and Coding Students
Period of Validity:
N/A
Approval Date:
N/A
Date of Modifications:
N/A
Contextual description:
Medical coding portfolio for a healthcare course detailing the coding of E/M, CPT, ICD-10-CM, lab tests, and imaging services based on specific patient encounters and procedures.
Course:
MCCG222 – Advanced CPT and HCPCS Level II Coding
Project Type:
Coding Portfolio Project
Subject:
Rodney Balbo
Weeks Covered:
Week 2, Week 3, Week 4, Week 5
Clinical Settings:
Emergency Room, Office Visit, Imaging Service, Outpatient Surgery
Coding Systems:
ICD-10-CM, CPT, HCPCS Level II
Procedures Documented:
Laceration repair, Office evaluation and management, MRI of the brain with contrast, Craniectomy for subdural hematoma evacuation
Diagnoses Referenced:
Scalp laceration, Headache (unspecified and post-traumatic), Somnolence, Essential hypertension, Traumatic subdural hemorrhage
External Causes Referenced:
Fall in bathtub, Unspecified fall
Medical Necessity Reference:
LCD Article ID L35175
APC Code:
19991
Note:
Year
Theme:
Education, Early Years Inspection
Document Type:
Audit Tool
Organization / Institution:
Ofsted
Target Audience:
Early Years Providers, Educators
Year:
2019
Region / City:
Ireland
Field of Study:
Education, Further Education and Training
Document Type:
Guidance Document
Institution:
QQI (Quality and Qualifications Ireland)
Author:
Not specified
Target Audience:
Providers of further education and training programmes
Period of validity:
5 years
Approval Date:
Not specified
Date of Changes:
Not specified
Year:
2021
Region / City:
Ireland
Theme:
Education, Program Validation
Document Type:
Guidelines
Institution:
Quality and Qualifications Ireland (QQI)
Target Audience:
Programme providers, education institutions
Period of Validity:
Not specified
Approval Date:
Not specified
Date of Changes:
Not specified
Note:
Contextual Description
Year:
2019
Region / City:
Ireland
Topic:
Programme Validation
Document Type:
Guideline
Institution:
QQI
Author:
Not specified
Target Audience:
Programme providers seeking QQI validation
Period of Validity:
5 years
Approval Date:
Not specified
Amendment Date:
Not specified