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Medical Coding & Billing

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

procedure/service descriptor

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

stand alone

Procedures that are experimental, newly approved, or seldom used are reported with what type of code?

unlisted/Category III

Who requires a special report with the use of unlisted codes?

third-party payers

Which of the following represents three of the six elements that a special report must contain?

nature, extent, need

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

hyphen

Which punctuation mark between codes in the index of the CPT manual indicates two codes are available?

comma

A list of unlisted procedures for use in a specific section of the CPT manual is contained in:

Guidelines

In which CPT appendix would additions, deletions, and revisions be found?

Appendix B

In which CPT appendix would all modifiers be found?

Appendix A

CPT stands for:

Current Procedural Terminology

Which terms reflects the technological advances made in medicine that are incorporated into the CPT manual?

revisions

Where is specific coding information about each section located?

Guidelines

This act mandated the adoption of national uniform standards for electronic transmission of financial and administrative health information.

HIPAA

What year was CPT first developed and published?

1966

Who publishes CPT?

AMA

Health care providers are ___ based on the codes submitted on a claim form for procedures and services rendered.

reimbursed

Category I CPT codes have ___ digits

5

The universal health insurance form for submission of outpatient services is the:

CMS-1500

Which of the following is NOT a reason for the CPT coding system?

increased reimbursement

What is the function of an add-on code?

identifies a code that is never used alone

The rules that govern coding in various health care settings are:

nationally established

How many main sections are in the CPT manual?

6

A modifier:

provides additional information to the third-party payer

An unlisted procedure code:

ALL OF THE ABOVE: is a procedure or service not found in the CPT manual, is located in the Section Guidelines, is located at the end of a subsection or subheading

How often are Category III codes released?

twice a year

According to the notes preceding the Category III codes in the CPT manual, the digits of the Category III codes are not intended to reflect the placement of the code in the Category I section of the CPT:

nomenclature

According to the CPT manual, modifier -91 is not to be used when test are __ to confirm inertial results.

rerun

According to the E/M guidelines, time is not a descriptive component for the ___ department levels of E/M service.

emergency

According tothe Radiology Guidelines, these are the methods that qualify as "with contrast."

intavascularly, intra-articularly, intrathecally

Level II codes are not used in which setting?

inpatient

Which of the following would be used to code drugs?

J codes

Name the six basic location methods to locate main terms in the index of CPT.

procedure/service
synonym
eponymous
anatomic site
condition of disease
abbreviations

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