CPB Chatper 5

Question 1

CPT codes

Answer 1

describe services generally provided by healthcare professionals to individual patients

Question 2

codes that describe services generally acceptable in the current healthcare system and are performed by many providers at multiple clinic locations

Answer 2

Category I codes

Question 3

used primarily as performance measures

Answer 3

Category 2 codes

Question 4

set of temporary codes used to designate emerging technologies, services, and procedures

Answer 4

Category 3 codes

Question 5

five digit numeric code

Answer 5

category 1 codes

Question 6

four digit numeric code followed by F (1234F)

Answer 6

category 2 codes

Question 7

four digit numeric code followed by T (1234T)

Answer 7

category 3 codes

Question 8

semicolon

Answer 8

used to describe a code that is divided into two parts

Question 9

words before the semi-colon

Answer 9

the common procedure in the code descriptor

Question 10

after the semi-colon

Answer 10

dependent on the preceding common procedure code

Question 11

|

Answer 11

appears for only one year after a code is added to the CPT

Question 12

p

Answer 12

shows code descriptors that have been altered

Question 13

+

Answer 13

Add-on codes that are listed in appendix D, always accompany a parent code

Question 14

what modifier is never appended to an add-on code

Answer 14

modifier 51

Question 15

(x)

Answer 15

codes that are exempt from the use of modifier 51 but are not add-on codes, appendix E

Question 16

#

Answer 16

the code has been sequenced out of order, appears next to the out of sequence code

Question 17

*

Answer 17

codes that can be reported when using telemedecine

Question 18

Appendix A

Answer 18

modifiers

Question 19

list of modifiers

Answer 19

appendix A

Question 20

Appendix B

Answer 20

actual changes and additions to the CPT codes from the previous year

Question 21

Summary of additions, deletions, and revisions

Answer 21

Appendix B

Question 22

Appendix C

Answer 22

limited to E/M services, examples of different specialties

Question 23

Clinical Examples

Answer 23

Appendix C

Question 24

Appendix D

Answer 24

codes not reported as a single or stand-alone code

Question 25

Add-on codes

Answer 25

Appendix D

Question 26

the three categories of EM codes

Answer 26

place of service, type of service, and subcategories

Question 27

what CPT modifiers are specific to anesthesia

Answer 27

P1-P6

Question 28

When two surgical procedures are performed during a single anesthetic

Answer 28

only use the anesthesia code that describes the most complex procedure or highest unit value

Question 29

what modifiers are reported first

Answer 29

always list functional or pricing modifiers first, then informational modifiers

Question 30

modifier 22

Answer 30

increased procedure services

Question 31

when the service provided is greater than that usually requires for the listed procedure

Answer 31

modifier 22

Question 32

modifier 24

Answer 32

unrelated EM by the same provider during a postoperative period

Question 33

unrelated EM by the same provider during a postoperative period

Answer 33

modifier 24

Question 34

modifier 25

Answer 34

significant, separately identifiable evaluation and management service by the same provider on the same day of procedure or other services

Question 35

used when documentation supports an EM visit separate from the surgical procedure performed at the same time

Answer 35

modifier 25

Question 36

modifier 26

Answer 36

professional component

Question 37

when the professional component of a procedure is reported separately from the technical component

Answer 37

modifier 26

Question 38

an imaging study is performed in a hospital and interpreted by a physician - what modifier

Answer 38

the physician appends modifier 26 to the code separate from the hospital

Question 39

modifier 50

Answer 39

bilateral procedure

Question 40

bilateral procedures performed at the same operative session code

Answer 40

modifier 50