Using CPT Codes for Medical Billing

The Medical Billing module must be activated for the CPT codes to be visible. Just as CDT codes are used for billing dental insurance, Current Procedural Terminology (CPT®) codes are required for billing medical insurance. If your practice uses Sensei Cloud's Medical Billing feature, your procedure definitions provide a place to enter a corresponding CPT code, enabling the procedures to be included on Medical Billing claims.

Supported CPT Codes

For practices using the Medical Billing feature, Sensei Cloud currently supports the use of the Category I subset of AMA CPT codes.

The 6 main sections of CPT Category I codes are:

Evaluation & Management Services (99201–99499)
Anesthesia Services (01000–01999)
Surgery (10021–69990)
Radiology Services (70010–79999)
Pathology and Laboratory Services (80047–89398)
Medical Services and Procedures (90281–99607)

When a CPT code has been added to a procedure code, the CPT code and description can be used to search for a code when scheduling, planning, or posting.

Note: CPT-only and CPT cross-coded procedures are billable to medical plans.

To associate procedures with CPT codes:

On the Administration tab, select Procedures & Fees > Procedure List & Fee Schedule. The Procedure List & Fee Schedule is displayed, listing all the procedures for the practice, with the office code and description for each, CDT code and nomenclature, CPT code and description, treatment type, as well as the status, recare status, T/S/Q, total number of minutes, and fees.

Select a code in the list. The Update Procedure window is displayed for the code.

Use the CPT Code field to search for the appropriate medical cross-code. The CPT code and a description are displayed.

Note: You can search by code number or description, using a minimum of three characters for the search.

Make any necessary changes to the code.
Click Update.

Note: No default medical procedures are provided, but you can add them by creating new procedures, and then linking them to a CPT code instead of a CDT code, and selecting the appropriate treatment type.