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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

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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.

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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.