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 the HCPCS codes? ✔✔Level
...
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 the 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
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