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45 Cards in this Set
- Front
- Back
Procedures that are experimental, newly approved, or seldom used are reported with what type of code? |
Unlisted/Category III |
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A code that has all the words that describe the code following it is called what type of code? |
Stand-alone |
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The word that follows a code number in the CPT manual is called? |
Procedure/Service Descriptor |
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What is the order from largest to smallest division of the CPT hierarchy in the CPT manual? |
Section Subsection Subheading Category |
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Which punctuation mark between codes in the index of the CPT manual indicates two codes are available? |
Comma |
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Which punctuation mark between codes in the index of the CPT manual indicates a range of coded are available? |
Hyphen |
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Which of the following represents three of the six elements that a special report must contain? |
Nature, extent, need |
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Who requires a special report with the use of unlisted codes? |
Third-party payers |
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Enclose additional, new, or revised information symbol. |
Parentheses |
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Revised code symbol |
Triangle Shaded triangle placed in front of a code indicates that the description for the code has been changed or modified since the previous edition |
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New code symbol |
Dot/Bullet identified by the bullet (•) symbol that is place in front of the code |
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Add-on code |
Plus symbol (+) place in front of code indicates an add-on |
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Modifier-51 exempt symbol |
Circle with a line through it identifies a modifier-51 exempt code |
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What does CPT stand for? |
Current Procedural Terminology |
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Which turn reflects the technologic advances made in medicine that are incorporated into the CPT manual? |
Revisions |
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How many sections is the CPT manual divided into? |
6 |
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Where is specific coding information about each section located? |
Guidelines |
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In which CPT appendix would modifiers be the found? |
Appendix A/Cover of CPT Manual |
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In which CPT appendix would additions, deletions and revisions be found? |
Appendix B |
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A list of unlisted procedures for use in a specific section of the CPT manual is contained in? |
Guidelines |
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Words following the semicolon in a stand-alone codes can indicate the following three things: |
A.) alternative anatomic site B.) alternative procedures C.) description of the extent of service |
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In which CPT manual appendix contains a complete list of all modifier -51 exempt codes? |
Appendix E |
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In which CPT manual appendix contains a complete list of add-on codes? |
Appendix D |
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This act mandated the adoption of national uniform standards for electronic transmission of financial and administrative health information?
|
HIPAA (Health Insurance Portability and Accountability Act) |
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The CPT manual was developed by the __________. |
AMA (American Medical Association) |
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What year was CPT first developed and published? |
1966 |
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In which year were CPT codes incorporated as Level 1 codes into the Healthcare Procedure Coding System (HCPCS)? |
1983 |
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A modifier? |
Provides additional information to the third-party payer |
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An unlisted procedure code? |
All of the above: is a procedure or service not found in the CPT manual/Located in the Section Guidelines, Located at the end of a subsection or subheading |
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What is the function of the add-on code? |
Identifies a code that is never used alone |
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Healthcare providers are _____ based on the codes submitted on a claim form for procedures and services rendered? |
reimbursed |
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The universal health insurance form for submission for outpatient services is the? |
CMS-1500 |
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Category 1 CPT codes have ____ digits. |
5 |
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lf a coder is unable to locate a code that describes the exact service provided, it is acceptable to use a code that approximates the service provided.
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False |
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which of the following is not a reason for the CPT coding system? |
increased reimbursement |
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The rules that governs coding in various healthcare setting are? |
nationally established |
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How often are Category III codes released? |
twice a year |
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Name the six basic location to locate main terms in the index of the CPT manual. |
Procedure/Service Synonym Eponym Anatomic Site Condition/Disease Abbreviations |
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Which of the following would be used to code drugs? |
j codes |
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Level II codes are not used in which setting? |
inpatient |
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According to the Radiology Guideline, these are the methods that qualify as "with contrast". |
Intravascularly, intra-articularly, intrathecally |
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Modifier 91 is not to be used when tests are rerun to confirm results.
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true |
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E/M guidelines indicate time is not a descriptive componet for the ______ department levels of E/M service.
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emergency |
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Notes preceding the Category III codes in the CPT manual, the digits of the Category III codes are not intended to reflect the placement of the code in the Category I section of the CPT____.
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nomenclature
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Form for inpatient services.
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UB04 |