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things you need to know

this is an example of unethical or illegal coding:

Dividing services provided into separate codes when a single code is available

The transformation of verbal descriptions of diseases, injuries, & procedures into numbers is called:

coding

Two coding systems are used by physicians' - 1)diagnoses, 2nd one is:

services and procedure

Physicians CPT is revised :

annually

Basic CPT codes use:

five digits

Add-on modifier -26 indicates the :

professional component

Codes 99281-99285 refer to:

Emergency department services

In some billing cases it is necessary to add a 2 digit modifier in order to:

give a more accurate description

CPT codes,descriptions and 2 digit modifiers are copyrighted by:

American Medical Association

When transferring codes to claim forms be careful to

keep from transposing numbers

Unbundling, exploding, or a la carte coding are:

fraudulent

If multiple lacerations are repaired under the same classification & in the same group of anatomic parts a billing and coding specialist should:

add the sum of lengths and report one code

Modifier code -66 indicates

surgical team

Modifier code -99 indicates

multiple modifiers

which of the following is NOT needed when coding a laceration repair:

Cause of wound

Modifier -76 is:

for a repeat procedure by the same physician

The purpose of CPT is to:

convert medical descrip. into 5 digit codes

CPT coding system is not used by:

Patients

CPT coding system was developed by the:

American Medical Association

In the CPT manual,a bullet symbol indicates:

new code

In the CPT manual, a bullet symbol indicates:

revised description

where in the CPT manual is a complete summary of additions,deletions, and revisions located

In Appendix B

This is not a section in the CPT manual:

Integumentary system

There are two types of CPT codes: stand-alone and:

add on or indented codes

which of the following is NOT included in the CPT surgery package?

General anesthesia

modifier -62 indicates:

a co-surgeon

CPT surgical packages are used only by:

third party payers

Claims including codes for an unusaul,new,seldom performed or unlisted procedure should include a:

written medical report

In the CPT index, main terms are listed by:

procedure/service, organ/anatomic site,and condition,synonym,eponym,or abbreviation

At the beginning of the CPT index are:

Instructions

Even if only one code is listed for the desired procedure in the index of the CPT manual, the user ___

must refer to the main text

The CPT manual is divided into how many sections?

6

The E & M section is organized by type of service, place of service, and :

patient status

The key components of documentation that support levels of E/M codes are:

history, examination, and medical decision-making

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