CPT Final Exam Questions and Answers
Already Graded A
CPT and HCPCS codes are used in what type of healthcare setting? Correct Answer-Hospital outpatient,
physician offices
CPT is Correct Answer-current procedural te
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CPT Final Exam Questions and Answers
Already Graded A
CPT and HCPCS codes are used in what type of healthcare setting? Correct Answer-Hospital outpatient,
physician offices
CPT is Correct Answer-current procedural terminology
HCPCS is Correct Answer-healthcare common procedure coding system
Who publishes CPT (Level I HCPCS)?
How often is it updated? When is it updated? Correct Answer-AMA publishes cpt,
it is updated annually, on Jan. 1 of each year
CPT Category 1 codes consist of: Correct Answer-Anesthesia, Evaluation and management, surgery,
radiology, pathology and laboratory, medicine
What are Category 2 CPT codes for?
What does the Category 2 code consist of? Correct Answer-Performance Measures
consist of 4 numbers followed by a capital F, such as 1000F
What are Category 3 CPT codes for?
What does the Category 3 code consist of? Correct Answer-New & Emerging Technology
consist of 4 numbers followed by a capital T, such as 2000T
What are modifiers
Why are they used? Correct Answer-Supplementary Codes
to provide additional information to a code
What is a HCPCS level II code used to report?
What does the HCPCS level II code consist of? Correct Answer-Are used for supplies,
DME, injectable substances, dental and chiropractic as well as orthotics
Structure: J1885 - capital letter followed by 4 numbers
What are HCPCS level II codes also called? Correct Answer-National codes
Who developed the HCPCS level II codes? How often are they updated? When are they updated? Correct
Answer-Developed by CMS,
they are updated yearly update Jan1
NCCI Correct Answer-National Correct Coding Initiative
What does the National Correct Coding Initiative edits do? Correct Answer-Helps CMS to detect
inappropriate codes submitted on claims
- CPT coding guidelines
- Current standards of medical/surgical coding practice
- Advice from specialty societies
List 3 NCCI edits and the definition of those edits. Correct Answer-1. Comprehensive/component edit =
edit pertains to HCPCS codes that should NOT be used together.
2. Mutually exclusive edit = edit applies to i
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