CPT Billing Codes

Question 1

3 Components of CPT Billed Units

Answer 1

Pre-service
Intra-service
Post-service

Question 2

For every 15 min Unit, how many mins of documentation time are included in payment?

Answer 2

1 Min to every 15 Mins

Question 3

List the 3 Most common payer sources

Answer 3

Medicaid, School, Private Insurance

Question 4

1 CPT Unit billed = how many mins?

Answer 4

8-22 minutes

Question 5

2 CPT Units billed = how many mins?

Answer 5

23-37 mins

Question 6

3 CPT Units billed = how many mins?

Answer 6

38-52 mins

Question 7

4 CPT Units billed = how many mins?

Answer 7

53-67 mins

Question 8

Therapeutic Exercise is what billing code

Answer 8

97110

Question 9

Neuromuscular svcs is what billing code

Answer 9

97112

Question 10

Cog. Therapeutic Intervention is what billing code

Answer 10

97127

Question 11

Therapeutic Activities is what billing code

Answer 11

97530

Question 12

Self-Care training is what billing code

Answer 12

97535

Question 13

Community Training is what billing code

Answer 13

97537

Question 14

Direct svc that includes exercises for strengthening, ROM, Endurance, & Flexibility in which supports participation in daily occupations?

Answer 14

Therapeutic Exercise (97110)

Question 15

Direct svc that includes activities that facilitate re-education of movement, balance, posture, coordination, and proprioception

Answer 15

Neuromuscular (97112)

Question 16

Direct svc that include compensatory strategies supporting executive fxn & reasoning for managing performance of daily activities

Answer 16

Cog. Therapeutic Intervention (97127)

Question 17

Direct svc of dynamic activities that improve functional performance during daily occupations

Answer 17

Therapeutic Activities (97530)

Question 18

Direct svc for training activities to improve performance in ADLs, including compensatory strategies, adaptive eq./tech, meal prep, etc

Answer 18

Self-Care (97535)

Question 19

Direct svc training and activities including task analysis & modification analysis to support participation in IADLs & occupations

Answer 19

Community Training (97537)

Question 20

Name the 2 possible billing codes used for Teaching skills for cutting w/scissors using backward chaining

Answer 20

97112 or 97530

Question 21

Benefit program that provides comprehensive and preventive health care services for children under age 21 who are enrolled in Medicaid

Answer 21

Early and Periodic Screening, Diagnostic and Treatment (EPSDT)

Question 22

IDEA school based Medicaid - who is responsible for reimbursement?

Answer 22

School district is responsible for seeking reimbursement

Question 23

Medicaid pays doctors and healthcare professionals directly for each service they provide

Answer 23

Fee-for Service