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Test 6
CPT
| Question | Answer |
|---|---|
| What is the name of the book used in the physician's office to code procedures? | Current Procedural Terminology (CPT) |
| The CPT publication is updated and revised | annually. |
| What is the "actual charge"? | The amount the physician bills the patient for a service or procedure |
| What is the name of the book that contains a coded listing of procedures with unit values that indicate the relative value of various services? | RVS |
| Resource Based Relative Value Scale(RBRVS) was developed by | the Center for medicare and Medicaid Services |
| The CPT code for office services provided on an emergency basis is | 99058 |
| The surgical package inculdes the | operation, local infiltration, digital block or topical anesthesia, and normal uncomplicated postoperative care. |
| Included in a global surgery policy and a surgical pachage is/are | Both a and b |
| The two-digit modifier -57 means | decision for surgery. |
| When multiple lacerations are repaired in the same body area | add the lengths of all lacerations and report them with a single code. |
| The largest section in the CPT book is the | surgery section. |
| When a service is rendered that is not listed in the CPT codebook | use a code with a description stating "unlisted" |
| What does bundling meand? | The grouping of codes together that are related to a procedure |
| When coding for x-ray films taken of both knees, list | The proper x-ray code twice and use the modifiers RT (right) with the first code and LT (left) with the second code |
| What code is used for an intramuscular injection of prochlorperazine (Compazine)? | 90782 |
| CPT uses a basic ______________ -digit system for coding services rendered by physicians, plus ____________ -digit add-on modifiers. | five, two |
| The charge that falls within the range of charges most frequently used in a locality for a particular medical service or procedure is called a/an _______________ charge. | prevailing |
| When counseling and coordination of care dominate ________________ percent of face-to-face physician/patient encounters, then time is considered the key to qualify for a particular level of E/M service. | 50 |
| The E/M code 99203 is considered a level __________ code. | three |
| Insurance companies go by the rule "If it is not documented, then it was not _______________." | done |
| coding and billing numerous CPT codes to identify procedures that are usually described by a single code is called ______________. | unbundling |
| Deliberate manipulation of CPT codes for increased payment is called ________________. | upcoding |
| If you are billing services for the assistant surgeon, you use modifier ___________________ after the surgery procedure number. | -80 |
| If a procedure requires more than one modifier code, use the multiple two-digit code _______________ after the usual five-digit code number. | -99 |
| The key components that determine an evaluation and management code are provided by | the physician |
Created by:
bunnyfinley