CPT Questions and Answers 100% Pass

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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. [Show More]

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