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who uses the cpt coding system
clinics, outpatient hospital departments, ambulance surger centers, third party payers , everyone
what does level 2 do
National codes that are alphanumeric and used by providers to report services, supplies and equipment provided to medicare and medicaid patients for which no CPT codes exist
a circle with a line through it indicates what
a modifier symbol indicates that more than one procedure was performed
what are the 6 sections of the CPT manual
Evaluation and management, anesthesia, surgery, radiology, pathology and lab, medicine
subsection subheadings, categories and subcategories are divisions of sections that are based on
anatomy, procedure, condition, description or approach
guidelines and notes contain
definitions of terms, modifiers, subsection information, unlisted services, special report information or clinical examplesk
what does the semi colon mean
a critcal clue it is understood that descriptions for indented codes include the portion of the stand alone code description
how many digits do modifiers have and where are they added
2 digit that are added to the 5 digit CPT code
what are unlisted procedures
any procedure that is not listed in the manual can be coded as an unlisted procedure
where is the unlisted procedure listed
at the end of the subsection or subheading where they are referenced
what are special reports
they musb be included with claims when unusual new seldom used unlisted or category 111 procedure is performed
where does the special report go
always include definition/description of the nature, extent and need for the procedure. the time effor and equipment necessary to provide the service
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