CPT Questions and Answers 100% Pass
CPT stands for... ✔✔Common Procedural Terminology
Who is responsible for maintaining the CPT code set? ✔✔AMA's CPT Editorial Panel
HCPCS stands for... ✔✔Healthcare Common Procedure
...
CPT Questions and Answers 100% Pass
CPT stands for... ✔✔Common Procedural Terminology
Who is responsible for maintaining the CPT code set? ✔✔AMA's CPT Editorial Panel
HCPCS stands for... ✔✔Healthcare Common Procedure Coding System
What are the levels of HCPCS? ✔✔Level I: AMA CPT Code Set; makes up the majority of the
HCPCS
Levell II: National Code Set
Each level is its own unique coding system.
Who updates CPT? When is CPT updated and when do the updates take effect? ✔✔Updates are
done by AMA CPT Editorial Panel.
Updated annually; released in the fall but effective on Jan 1 of every year.
What do CPT codes look like? ✔✔Each procedure or service code is identified with a 5-digit
code or a 5-character alphanumeric code.
Two-digit modifiers.
What are HCPCS Level II codes? When are they updated and Who maintains them? ✔✔National
Codes that describe services and supplies not found in the CPT code set (examples: durable
medical equip, ambo svc, med & surg supplies, drugs, orthotics/prosthetics).
Updated annually; Maintained by CMS
What are the CPT Categories? ✔✔Cat I, Cat II, CatIII
What are CPT Category I codes? ✔✔Procedure or services with 5-DIGIT CPT codes and
descriptor code set.
What are CPT Category II codes? ✔✔Code set developed for optional reporting of performance
measurement. These are intended to facilitate data collection by encoding specific services
and/or test results that have exhibited evidence-based results for contributing to positive health
outcomes and quality patient care.
What are CPT Category III codes? ✔✔
What codes are generally based on the procedure being consistent with contemporary medical
practice and performed by many physicians or other qualified health care prof's in clinical
practice in multiple locations? ✔✔CPT Category I codes
What CPT codes for performance measurement are expected to decrease the need for record
abstraction and chart review, and thereby minimize administrative burden on physicians, other
health care professionals, hospitals, and other entities seeking to measure the quality of care?
✔✔CPT Category II codes; are optional; do not have a relative value associated with them
What do CPT Category II codes look like? ✔✔4-digits followed by the letter *F*
ex: 1234F
What are CPT Category III codes? ✔✔Temporary codes for emerging technology, services, and
procedures.
What do CPT Category III codes look like? ✔✔4-digits followed by the letter *T*
ex: 1234T
What happens to a CPT Category III code after 5 years? ✔✔It is either archived or extended if it
hasn't been converted to Category I code.
How do you report an emerging procedure/service if the CPT Category III code has been
archived? ✔✔If the temporary code was archived without conversion it must be reported using a
Category I unlisted code unless another specific cross-reference was made at the time of
archiving.
Is it optional to use a CPT Category I unlisted code for an emerging procedure/service if there's a
Category III temporary code for it? ✔✔NO; if a Category III code is available it must be used
instead of a Category I unlisted code.
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