Developing current procedural terminology codes that describe the work performed by machines

Richard A Frank; Robert Jarrin; Jordan Pritzker; Michael D Abramoff; Michael X Repka; Pat D Baird; S Marlene Grenon; Megan Ruth Mahoney; John E Mattison; Ezequiel Silva 3rd

doi:10.1038/s41746-022-00723-5

Developing current procedural terminology codes that describe the work performed by machines

NPJ Digit Med. 2022 Dec 3;5(1):177. doi: 10.1038/s41746-022-00723-5.

Authors

Richard A Frank^{1

2}, Robert Jarrin^{3

4}, Jordan Pritzker^{3

5}, Michael D Abramoff^{3

6

7}, Michael X Repka^{3

8}, Pat D Baird^{3

9}, S Marlene Grenon^{3

10}, Megan Ruth Mahoney^{3

11}, John E Mattison^{3

12}, Ezequiel Silva 3rd^{3

13

14}

Affiliations

¹ American Medical Association's Digital Medicine Payment Advisory Group (DMPAG) AI Workgroup, American Medical Association, Chicago, IL, USA. [email protected].
² Frank Healthcare Advisors, LLC, Gainesville, FL, USA. [email protected].
³ American Medical Association's Digital Medicine Payment Advisory Group (DMPAG) AI Workgroup, American Medical Association, Chicago, IL, USA.
⁴ The Omega Concern, LLC, Washington, DC, USA.
⁵ CVS/Aetna, Inc., Hartford, CT, USA.
⁶ University of Iowa, Iowa City, IA, USA.
⁷ Digital Diagnostics, Inc, Coralville, IA, USA.
⁸ Johns Hopkins University School of Medicine, Baltimore, MD, USA.
⁹ Philips, Cambridge, MA, USA.
¹⁰ University of California San Francisco, Innovation Ventures, San Francisco, CA, USA.
¹¹ University of California San Francisco, San Francisco, CA, USA.
¹² Arsenal Capital Partners, New York, NY, USA.
¹³ South Texas Radiology Group, San Antonio, TX, USA.
¹⁴ UT Health San Antonio, Long School of Medicine, Department of Radiology, San Antonio, TX, USA.

Abstract

The "Taxonomy of Artificial Intelligence for Medical Services and Procedures" became part of the Current Procedural Terminology (CPT®) code set effective January 1, 2022. It provides a framework for discrete and differentiable CPT codes which; are consistent with the features of the devices' output, characterize interaction between the device and the physician or other qualified health care professional, and foster appropriate payment. Descriptors include "Assistive", "Augmentative", and "Autonomous". As software increasingly augments the provision of medical services the taxonomy will foster consistent language in coding enabling patient, provider, and payer access to the benefits of innovation.

Publication types

Review