which statement is true regarding the instruction for use of the cpt codebook course hero

What are the instructions for the use of the CPT codebook?

Select the name of the procedure or service that accurately identifiesthe service performed. Rationale: CPT® Instructions for the use of the CPT® codebook indicates to "select the name of the procedure or service that accurately identifies the service performed."

What is a CPT Level II service?

Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service TA List the CPT® or HCPCS Level II modifier(s) for the definition given (Do not type the word "Modifier" for your answer.):

What if a coder is unable to locate the exact service provided?

if a coder is unable to located a code that describes the exact service provided, it is acceptable to use a code that approximates the service provided. (true/false) in which CPT appendix would all modifiers be found? what term reflects the technological advances made in medicine that are incorporated in the CPT manual

What is the CPT code book index?

The alphabetical index of the CPT code book located after the appendices is organized by main terms. List the four primary classes of main index entries.

Which modifier bypasses edits?

Can CCM bypass edits?

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Which statement is true regarding the instruction for use of CPT codebook?

chapter 6 quizQuestionAnswerWhich statement is TRUE regarding the instruction for use of the CPT® codebookSelect the name of the procedure or service that accurately identifies the service performedHow are ambulance modifiers usedThey identify ambulance place of origin and destination8 more rows

What is the CPT code book used for?

The Current Procedural Terminology (CPT®) codes offer doctors and health care professionals a uniform language for coding medical services and procedures to streamline reporting, increase accuracy and efficiency.

What is the correct CPT code for the excision of a benign lesion on the scalp with an excised diameter of 2.3 cm This includes margins )?

11442 – excised diameter 1.1 to 2.0 cm. 11443 – excised diameter 2.1 to 3.0 cm.

What are the three categories of CPT codes?

CPT codes are used in conjunction with ICD-9-CM or ICD-10-CM numerical diagnostic coding during the electronic medical billing process. There are three types of CPT codes: Category 1, Category 2 and Category 3. CPT is a registered trademark of the American Medical Association.

What are CPT codes used to describe quizlet?

Current Procedual Terminology {CPT} is a listing of descriptive terms and indentifying codes for reporting medical services and procedures. It provides a uniform language that describes medical, surgical and diagnostic services to facilitate communication among providers, patients and insurers.

Which is true about the CPT code descriptions?

Which is true about the CPT code descriptions? CPT code descriptions include all activities integral to the procedure.

What is the full description for CPT code 43622 quizlet?

What is the full description for CPT® code 43622? "Gastrectomy, total; with the formation of the intestinal pouch, any type."

What is included in the excision of a lesion quizlet?

Excision is the full-thickness removal of a lesion, including margins, and includes simple closure.

When lesions are excised from multiple sites which of the following is the correct coding protocol?

When lesions are excised from multiple sites of the integumentary system, which of the following is the correct action the coder should take? Code all lesion excisions separately.

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

CPT CodingQuestionAnswerWhich of the following is NOT a reason for the CPT coding system?increased reimbursementWhat is the function of an add-on code?identifies a code that is never used aloneThe rules that govern coding in various health care settings are:nationally established36 more rows

What are the three categories of CPT codes quizlet?

The CPT manual comprises three category codes: Category I, Category II, and Category III codes. Category I codes are 5-digit codes that are listed in the Tabular List. Category II codes are used for performance measurement, and their use is optional.

What is the main term in CPT coding?

For CPT the main term could be the condition, name of procedure or medical service, name of anatomic site or organ, OR synonyms, eponyms or abbreviations. 2.

What does CPT stand for?

Current Procedural TerminologyCPT® (Current Procedural Terminology)

How do you read a CPT book?

2:2749:48How to Use the 2021 CPT Manual for Medical Coding - YouTubeYouTubeStart of suggested clipEnd of suggested clipSo for example the triangle pointing upwards means it's a revised codes modifiers are two-digitMoreSo for example the triangle pointing upwards means it's a revised codes modifiers are two-digit codes.

What are the 2 sections of the CPT code book?

Like the CPT manual, the HCPCS manual is divided into two parts: the Alphabetic Index and the Tabular List. Procedures and services are looked up in the Alphabetic Index, and the Tabular List then used to confirm that the code is the most accurate and appropriate for that service/procedure.

Why is the Medicine section of the CPT 4 Coding book important?

The Medicine section of the CPT manual contains codes for services provided by many medical specialties but that are not suitable to the Surgery section. Any physician or qualified provider can perform procedures from the Medicine section that are within the provider's scope of practice and training.

AAPC - Chapter 6 Review Exam Flashcards | Quizlet

Study with Quizlet and memorize flashcards containing terms like A patient is seen in the physician's office for a 2,400,000 U injection of Bicillin L-A. What code represents this drug and the units given?, What three components contribute to the calculation of Relative Value Units?, When procedures are "mandated" by third party payers, what modifier would you use? and more.

