MOA Chapter 7

Question 1

Category 1 codes

Answer 1

procedures/services identified by a five-digit CPT code and descriptor nomenclature; codes traditionally associated with CPT and organized w/in 6 sections

Question 2

Category 2 codes

Answer 2

contain “performance measurements” traking codes that are assigned an alphanumeric identifier w/a letter in the last field; located after the Medicine section, use is optional

Question 3

Category 3 codes

Answer 3

contain “emerging technology” temporary codes assigned an alphanumeric identifier w/ a letter in the last field; located after Medicine section, will be archived after five years unless accepted for placement w/in category 1 sections of CPT

Question 4

CPT

Answer 4

Current Procedural Terminology (codes for medical services and procedures

Question 5

CPT category 1’s 6 sections

Answer 5

evaluation and management; anesthesia; surgery; radiology; pathology and laboratory; medicine

Question 6

Stand-alone codes

Answer 6

a complete description of the procedure or service

Question 7

Indented code

Answer 7

appears below a stand-alone code, requiring the coder to refer back to the common portion of the code description that is located before the semicolon

Question 8

A bullet point located to the left of a code number

Answer 8

new procedures and services added to CPT

Question 9

A triangle located to the left of a code number

Answer 9

a code description that has been revised

Question 10

Horizontal triangles

Answer 10

surround revised guidelines and notes (not used for revised code descriptions)

Question 11

Semicolon

Answer 11

used to save space in CPT, and some code descriptions are not printed in their entirety next to a code number.

Question 12

Plus symbol

Answer 12

identifies add-on codes for procedures that are commonly, but not always, performed at the same time and by the same surgeon as the primary procedure

Question 13

forbidden symbol (circle with / through it)

Answer 13

codes that are not to be used w/ modifier -51. these codes are reported in additions to other codes, but they are not classified as add-on codes.

Question 14

bull’s-eye symbol

Answer 14

a procedure that includes moderate (conscious) sedation

Question 15

Moderate (conscious) sedation

Answer 15

administration of moderate sedation or analgesia, which results in a drug-induced depression of consciousness

Question 16

flash symbol (lightning bolt)

Answer 16

codes that classify products that are pending FDA approval but have been assigned a CPT code

Question 17

the hollow circle

Answer 17

indicates a reinstated or recycled CPT code

Question 18

number symbol (pound sign)

Answer 18

precedes CPT resequenced codes, which appear out of numerical order

Question 19

guidelines

Answer 19

define terms and explain the assignment of codes for procedures and services located in a particular section.

Question 20

unlisted procedure/unlisted service

Answer 20

assigned when the provider performs a procedure or service for which there is no CPT code.

Question 21

Special report

Answer 21

copy of procedure report, must accompany the claim to describe the nature, extent, and need for procedure or service along w/ time, effort and equipment necessary- when unlisted procedure or service

Question 22

instructional notes

Answer 22

appear throughout CPT sections to clarify the assignment of codes

Question 23

a blocked unintended note

Answer 23

located below a subsection titl and contains instructions that apply to all codes in the subsection

Question 24

indented parenthetical note

Answer 24

located below a subsection title, code description, or code description that contains an example

Question 25

descriptive qualifiers

Answer 25

terms that clarify that assignment of a CPT code. can occur in middle of a main clause or after the semicolon and may or may not be enclosed in parentheses.

Question 26

modifiers

Answer 26

clarify services and procedures performed by providers (-77)

Question 27

Evaluation and management (E/M) section

Answer 27

[codes 99201-99499] located at the beginning of CPT cause codes describe services most frequently provided by physicians

Question 28

level of service

Answer 28

relects the amount of work involved in providing health care to a patient, and correct coding requires determinging the extent of history and examination performed as well as the complexity fo medical decision making

Question 29

place of service POS

Answer 29

physical location where health care is provided to patients

Question 30

Type of service TOS

Answer 30

kind of healthcare services provided to patients