Lesson 7

Question 1

CPT

Answer 1

Current procedural terminology

Codes that respresent services and procedures reported on insurance claims.

Question 2

AMA

Answer 2

American medical association

Question 3

Category 1 code

Answer 3

Represent procedures and services that healthcare professionals nationwide most commonly perform.
They are 5-digit numeric codes found in the main body of the cpt.

Ex. 42800 biopsy, oropharynx

Question 4

Category 2 codes

Answer 4

Are supplemental codes used to track the quality of care the provider is giving.

They are alphanumerical and consist of 4 digits followed by the letter f.
They are optional codes.

Question 5

Category 3 codes

Answer 5

Are temporary codes for new and emerging technologies.

Must be in ongoing or planned research to be considered one.

5 characters long. 4 numbers followed by the letter T.

Ex. 0071T

Question 6

Code ranges

Answer 6

When there is more than one code in a given index entry, they may be separated by a comma, a hyphen, or a combination of both.

Question 7

Modifying terms

Answer 7

Or subterms, are listed under main terms and add greater clarity and specificity to a code.

Question 8

Code descriptions

Answer 8

Some code descriptions aren’t printed in their entirety but instead refer back to a common portion in the preceding entry that is located before the the semicolon.

Done to conserve space.

Question 9

Bullet symbol ⚫️

Answer 9

Placed before the code number, the bulletin alerts you to an entirely new code and description.

Question 10

Triangle symbol 🔺

Answer 10

Placed before the code number, a triangle identifies a revised code description.

Question 11

Facing triangles (▶️text◀️)

Answer 11

Surrounding text, facing triangles indicate that typographical errors have been corrected and stylistic improvements have been made to guidelines and notes.

Question 12

Plus sign +

Answer 12

Placed before the code number, a plus sign means an add on code, which identifies additional procedures commonly associated with the main procedure.

Question 13

6 main sections of the cpt code book

Answer 13

1. Evaluation and management (E/M)
2. Anesthesia
3. Surgery
4. Radiology
5. Pathology & laboratory
6. Medicine

Question 14

Section guidlines

Answer 14

Are unique to each of the six main sections of cpt main body (the category 1 codes)

Carefully review them. They only apply to their own section.

Question 15

Descriptive qualifiers

Answer 15

Are terms that provide more info about the cpt codes. Can occur in middle of term or after the semi colon. May or may not be in parentheses.

Ex. 17380 electrolysis epilation , each 30 min