AAPC ch. 6 quiz Flashcards | Quizlet

Study with Quizlet and memorize flashcards containing terms like The National Correct Coding Initiative (NCCI) files contain a correct Coding Modifier (CCM) indicator. what does the CCM indicators 0 mean?, Select the TRUE statements regarding modifier 51 in the CPT code book., CPT category III codes are reported to indicate which type of service or procedure? and more.

Which modifier bypasses edits?

D. Only modifier 59 will bypass the edits.

Can CCM bypass edits?

A CCM is not allowed and will not bypass the edits.

What age is required to use CPT code?

(No modifiers are necessary for this exercise): Measurement of spirometric forced expiratory flows, before and after bronchodilator, in an infant or child through 2 years of age

What is a CPT level 2 modifier?

List the CPT® or HCPCS Level II modifier(s) for the definition given (Do not type the word "Modifier" for your answer.): Unrelated evaluation and management services by the same physician or other qualified health care professional during a postoperative period

Is HCPCS Level 2 modifier appended to HCPCS Level 2 codes?

A) Never, HCPCS Level II modifiers are only appended to HCPCS Level II codes

Where are the new and revised text descriptors?

to indicate new and revised text other than the procedure descriptors. They are usually found within the guidelines or as a parenthetical instruction beneath a code.

What is the CPT modifier for bilateral procedures?

The CPT® definition for modifier 50 is “unless otherwise identified in the listings, bilateral procedures that are performed at the same operative session should be identified by adding modifier 50 to the appropriate five digit code.” P

What was removed with the deletion of the molecular pathology stacking codes?

was removed with the deletion of the molecular pathology stacking codes. The genetic testing code modifiers were reported with the codes that were deleted.

What is the modifier 22 for colonoscopy?

Modifier 22 would be added to the surgical code for the extra time spent controlling the bleed.

What is included in the surgical package?

Payment for surgical procedures includes a standard package of preoperative, intraoperative, and postoperative services.

What is a significant and separately identifiable evaluation and management service?

indicates a significant and separately identifiable evaluation and management service is performed on the same day of a procedure or other services. For example, a patient visits the family doctor for chest pain. The provider performs a complete work up of the chest pain and also removes a lesion on the patient’s arm. The procedure of removing the lesion is separately identifiable from the office visit.

Where is the pound sign in CPT?

pound sign is placed next to the code. - Find the re-sequenced in Appendix N of the CPT

What is the code for Mayo procedure?

a 28290 . b 28292 c 28293 . d 28285 . . B Rationale: In the CPT¨ Index, look for the term Mayo procedure. The code you are directed to use is 28292.

What is the CPT code for a short arm?

a 29065 . . b 29075 c 29125 d 29280 . . B DIF: Rationale: In the CPT¨ Index, look for Cast/Ambulatory/Short Arm. The code you are directed to use is 29075 .

What is the code for J0561?

a J2540 x 4 . b J0561 x 24 . c . . J2510 x 4 d J0558 x 24 B Rationale: In the HCPCS Level II Table of Drugs, look up Bicillin LA. Here you are directed to see Penicillin G benzathine, referring you to code J0561. J0561 is for 100,000 U so 24 units of J0561 are reported for 2,400,000 are reported.

What is the C code for PPS?

A Rationale: Outpatient PPS (C1300-C9899) Guideline explains C codes are required for use by Outpatient Prospective Payment System (OPPS) Hospitals to report new technology procedures, medical devices, drugs, biologicals, and radiopharmaceuticals; that do not have other HCPCS codes assigned.

What is the code for a partial colonectomy?

d 44207 . . D Rationale: In the CPT¨ Index, look for Laparoscopy/Colon/Colectomy/Partial. You are directed to codes 44204-44208 and 44213. In the Digestive Section, review the codes, it is code 44207 which represents a partial colectomy with anastomosis and coloproctostomy performed laparoscopically.

How long does it take to implement a 365 B 90 C 30 D 60 B?

d 60 . . B Rationale: Per CMS Temporary codes can be added, changed, or deleted on a quarterly basis. Once established, temporary codes are usually implemented within 90 days, the time needed to prepare and issue implementation instructions and to enter the new code into CMS’s and the contractors’ computer systems and initiate user education. This time is needed to allow for instructions such as bulletins and newsletters to be sent out to suppliers to provide them with information and assistance regarding the implementation of temporary CMS codes.

What is the CPT code for rhinoplasty?

a 30400. . b 30430 c 30435 d 30462 . . B Rationale: In the CPT¨ Index, look for Rhinoplasty/Secondary. You are directed to see codes 30430-30450. Look at the codes in the Respiratory code section and review them, it is code 30430 you would report. This represents a small amount of work for a secondary rhinoplasty when performed on the tip of the nose.

Which modifier bypasses edits?

D. Only modifier 59 will bypass the edits.

Can CCM bypass edits?

A CCM is not allowed and will not bypass the edits.