Step By Step Chp 13

25 terms by shellybee2470

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what are the reasons for the CPT coding system?

1) Comparative Analysis
2) data for research
3) improved communication

what is the function of an add-on code?

identifies a code that is never to be used alone...

rules that govern coding in various health care settings.

variabe...

how many sections are in the CPT manual?

6...

when will unclear terminology CPT be replaced with more precise definitions?

upon publications of CPT-5...

what does a modifier do?

provide additional information to the third-party payer...

the words that follow a code number in the CPT manual are called?

procedure/ service descriptions...

what is a type of code that has all of the words that describe the code that follows

stand alone code...

this is the type of code used to report procedures that are experimental, newly approved, or seldom used

unlisted/ cateogory 3 code...

what group(s) require a special report with the use of unliste codes

third-party payers...

is an act that mandate the adoption of national uniform standards for electronic transmission of financial and administrative health information

HIPAA...

what year was the CPT first developed and published?

1966...

who publishes the CPT book?

American Medical Association (AMA)...

health care providers are ______ based on the codes submitted on a claim form for procedures an services rendered

Reimbursed...

category I CPT codes have how many digits?

5...

the universal health insurance form for submission of outpatient is called?

CMS-1500...

what are the 6 elements that a special report must contain?

1) nature
2) extent
3) need
4) time
5) effort
6) equipment used
7) photos and medical journal...

what is the punctuation mark between codes in the index of the CPT manual that indicates that a range of codes is available?

a hyphen...

what is the punctuation mark between codes in the index of the CPT manual that indicates two codes are available?

a comma...

what part of the CPT manual would you find a list of the unlisted procedures for use in a specific section of the CPT manual?

guidelines...

which CPT appendix would you find additions, deletions, and revision?

B...

which CPT appendix would you find all modifiers?

A...

what does CPT stand for?

Current Procedural Terminology

is a term that reflects the technological advances made in medicine that are incorporated into the CPT manual.

Revision...

where in the CPT book is specific coding information about each section located?

Guidlines...

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