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CBCS_Coding_1

TermDefinition
Explain the difference between Level 1 and Level 2 procedure codes? Level 1 is CPT and Level 2 is HCPCS
Triangle Symbol Places before a code that identifies a revision in the narrative description of the code
Two Triangles (points face each other) Symbol set of new of revised information in the CPT
Bullet Symbol New Code
Plus Sign Symbol Add on code
What do modifiers signify in coding? a two digit number that is added to a five-digit-code
What is a unlisted Procedure? procedure not in the CPT book
Explain what a "Global Surgery" is? Also known as Surgical Packet and all the codes for surgery
When would as add-on code be used? Related procedure code
When would modifier -32 be used? Mandated services
When are HCPCS codes used instead of CPT codes ? When not in CPT
What are the three components of Evaluation and Management codes? History, examination and medical decision-making
Where are all modifiers found in the CPT coding book? Appendix A
Healthcare Common Procedural Coding System (HCPCS) Level 2 coding system, develop and maintained by the Center for Medicare and Medicaid Services
Current Procedural Terminology (CPT) Level 1 coding system, published and updated by the American Medical Association(AMA)
Documentation In the patients medical record that clearly support all codes
Section Guidelines Precede each of the six main CPT sections and provide the insurance billing specialist or medical coder with information about that particular section to increase coding accuracy
New Patient A person who has not received professional services within the last three years
Existing Patient A person who has received professional services within the last three years
Created by: tina.reynolds