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Introduction to CPT

Introduction to CPT Surgery Guidelines, HCPCS, and Modifiers

TermDefinition
Current Procedural Terminology (CPT) Fourth Edition CPT is a set of codes, descriptions, and guidelines intended to describe procedures and services performed by physicians and other health care professionals, or entities.
Each procedure or service is identified with a ------? Five digit code
The use of CPT codes simplifies the reporting of ----- and -----? procedures and services
In the CPT code set, the term "procedure" is used to describe services, including ------? diagnostic test
What does the acronym HCPCS Level 1 mean? Healthcare Common Procedure Coding System (HCPCS)
The CPT (HCPCS) is copyrighted and maintained by-------? The American Medical Association (AMA) and is used with other code sets established by the U.S. Department of Health & Human Services (HHS) and other federal entities for healthcare reporting and reimbursement.
The CPT code set includes three categories of medical nomenclature and discripters------. Category I, Category II, and Category III, these three different categories are contained within the CPT code book.
These codes are the most commonly used codes for medical services, procedures, and professional services by physicians and other qualified healthcare professionals. Category I CPT codes
It is mandatory to use Category CPT codes for------. reporting and reimbursement purposes
------- codes are optional performance measurement tracking codes designed to minimize administrative burdens because they facilitate data collection about quality of care, per the AMA. Category II codes
------- codes may be reported in addition to evaluation and management (E/M) services or clinical services CPT Category I codes. Category II codes
The format for Category II codes is -------? alphanumeric, with the letter F in the last position (for example 00001F).
Category III codes are temporary codes assigned by the AMA for-----? emerging technology, services, and procedures.
Category III codes are located------? after the Category II code section
The ------also has a an alphanumeric structure, except with a T in the last position (for example, 0075T). Category III codes
Unlike the Category II CPT codes, Category III codes can be reported ------? Alone, without an additional Category I code.
If a Category III code is available that fully represents a case, it is to be used instead of an unlisted------? Category I code
Created by: MissMeeMee