PRINCIPILES OF CPT CODING & CPT 2022/2023 PROFESSIONAL EDITION

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PRINCIPILES OF CPT CODING & CPT 2022/2023 PROFESSIONAL EDITION Which organization developed and now maintains the CPT code set? ✔✔The American Medical Association. What are the two levels of t ... he HCPCS codes? ✔✔Level 1, CPT; Level II, Healthcare Common Procedure Coding System (HCPCS) national codes. Which organization maintains the HCPCS Level II codes? ✔✔The Centers for Medicare & Medicaid Services (formally Health Care Financing Administration) On what date each year is most Category 1 codes implemented? ✔✔Category 1 codes are implemented January first of each year. What type of services are HCPCS A codes used to report? ✔✔Transportations services including ambulance, medical and surgical supplies, helmets, administrative, miscellaneous and investigational. How many types of HCPCS Level II codes are there? ✔✔There are four types of HCPCS Level II codes: (1)Permanent National codes (2)Dental codes (3)Miscellaneous codes (4)Temporary National codes What is the CPT code set? ✔✔The CPT code set is a listing of descriptive terms, guidelines, and identifying codes that are used to report medical services and procedures. What combines several measures in a single code descriptor to facilitate reporting for a clinical condition when all components are met? ✔✔Composite Measures What is the current name for Health Care Financing Administration? ✔✔Centers for Medicare and Medicaid Services (CMS) What does HCPCS stand for? ✔✔Healthcare Common Procedure Coding System Category II codes may be used as a substitute for Category codes. ✔✔FALSE. Category II codes are a set of codes developed for optional reporting of performance measurement. The use of these codes is optional and not required for correct coding. The Alphabetic Listing of Performance Measures lists the Category II codes in alphabetic order to enable users to easily find each performance measurement code according to the measure being idenfified. ✔✔FALSE. The alphabetical listing enables users to locate a particular measurement code according to the disease or condition to which it may apply. Inclusion of a procedure descriptor and its associated code number in the CPT code set indicates health insurance coverage. ✔✔FALSE. Inclusion of a procedure or service in CPT coding does not represent endorsement by the AMA of any particular diagnostic or therapeutic procedure of service, nor does it imply any health insurance coverage or reimbursement policy. Newly added Category II codes are made available via electronic distribution on the AMA website. ✔✔TRUE HCPCS Level II codes are assigned, updated, and maintained by the AMA. ✔✔FALSE. HCPCS Level II codes are assigned, updated, and maintained by CMS. The majority of the code set in HCPCS is CPT level 1 codes. ✔✔TRUE HCPCS codes are four-character alphanumeric codes in which the first character is a letter A through v followed by three digits. ✔✔FALSE. THEY ARE FIVE CHARACTER. A-V EXCEPT I & S. The HCPCS S-codes are created and maintained by BCBS. ✔✔TRUE HCPCS was developed in 1985. ✔✔FALSE. 1983 CPT Category II codes are typically released one month after the CPT Editorial Panel meeting at which they were accepted and are implemented 3 months later. ✔✔TRUE Physical therapy services are found in which section of the CPT code set? ✔✔MEDICINE (97000s) Which entity owns the copyright to the CPT codes? ✔✔AMERICAN MEDICAL ASSOCIATION (AMA) Surgery codes that begin with a "5" represent which anatomical system(s)? ✔✔Urinary, male genitalia, reproductive system procedures, intersex surgery, female genitalia, maternity care and delivery. E/M codes represent what kind of services? ✔✔EVALUATION and MANAGEMENT Which entity(ies) creates modifiers for the CPT codes? ✔✔AMA and CMS NOMENCLATURE ✔✔Simple tasks of assigning names converted to codes. STAND ALONE CODES ✔✔Contains the full description and difinition of the procedure for the code. INDENTED CODES ✔✔Codes must have the sta [Show More]

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