Cpt: Intro To Cpt

Front 1

Procedures that are experimental, newly approved, or seldom used are reported with what type of code?

Back 1

Unlisted/Category III

Front 2

A code that has all the words that describe the code following it is called what type of code?

Back 2

Stand-alone

Front 3

The word that follows a code number in the CPT manual is called?

Back 3

Procedure/Service Descriptor

Front 4

What is the order from largest to smallest division of the CPT hierarchy in the CPT manual?

Back 4

Section

Subsection

Subheading

Category

Front 5

Which punctuation mark between codes in the index of the CPT manual indicates two codes are available?

Back 5

Comma

Front 6

Which punctuation mark between codes in the index of the CPT manual indicates a range of coded are available?

Back 6

Hyphen

Front 7

Which of the following represents three of the six elements that a special report must contain?

Back 7

Nature, extent, need

Front 8

Who requires a special report with the use of unlisted codes?

Back 8

Third-party payers

Front 9

Enclose additional, new, or revised information symbol.

Back 9

Parentheses

Front 10

Revised code symbol

Back 10

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

Front 11

New code symbol

Back 11

Dot/Bullet

identified by the bullet (•) symbol that is place in front of the code

Front 12

Add-on code

Back 12

Plus symbol (+) place in front of code indicates an add-on

Front 13

Modifier-51 exempt symbol

Back 13

Circle with a line through it

identifies a modifier-51 exempt code

Front 14

What does CPT stand for?

Back 14

Current Procedural Terminology

Front 15

Which turn reflects the technologic advances made in medicine that are incorporated into the CPT manual?

Back 15

Revisions

Front 16

How many sections is the CPT manual divided into?

Back 16

6

Front 17

Where is specific coding information about each section located?

Back 17

Guidelines

Front 18

In which CPT appendix would modifiers be the found?

Back 18

Appendix A/Cover of CPT Manual

Front 19

In which CPT appendix would additions, deletions and revisions be found?

Back 19

Appendix B

Front 20

A list of unlisted procedures for use in a specific section of the CPT manual is contained in?

Back 20

Guidelines

Front 21

Words following the semicolon in a stand-alone codes can indicate the following three things:

Back 21

A.) alternative anatomic site

B.) alternative procedures

C.) description of the extent of service

Front 22

In which CPT manual appendix contains a complete list of all modifier -51 exempt codes?

Back 22

Appendix E

Front 23

In which CPT manual appendix contains a complete list of add-on codes?

Back 23

Appendix D

Front 24

This act mandated the adoption of national uniform standards for electronic transmission of financial and administrative health information?

Back 24

HIPAA (Health Insurance Portability and Accountability Act)

Front 25

The CPT manual was developed by the __________.

Back 25

AMA (American Medical Association)

Front 26

What year was CPT first developed and published?

Back 26

1966

Front 27

In which year were CPT codes incorporated as Level 1 codes into the Healthcare Procedure Coding System (HCPCS)?

Back 27

1983

Front 28

A modifier?

Back 28

Provides additional information to the third-party payer

Front 29

An unlisted procedure code?

Back 29

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

Front 30

What is the function of the add-on code?

Back 30

Identifies a code that is never used alone

Front 31

Healthcare providers are _____ based on the codes submitted on a claim form for procedures and services rendered?

Back 31

reimbursed

Front 32

The universal health insurance form for submission for outpatient services is the?

Back 32

CMS-1500

Front 33

Category 1 CPT codes have ____ digits.

Back 33

5

Front 34

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.

Back 34

False

Front 35

which of the following is not a reason for the CPT coding system?

Back 35

increased reimbursement

Front 36

The rules that governs coding in various healthcare setting are?

Back 36

nationally established

Front 37

How often are Category III codes released?

Back 37

twice a year

Front 38

Name the six basic location to locate main terms in the index of the CPT manual.

Back 38

Procedure/Service

Synonym

Eponym

Anatomic Site

Condition/Disease

Abbreviations

Front 39

Which of the following would be used to code drugs?

Back 39

j codes

Front 40

Level II codes are not used in which setting?

Back 40

inpatient

Front 41

According to the Radiology Guideline, these are the methods that qualify as "with contrast".

Back 41

Intravascularly, intra-articularly, intrathecally

Front 42

Modifier 91 is not to be used when tests are rerun to confirm results.

Back 42

true

Front 43

E/M guidelines indicate time is not a descriptive componet for the ______ department levels of E/M service.

Back 43

emergency

Front 44

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____.

Back 44

nomenclature

Front 45

Form for inpatient services.

Back 45

UB04