Chapter 9 CPT

Question 1

HCPCS stands for :

Answer 1

Healthcare Common Procedure Coding System

Question 2

CPT stands for :

Answer 2

Current Procedural Terminology

Question 3

How many digits does a Category I code have?

Answer 3

5

Question 4

Category II codes have what character at the end of their codes?

Answer 4

An alphanumeric identifier

Question 5

Category III codes are ____________, and are archived after ____________ if not accepted for placement.

Answer 5

Temporary
5 years

Question 6

Appendix A contains:

Answer 6

Modifiers and detailed descriptions

Question 7

Appendix B contains:

Answer 7

Annual Coding changes including added, deleted, and revised codes.

Question 8

Appendix C contains:

Answer 8

Clinical examples for codes found in E/M section

Question 9

Appendix D contains:

Answer 9

add-on codes identified in CPT with a (+) symbol

Question 10

Add-On codes are:

Answer 10

Reported when another procedure is performed in addition to the primary procedure during the same operative session.

Question 11

In CPT, a bullet symbol identifies:

Answer 11

New procedures and services added to CPT

Question 12

In CPT, a triangle symbol identifies:

Answer 12

A revised CPT code description

Question 13

In CPT, horizontal pointing triangles:

Answer 13

Surround CPT revised guidelines and notes; NOT used for revised code descriptions

Question 14

A forbidden symbol denotes:

Answer 14

CPT codes exempt from modifier -51

Question 15

A star symbol indicates:

Answer 15

A code may be reported for synchronous telemedicine services

Question 16

A flash symbol identifies:

Answer 16

products pending FDA approval, but have been assigned a CPT code

Question 17

An unlisted procedure code is reported when:

Answer 17

A provider performs a procedure or service for which there is no CPT code

Question 18

A special report is required when:

Answer 18

an unlisted procedure code is reported

Question 19

A special report is:

Answer 19

A document that must accompany the claim to describe the nature, extent, and need for a procedure or service

Question 20

A functional modifier is:

Answer 20

A pricing modifier that third-party payers consider when determining reimbursement

Question 21

An informational modifier clarifies:

Answer 21

aspects of the procedure or service provided for the payer

Question 22

Unbundling occurs when:

Answer 22

One service is divided into its component parts and a code for each component part is reported as if they were separate services