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37 Cards in this Set

  • Front
  • Back
Which HCPCS codes were discontinued in December 2003
Level III
Which organization is responsible for developing and maintaining the HCPCS level II codes
CMS
Which is a member of the HC PCS national panel
American Medical Association
Which organization is responsible for providing suppliers and manufacturers with assistance in determining HC PCS level two codes to be used
PDAC
Which HC PCS level two codes are used by state Medicaid agencies and mandated by the state law to separately identify mental health services
H codes
The first alphabetic character NCPCS code identifies the code
Section of HC PCS level II
Drugs are listed in the HC PCS table of drugs according to
Generic name
A regional MAC will receive claims that contain which HC PCS level two codes
B, E, K, L
If a provider is not registered with a regional MAC, a patient will receive medical equipment when the
Prescription is taken to a local DEMPOS dealer
If a particular service has both a CPT code and a HC PCS level II code, the provider will
Follow instructions provided by the payer
If a HC PCS drug code description states "per 50 MG" and is administered in an 80 MG does, which quantity (e.g.,units) is reported on the CMS 1500 claim form
2
HC PCS level two is considered a _______ system
nomenclature
Which professional organization maintains level 2 "D" codes
American dental Association
How many regional MAC's are assigned by CMS to process DME claims
Four
Which is an example of durable medical equipment (DME)
Blood glucose monitor
Permanent HC PCS level two codes are updated annually on
January 1
Which code range is assigned to "administrative, miscellaneous, and investigational" HCPCS procedures or services
A9000–A9999
Which modifiers used to describe the services of a clinical psychologist
-AH
Which modifiers used to describe the right upper eyelid
-E3
HC PCS level two codes are organized by type, depending on the purpose of the codes and the entity responsible for establishing and maintaining them. The four types include _________.
Permanent national, miscellaneous, temporary codes, and modifiers
The CPT Coding manual contains __________ sections
Six
Instructions provided at the beginning of each section, which define terms particular to that section and provide explanation for codes and services that apply to that section, are called ___________.
Guidelines
Rather than using unlisted procedure or service CPT codes, Medicare and other third-party payers require providers to
Report HCPCS level II codes
CPT modifiers are used to indicate that
The description of the procedure performed has been altered
Which component is included in the surgical package?
Uncomplicated postoperative care
Which modifier is reported if a third-party payer requires a second opinion for a surgical procedure
-32 mandated services
The time frame during which all postoperative services are included in the surgical package is the global __________.
Period
Use your CPT coding manual to identify the technique for removing a skin lesion that involves transverse incision or horizontal slicing to remove epidermal or dermal lesion, which is called
Shaving
Use your CPT coding manual to locate and review coding notes that apply to Repair (Closure) codes (located in the Integumentary subsection of the Surgery section). The proper way to report the repair of multiple lacerations at the same anatomic site is to
Add together the length of each laceration and report a single code
Use your CPT coding manual to locate and review coding notes that apply to the Musculoskeletal System subsection of the Surgery section to identify the term for "the attempted reduction or restoration of a fracture or joint dislocation by the application of manually applied forces
Manipulation
CPT codes that are optional and are used for tracking performance measurements are called _________ codes.
Category II
A bullet located to the left of a code number identifies
New procedures and services
An anesthesiologist provided general anesthesia services to a 70-year-old female with mild systemic disease who underwent total knee replacement. Which physical status modifier would be reported with procedure code 01402
-P2
Medicare part a coverage is available to individuals under the age of 65 who
Have end-stage renal disease and meet requirements
Which information must be obtained about the beneficiary to confirm Medicare eligibility over the phone?
Date of birth
What length of time is the medicare initial enrollment period (IEP)?
7 months
The medicare "spell of illness" is also known as the
Benefit period