Claims

The kidney function marker for a current procedural terminology code. Used in healthcare data management and clinical workflows. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for cpt management and reporting.

The calendar date associated with a CPT code event or transaction in a healthcare data system. Typically represents the date a procedure was performed or a code was applied in claims processing, supporting accurate service date reporting on medical claims and remittances.

The combined date and time value capturing when a CPT code event occurred or was recorded in a healthcare data system. Used in claims and clinical data workflows to precisely sequence procedural events, supporting accurate billing, auditing, and temporal analysis of procedure codes.

The Drug Enforcement Administration registration number associated with a CPT code record, typically linking a controlled substance procedure to a licensed prescriber or facility. Used in pharmacy and clinical claims workflows to validate DEA authorization for procedures involving controlled substances.

The date of death for a current procedural terminology code. Used to track temporal information related to cpt death date. This field is commonly used in electronic health records (EHR), healthcare information systems (HIS), and clinical data warehouses for cpt management and reporting.

The dollar amount applied toward a member's annual deductible for a specific CPT-coded procedure. Used in claims adjudication to calculate patient cost-sharing obligations, determining how much of a procedure charge the member must pay before insurance benefits take effect.

The date on which a CPT code record was logically removed or inactivated in the healthcare data system. Used in claims and coding management to maintain historical audit trails, tracking when procedural codes were retired or removed from active use in billing workflows.

The official human-readable text narrative associated with a CPT code, as defined by the American Medical Association. Used in claims processing, remittance reporting, and clinical documentation to clearly communicate the nature of a billed medical procedure or service to payers and patients.

Supplementary information associated with a specific CPT code record in a healthcare data system. Captures granular procedural attributes beyond the standard code and description, supporting detailed claims adjudication, clinical documentation, and reporting on specific procedural parameters in billing workflows.

The deadline by which payment or action related to a CPT-coded procedure claim must be completed. Used in claims billing and accounts receivable workflows to track outstanding procedure-level charges, supporting timely reimbursement follow-up and revenue cycle management for submitted claims.

The electronic mail address associated with a CPT code record or the responsible party linked to that procedural entry. Used in claims administration and coding communication workflows to route notifications, correspondence, or billing inquiries related to specific procedural codes to the appropriate contact.

The date marking the conclusion of a CPT code's applicability, validity period, or associated service in a healthcare data system. Used in claims processing and fee schedule management to define when a procedural code or its associated rate is no longer effective for billing purposes.

The time at which a CPT-coded procedure or service concluded. Used in clinical and claims data systems to capture procedure duration when combined with start time, supporting accurate billing for time-based CPT codes such as anesthesia and certain evaluation and management services.

Identifies the user who manually keyed or submitted a CPT code record into the healthcare data system. Used in claims and coding workflows to maintain entry-level audit accountability, distinguishing the data entry individual from the original creator in multi-step coding and billing processes.

The ethnicity classification associated with a patient encounter linked to a CPT code record. Used in clinical and claims data analysis to support population health reporting, quality measure stratification, and health equity monitoring across procedure utilization patterns by demographic group.

The date after which a CPT code is no longer valid for use in claims submission or clinical documentation. Used in billing and fee schedule management to enforce AMA code set updates, preventing submission of retired or invalid procedural codes that would result in claim denials.

A reference identifier assigned to a CPT code record by an external system, such as a payer, clearinghouse, or third-party coding platform. Used to cross-reference and reconcile CPT code data across multiple healthcare information systems during claims processing, audits, and data integration workflows.

The facsimile number associated with a contact or entity linked to a CPT code record in a healthcare data system. Used in claims administration and coding communication workflows to facilitate transmission of procedure-related documentation, prior authorizations, or billing correspondence to payers and facilities.

The charge amount assigned to a specific CPT code representing the cost of a medical procedure or service. Used in claims billing and fee schedule management to establish the billed amount submitted to payers, forming the basis for reimbursement calculation and patient cost-sharing determinations.

The first segment of a descriptive label assigned to a CPT procedure code in the AMA code set. Used in claims processing and clinical reporting to render the procedure name in a readable format when full descriptions are truncated or split across name fields.