Health Computing > QUESTIONS & ANSWERS > Medical Coding and Billing - CPT Coding (2022/2023) Rated A (All)
Medical Coding and Billing - CPT Coding (2022/2023) Rated A CPT ✔✔CPT stands for current procedural terminology. It provides ervices and procedure codes reported on insurance claims. Overview ... of CPT ✔✔CPT provides a list of identifying and descriptive codes for procedures and service. CPT coding is the uniform language that describes surgical procedures and services. CPT codes are used to report services and procedures. CPT codes are linked with ICD-9 codes. CPT codes are used to justify need for service or procedure. CPT Supports electronic data ✔✔EDI, CPR, EMC EDI ✔✔Electronic Data Interchange. CPR ✔✔Computer-based Patient Record. EMC ✔✔Electronic Media Claims. Category 1 ✔✔Category 1 contains procedures and/or services identified by 5 digit codes. Category 2 ✔✔Category 2 contains performance measurement tracking codes in an alphanumeric identifier with a letter in the last field. (EX: 4246C) Category 3 ✔✔Category 3 contains emerging technology and temporary codes assigned for data purposes. CPT's 6 Sections ✔✔Evaluation and Management (E/M) Anesthesia Surgery Radiology Pathology and Laboratory Medicine Unlisted procedures/services ✔✔Codes are assigned when a procedure or service is performed by a provider for which there is no CPT code. Special report ✔✔When an unlisted procedure or service code is reported a special report is created. Narrative document ✔✔A narrative document must accompany claim to describe nature and extent of the need of service or procedure. Modifiers ✔✔CPT modifiers are used to clarify services and procedures performed by providers. A list of all CPT modifiers with a brief description is located insider the front cover of the coding manual. Coding Surgeries Correctly ✔✔Three questions must be asked: What body system was involved? What anatomic site was involved? What type of procedure was performed? [Show More]
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