Current Procedural Terminology (CPT®) 2012 has now provided a clear definition of a qualified health care professional. The definition is located in the Instructions for Use section of the book.

It is important to recognize that the listing of a service or procedure and its code number in a specific section of this book does not restrict its use to a specific specialty group. Any procedure or service in any section of this book may be used to designate the services rendered by any qualified physician or other qualified health care professional, unless otherwise specified. A “qualified health care professional” (ie, “qualified nonphysician health care professional”) is an individual who by education, training, licensure/regulation, facility credentialing (when applicable) and payer policy is able to perform a professional service within their scope of practice and independently report a professional service. These professionals are distinct from “clinical staff.” A...

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