Hospital & Healthcare Management July 23, 2025

As the US healthcare system speeds up its pivot from volume to value, one crucial tool, which is often overlooked in mainstream discourse, is slowly but surely going through a necessary shift—the current procedure terminology, CPT code set. Developed as well as maintained by the American Medical Association (AMA), the CPT code set has long been the lingua franca when it comes to healthcare billing, enabling communication between payers, providers, and patients. However, as the sector moves towards value-based care models, this vulnerable classification system has to evolve not only to track services that are rendered but also to become a dynamic enabler when it comes to quality healthcare that’s outcome-driven.

In a spectrum that is increasingly driven by data...

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