Term
| Current Procedural Terminology |
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| coding system developed by the American Medical Association to convert descriptions of medical, surgical, and diagnostic services into five digit numbers |
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| American Medical Association |
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| majority of CPT codes are referred to as this and have been approved by the Editorial Panel of the AMA |
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| optional performance measure codes |
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| temporary codes that identify emerging technologies, services, and procedures |
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CPT is used by:
a) hospitals
b) clinics
c) outpatient hospital departments
d) ambulatory surgery centers
e) third party payers
f) all of the above
g) all but a
h) all but c |
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| Centers for Medicare and Medicaid Service |
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| Health Care Financing Administration |
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Definition
| What does HCFA stand for? |
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| What is HCFA now known as? |
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| Healthcare Common Procedural Coding System |
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| What does HCPCS stand for? |
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| What CPT codes are, defines professional services |
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| What HCPCS are, alphanumeric codes that are used by providers to report services, supplies, and equipment provided to Medicare and Medicaid patients for which no CPT code exists |
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Term
| not being reimbursed correctly, being penalized by the government |
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Definition
| What are two possible consequences for submitting the wrong CPT code? |
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Term
False
Some HCPCS codes are assigned with CPT codes--like J codes (drug codes) |
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| T or F: An HCPCS code is never used if there is a CPT Level I code available |
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| Providers of health care are paid based on the codes submitted for _________ or _________ provided to the patient |
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| When was the first CPT published? |
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| What year were CPT codes incorporated as Level 1 codes into the Healthcare Procedural Coding System? |
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Two surgeons do a surgery together. Both are primary surgeons. How would each report their billing:
a) One surgeon would claim 43820 for the surgery and the other wouldn't claim
b) Each surgeon would claim 43820 for the surgery
c) Each surgeon would claim 43820 and the modifier 62, which indicates two surgeons
d) Each surgeon would claim 43820 and a modifier that states whether they were the attending or consulting surgeon |
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What is the modifier in Appendix A for:
bilateral inguinal herniorrhaphy |
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What is the modifier in Appendix A for:
A postoperative ureterotomy patient has to be returned to the operating room (unplanned) for a complication related to the initial procedure during the postoperative period |
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What is the modifier in Appendix A for:
A decision to perform surgery is made during an evaluation and management service on the day before or the day of surgery |
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What is the modifier in Appendix A for:
multiple procedures performed during the same surgical session |
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What is the modifier in Appendix A for:
A surgical team is required |
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Using Appendix A, what is the modifier for:
Physician A actively assists physician B during a surgical procedure |
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The CPT does not list surgical or diagnostic procedures if:
a) they are experimental
b) they are newly approved
c) they are seldom used
d) advancements have created a variation of procedures currently performed
e) CPT lists all surgical and diagnostic procedures
f) all but e
g) a-c |
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| a code for a particular section that covers surgical and diagnostic procedures that aren't listed in CPT |
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| What is the unlisted cardiac procedure code? |
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| What is the unlisted Respiratory System code? |
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