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Week 2 CPT
Chapter 13
| Question | Answer |
|---|---|
| The CPT manual was developed by the: | American Medical Association |
| CPT stands for: | Current Procedural Terminology |
| Providers of health care are paid based on the codes submitted for __________ or procedures provided to the patient. | Services |
| The first CPT was published in this year: | 1966 |
| In which year were CPT codes incorporated as Level I codes into the Healthcare Procedure Coding System (HCPCS)? | 1983 |
| Identify the placement of CPT codes on the CMS-1500 insurance form. | Box 24D Line 1 |
| What are the abbreviations of the two coding systems that translate medical services into codes? | CPT & HCPCS |
| What is the abbreviation for the coding system used to translate medical diagnoses into codes? | ICD-9-CM |
| What is the correct title of the insurance form developed by the Centers for Medicare and Medicaid Services on which outpatient services are reported. | CMS-1500 |
| CPT stands for: | Current Procedural Terminology |
| This Act requires the Secretary of Health and Human Services to adopt national uniform standards for the electronic transmission of financial and administrative health information. | HIPAA |
| True/False Symbols with definitions are located at the bottom of the page in the CPT. | True |
| Symbol that means the beginning and end of text changes. | A right and a left triangle |
| Symbol that means modifier -51 exempt. | A circle with a line through it |
| Symbol that means revised procedure description. | A triangle |
| Symbol that means an add-on. | Plus Sign |
| Symbol that means moderate (conscious) sedation included. | Bullseye |
| Symbol that means pending FDA approval status. | Lightening bolt |
| Symbol that means new. | Bullet |
| Where is a complete list of additions, deletions, and revisions located in the CPT manual? | Appendix B |
| Which CPT manual appendix contains a complete list of all modifier -51 exempt codes? | Appendix E |
| Which CPT manual appendix contains a complete list of add-on codes? | Appendix D |
| Lists all modifiers that are used to alter or modify codes. | Appendix A |
| Contains clinical examples of many of the Evaluation and Management (E/M) Codes. | Appendix C |
| Contains a summary of CPT codes that are modifier -63 exempt. | Appendix F |
| A summary of moderate (conscious) sedation codes. | Appendix G |
| Summary of Resequenced CPT codes. | Appendix N |
| The Alphabetic Index of Performance Measures by Clinical Condition or Topic and lists the Category II Codes. | Appendix H |
| Summary of Crosswalked Deleted CPT Codes. | Appendix M |
| List the Genetic Testing Code Modifiers. | Appendix I |
| Lists the Vascular Families. | Appendix L |
| The Electrodiagnostic Medicine Listing of Sensory, Motor, and Mixed Nerves | Appendix J |
| Product Pending FDA Approval List | Appendix K |
| In which CPT appendix would you find examples for E/M codes? | Appendix C |
| In which CPT appendix would you find a summary of add-on codes? | Appendix D |
| To what extent do the codes in Appendix D have the code description listed? | No description. |
| To what extent do cross references for added, deleted, or reused codes appear in Appendix B? | No cross references appear |
| A chapter that covers on of six topics included in the CPT manual. | Section |
| Sections are divided into: | Subsections |
| Subsections, __________, __________, and __________ are divisions of sections that are based on anatomy, procedure,condition, description, or approach. | Subheadings, categories, and subcategories |
| Included in each section of the CPT manual, they provide specific information about coding in that section and contain valuable information for the coder. | Guidelines |
| Type of code that has the full code description. | Stand-alone code |
| Code that has only a portion of the code description. | Indented code |
| Provide additional information to the third-party payer about services provided to a patient. | Modifiers |
| A Category III code would be reported rather than a Category I __________ code. | Unlisted |
| Special reports must be submitted with claims for procedures that are unusual, new, seldom used, or use Category I __________ codes or Category __________ codes. | unlisted, III |
| Words with similar meanings. | Synonyms |
| Things that are named after people. | Eponyms |
| Name the six index location methods. | Service or Procedure Anatomic Site Condition or Disease Synonym Eponym Abbreviation |
| Indicates the correct code will be found elsewhere. | "See" |
| CPT coding is only one of a two-part coding system called: | HCPCS |
| A collection of codes that represents procedures, supplies, products, and services that may be provided to Medicare and Medicaid beneficiaries and to individuals enrolled in private health insurance programs. | HCPCS |
| These codes are CPT codes in the CPT manual. | Level I Codes |
| The primary coding system used in the outpatient setting to code professional services provided to patients. | CPT |
| (National Codes); five-position alphanumeric codes representing physician and nonphysician services that are not represented in Level I codes. | Level II Codes |
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