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CPT Coding Questions and Answers Already Graded A+ CPT coding system ✔✔Descriptive terms and identifying codes for reporting medical services and procedures Provides uniform language that desc... ribes medical, surgical, and diagnostic services Published by the American Medical Association (AMA) CPT codes ✔✔Five digits in length Descriptions reflect health care services and procedures performed in modern medical practice. Reviewed by AMA to update codes and descriptions annually Category I CPT codes ✔✔Five-digit CPT code and descriptor nomenclature Organized in six sections Category II CPT codes ✔✔Reported to track performance measurements Use is optional. Category III CPT codes ✔✔Contains "emerging technology" temporary codes Assigned for data purposes Archived after five years unless accepted for placement CPT Category I Sections ✔✔Evaluation and Management (E/M) Anesthesia Surgery Radiology Pathology and Laboratory Medicine Stand-alone code ✔✔includes complete description of procedure or service Indented code ✔✔appears below stand-alone code, requiring coder to refer back to common portion of code description located before semicolon CPT Category II Codes ✔✔Tracking codes used for performance measurement in compliance with PQRS Assigned for certain services or test results that support performance measures Alphanumeric and consist of four digits followed by alpha character F Reporting is optional. CPT Category III Codes ✔✔Allow for utilization tracking of emerging: Technology Procedures Services Facilitate data collection/assessment about new services/procedures during FDA approval process Alphanumeric and consist of four digits followed by the alpha character T CPT Appendices ✔✔Appendix A—CPT modifiers/descriptions Appendix B—Added/deleted/revised codes Appendix C—E/M clinical examples Appendix D—Summary list of add-on codes Guidelines ✔✔define and explain assignment of codes, procedures, and services in a particular CPT section Unlisted Procedures/Services ✔✔Assigned for procedure or service for which there is no CPT code Special report (e.g., copy of procedure report) is attached to claim to describe: Nature Extent Need for procedure or service Time, effort, and equipment necessary Notes ✔✔Instructional notes—appear throughout CPT to clarify assignment of codes Blocked unindented note—located below subsection title and contains instructions that apply to all codes in that subsection Indented parenthetical note—located below subsection title, code description, or a code description that contains an example Descriptive Qualifiers ✔✔Terms that clarify assignment of CPT code Can occur in middle of main clause or after the semicolon May or may not be enclosed in parentheses CPT Index ✔✔Organized by alphabetical main terms Main terms represent: Procedures or services Organs or anatomic sites Conditions Synonyms, eponyms, and [Show More]

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