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Introduction to CPT
Introduction to CPT Surgery Guidelines, HCPCS, and Modifiers
| Term | Definition |
|---|---|
| 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
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