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 describes medical,
surgical
...
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 describes 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
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