cpt code

cpt_cd

claims

Updated 5/16/2026

Definition

A five-character alphanumeric code from the AMA Current Procedural Terminology code set used in EHR, claims, and clearinghouse systems to standardize reporting of medical, surgical, and diagnostic procedures. Required on CMS-1500 and UB-04 claim forms for provider reimbursement and used in utilization analysis across payer and EHR platforms.

Standard Abbreviation

cpt_cd

Database Usage

-- Example column naming
CREATE TABLE claims (
  clm_id VARCHAR(50),
  cpt_cd VARCHAR(5),  -- cpt code (max 5 chars)
  ...
);

-- Example in SELECT
SELECT
  clm_id,
  cpt_cd as cpt_code
FROM claims;

Common uses in healthcare data

Claims adjudication and remittance processing
837P/837I/837D claim file parsing and validation
Revenue cycle management and denial analytics
CMS cost report and Medicare cost reporting
Payer contract performance and underpayment analysis

Example database column name

ISO-11179 snake_case standard

-- Recommended column name
cpt_cd

-- Example DDL
CREATE TABLE healthcare_data (
  record_id   VARCHAR(50)   NOT NULL,
  cpt_cd       VARCHAR(5),  -- cpt code (max 5 chars)
  created_dt  TIMESTAMP     NOT NULL DEFAULT NOW()
);

Column names follow the ISO-11179 naming convention: lowercase, underscore-separated, using the standard abbreviation as a prefix where applicable.

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