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ch13 cpt (#2)

Terms in this set (35)

The manual containing codes used in reporting medical services and procedures performed by healthcare providers in the care and treatment of patients is the:
CPT-4
CPT codes were developed by the:
AMA
The CPT manual is published by the:
AMA
A new CPT manual is published:
Annually
The first CPT was developed and published in:
1966
The five-digit coding system replaced the four-digit system in the CPT edition published in:
1970
The main body of the CPT manual is organized in:
6 sections
The 5-digit CPT codes maybe defined futher by two additional digits to help explain an unusual circumstance associated with a service or procedure. These two digits are called:
Modifiers
As with ICD-10-CM, the CPT index is organized by:
Main terms
a main term can stand alone, or it can be followed by up to _________ modifying term(s).
Three
To help determine the appropriateness and medical necessity of a service or procedure, a _________ should accompany the claim.
Special report
The narrative describing a procedure or service that contains the full description of the procedure without additional explanation is referred to as a(n):
Stand-alone code
Procedure that do not contain the entire written description and refer to the common portion of the procedure listed in the preceding entry are coded with a(n):
Indented code
CPT uses _________ to separate main and subbordinate clauses in the code descriptions.
A semicolon
The most important thing to remember when using modifiers is that the health record must contain ________ to support the modifier:
Adequate documentation
Main terms in CPT-4 are organized by four primary classes of main entries. Which of these is not one of these primary classes?
An apparatus
The amount of time the physician spends on bedside care of the hospitalized patient and reviewing the health record and writing orders is called:
unit floor time
The classification for a patient who is not enough to qualify for acute inpatient status but requires hospitalization for a brief time is referred to as:
Observation status
A procedure by which codes used for data in one database are translated into the codes of another database, allowing information to be shared among databases, is called:
A crosswalk
HCPCS Level II codes are organized into ______ sections
17
If Megan Cartwright was having an excision of an ovarian cyst, the main term would be:
Either Excision or cyst
Which codes are designed to classify services provided by a healthcare provider and used primarily in outpatient settings?
E/M
The health insurance professional must determine three factors that would direct him or her to the proper category in the E/M coding section, which include all these except:
a. Place of service
b. Type of service
c. Time spent with patient
d. Patient statues
Time spent with patient
__________ is the AMA's ongoing effort to improve the structure and processes of CPT codes to reflect today's coding demands as well as HIPAA challenges.
The CPT- project
Contributing factors that affect the E/M coding level reported include all of these except:
a. Couseling
b. Coordination of care
c. Nature of presenting problem
d. whether or not a modifier is used.
Whether or not a modifier is used
Face-to-face time includes
office and other outpatient visits ...time spent face to face with patient and family getting HISTORY, EXAMINATION, AND CONSULTATION
unit/floor time
time a physician spends on bedside care of the patient and reviewing the health record and writing orders. hospital and other inpatient visits.
physician statues modifer located where?
anesthesia
Anesthesia formula is
Base units+time units+modifying units (B+T+M) x conversion factor.
cpt qualifying circumstances are located where in book
anesthesia and medicine
Qualifying Circumstances
(Add on codes difficult circumstances) five-digit CPT codes that describe situations or conditions that affect the administration of anesthesia
Qualifying Circumstances codes are never reported.....?
alone.
physical status modifiers describe
patient condition when arrive for anesthesia
how many HCPCS Levels
2 levels
how many category in cpt
3
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