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Chief Complaint

The reason that the patient is seeing the physician, usually stated in his or her own words, is known as the:

Established patient

In CPT coding, a patient who was seen on October 1, 2008and then not seen again in the same medical practice until August 30, 2010, classified as a(n)

Face-to-Face

The time the health care provider spends in direct contact with a patient is called:

Level 1 codes

The AMA 5-digit codes used for reporting services performed by healthcare professionals are:

Modifiers

A patient's medical record must contain sufficient documentation to support the use of:

Modifying terms

A main term can stand alone, or it can be followed by up to three

Special reports

accompany the claim when a rarely used, unusual, variable or new service is performed?

Stand-alone codes.

The type of code that contains the full description of the procedure without additional explanation is the

There are ________ levels of procedural codes

3

The six sections listed in the main body of the CPT manual called

Category III codes

Evaluation & Management (E&M) list the three key components.

History; examination; complexity of medical decision making

Purpose of CPT coding

Accurately describes professional service(s) performed

Name the three different ways the CPT codes can be displayed.

As a single code; as multiple codes; as a range of codes

Name the four contributing factors that impact the Evaluation & Management (E&M) coding

Contributing factors

Like history-taking there are _____ degrees of patient examination

Four

Time is never a factor when a patient is seen in an

Emergency department

How do you determine complexity of decision making?

diagnostic and treatment options were considered: the amount and complexity of data reviewed; and the amount of risk for complication, morbidity or mortality determine the

Name these symbols:

.....

Triangle

symbol is used to show that the code has been changed or modified

bullet

Symbol representing a code that is a new to the CPT book:

Horizorial triangles

Symbol identifying a change in wording of a new/revised code:

lighting Bolt

Symbol used to indicate codes for vaccines pending FDA approval:

Plus sign

Symbol indicating an add-on code

Circle with line cancel/no symbol

Symbol denoting modifier exempt codes:

Circle with dot

Symbol identifying codes that include conscious sedation:

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