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Developing current procedural terminology codes that describe the work performed by machines
Richard A Frank1,2, Robert Jarrin3,4, Jordan Pritzker3,5
1American Medical Association's Digital Medicine Payment Advisory Group (DMPAG) AI Workgroup, American Medical Association, Chicago, IL, USA. RichardFrankCPT@gmail.com.
NPJ Digital Medicine
|December 3, 2022
Summary
The new Artificial Intelligence for Medical Services and Procedures taxonomy, part of the Current Procedural Terminology (CPT®) code set, standardizes medical AI coding. This framework ensures consistent language for patient, provider, and payer benefits.
Area of Science:
- Medical Informatics
- Health Services Research
Background:
- Artificial intelligence (AI) is increasingly integrated into medical services.
- Current procedural coding systems require updates to reflect AI's role.
Purpose of the Study:
- To introduce the "Taxonomy of Artificial Intelligence for Medical Services and Procedures" adopted into the CPT® code set.
- To explain the framework's structure and its implications for medical coding and reimbursement.
Main Methods:
- Categorization of AI medical services using descriptors: "Assistive", "Augmentative", and "Autonomous".
- Integration of this taxonomy into the Current Procedural Terminology (CPT®) code set.
Main Results:
- Establishment of a standardized framework for AI medical service and procedure CPT codes.
- Codes are designed to align with device output, healthcare professional interaction, and payment policies.
Conclusions:
- The AI taxonomy provides consistent language for medical coding.
- Facilitates patient, provider, and payer access to innovations in AI-driven healthcare.
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