Chpt 1 Flashcards
Triangle
Revised description
Substantial change
Bullet symbol
New code since the previous edition
Appendix B
Revised codes
Additional codes
Deleted codes
Horizontal Triangles Symbol
New or revised text in the CPT
The information has been revised or added since the last edition
Add-On Code symbol
[plus sign]
Used to list procedures completed in addition to the primary procedure or service performed
Appendix D
Appendix D
Add-on codes
Number symbol
Codes that are out of numerical sequence
Appendix N
Appendix N
Summary of resequenced CPT codes
Forbidden symbol
Prohibitory symbol
[O with line through it]
A code is exempt from modifier 51 and also has not been denoted as a CPT add-on code
Appendix E
Appendix E
Lists the summary of CPT codes that are exempt from modifier 51
Hollow Circle symbol
Indicates a reinstated or recycled code in CPT
The symbol only appears the year it is reinstated
Flash symbol
Codes for vaccines that are pending FDA approval
Appendix K
Proprietary Laboratory Analyses (PLA) Tests symbol
[2 opposite backwards parenthetical signs with a cross bar]
Denotes duplicate PLA test
Appendix O
Category 1PLA tests symbol
[up arrow, down arrow]
Category 1 PLA tests
Audio-only telemedicine services symbol
[megaphone]
Identifies codes that may be used to report audio-only telemedicine services when appended by modifier 93
Evaluation and management
99202-99499
Anesthesia
00100-01999
99100-99140
surgery
10004-69990
Radiology
70010-79999
Pathology and laboratory
80047-89398
0001U-0354U
Medicine
90281-99199
99500-99607
Subsections
Arranged by anatomic site, procedure, descriptors, or condition subheadings
CPT Manual arrangement
Head to toe
From trunk outward
Semi-colon
Separates the common portion of the procedure description from the unique portion of the procedure description
Uses an indentation in following lines
Guidelines
Define items that are necessary for appropriately interpreting and reporting the procedures and services contained within that section of the CPT manual
Guidelines or notes may also appear at the beginning of a subsection
Index
Organized by main terms
Order: procedure or service, organ or other anatomic site, condition,
Synonyms and eponyms and abbreviations
Appendix A
Modifiers
Index Subterms
Modify the main term; define or clarify the main term
The coder must reference all the codes listed in the index
Appendix B
Summary of additions, deletions, and revisions
Appendix C
Clinical examples
Removed from the manual
Appendix D
Summary of CPT add-on codes
Appendix E
Summary of CPT codes exempt from modifier 51
Appendix F
Summary of CPT codes exempt from modifier 63
Appendix G
Summary of CPT codes that include moderate (conscious) sedation
Removed from appendices
Tells coder to reference specific code guidelines
Appendix H
Alphabetical clinical topics listing (AKA, alphabetical listing
Removed from manual
Lists AMA website for information
Appendix I
Genetic testing code modifiers
Removed from manual
Lists a website
Appendix J
Electrodiagnostic medicine listing of sensory, motor, and mixed nerves
Reference when selecting codes 95907-95913
Appendix K
Product pending FDA approval
Listing of vaccines
Appendix L
Vascular families
Appendix M
Renumbered CPT codes-Citations Crosswalk
Appendix O
Multianalyte assays with algorithmic analyses and proprietary laboratory analyses
Appendix P
CPT codes that may be used for synchronous telemedicine services
Appendix Q
Severe acute respiratory coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19])
Vaccines will continue to be updated
Appendix R
Digital medicine-services taxonomy
Appendix S
Artificial intelligence taxonomy for medical services and procedures
3 categories of AI: assistive, augmentative, and autonomous
Appendix T
CPT codes that may be used for synchronous real-time interactive audio-only telemedicine services
HCPCS
Healthcare Common Procedure Coding System
1983-Healthcare Financing Administration (now CMS)
Level 1-CPT codes: categories I, II and III
Category I codes
Codes from the main six sections of the CPT manual Level I
Category II codes
Not mandatory codes, considered tracking codes
After Medicine section should never be used as a primary procedure code
Category III codes
After Category II codes
Temporary codes for emerging technologies, services, procedures, and service paradigms
Used to collect statistical data
If available, must be reported instead of a Category I unlisted code
HCPCS Level II
National codes
Bill services and procedures not listed in Level I
Consist of one alpha character (A through V) followed by 4 digits
