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33 terms

Buck: Chapter 13

Medical Coding & Billing
STUDY
PLAY
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