Chapter 1 Flashcards
The code set established by the American Medical Association that describes medical, surgical, and diagnostic services and is designed to communicate uniform information about medical services and procedures among physicians, coders, patients, accreditation organizations, and payers for administrative, financial, and analytical purposes
Current Procedural Terminology (CPT)
Category I Codes
5-digit numerical code
Mandatory
6 sections (Evaluation and Management, Surgery, Radiology, Pathology, Medicine)
HCPCS codes are used for Medicare patients
Category II Codes
Measures performance
5-digit codes that end with the letter “F”
Category III Codes
Temporary codes
Used for emerging technology
Up to 5 digits and ends with “T”
Appendix A
Modifier definitions and listing
Appendix B
Summary of:
Additions
Deletions
Revisions
Appendix C
Clinical Examples E&M Coding
Appendix D
Summary of CPT Add-on Codes listing
Never includes a 51 modifier
Appendix E
Modifier 51 Exempt Codes
Appendix F
Modifier 63 exempt procedure performed on infants less than 4kg
Appendix G
Codes that include moderate conscious sedation
Appendix I
Genetic Testing Modifiers
Appendix J
Electrodiagnostic Medicine Listing of Sensory, Motor and Mixed Nerves
Appendix K
Vaccine Products Pending FDA approval
Appendix L
Vascular Families listing
Appendix M
Renumbered CPT Cods - Citations Crosswalk listing
Appendix N
Re-sequenced CPT codes listing
Appendix O
Multianalyte Assays with Algorithmic Analyses (MAAA) used for clinical labs
Symbols
Provide coding guidelines and instruction. Are listed at the bottom of the CPT pages
Blue triangle
Symbol for a revised code
Red Circle
Symbol for a new code
Inverted Triangles
Symbol for a code that contains new or revised text
Star
Symbol for telemedicine (minimum audio & visual. Modifier 95 must be amended)
Lightening bolt
Means the code is pending FDA approval
Hashtag
Means the code is re-sequenced or out of order
Plus sign
Symbol for an Add on Code (never sequenced first, or with modifier 51)
Unwanted symbol (circle with a slash)
Don’t append modifier 51 to the code, because it is exempt
Empty circle
The code was recycled or reinstated
Always shared common language with members of the family
Parent code
Has only code specific language portion
Indented code
A parent code and an indented code circled together
Family
Independent; does not have a family
Standalone code
CHUN
Circle, Highlight, Underline, and Notate
