Chapter 9 CPT Flashcards
Ch Vocab
HCPCS stands for :
Healthcare Common Procedure Coding System
CPT stands for :
Current Procedural Terminology
How many digits does a Category I code have?
5
Category II codes have what character at the end of their codes?
An alphanumeric identifier
Category III codes are ____________, and are archived after ____________ if not accepted for placement.
Temporary
5 years
Appendix A contains:
Modifiers and detailed descriptions
Appendix B contains:
Annual Coding changes including added, deleted, and revised codes.
Appendix C contains:
Clinical examples for codes found in E/M section
Appendix D contains:
add-on codes identified in CPT with a (+) symbol
Add-On codes are:
Reported when another procedure is performed in addition to the primary procedure during the same operative session.
In CPT, a bullet symbol identifies:
New procedures and services added to CPT
In CPT, a triangle symbol identifies:
A revised CPT code description
In CPT, horizontal pointing triangles:
Surround CPT revised guidelines and notes; NOT used for revised code descriptions
A forbidden symbol denotes:
CPT codes exempt from modifier -51
A star symbol indicates:
A code may be reported for synchronous telemedicine services
A flash symbol identifies:
products pending FDA approval, but have been assigned a CPT code
An unlisted procedure code is reported when:
A provider performs a procedure or service for which there is no CPT code
A special report is required when:
an unlisted procedure code is reported
A special report is:
A document that must accompany the claim to describe the nature, extent, and need for a procedure or service
A functional modifier is:
A pricing modifier that third-party payers consider when determining reimbursement
An informational modifier clarifies:
aspects of the procedure or service provided for the payer
Unbundling occurs when:
One service is divided into its component parts and a code for each component part is reported as if they were separate services
