CPT Questions and Answers (2022/2023) Already Passed

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CPT Questions and Answers (2022/2023) Already Passed CPT ✔✔Current procedural terminology CPT is used for ✔✔reporting services and procedures by physicians CPT is updated ✔✔Annually by... the AMA AMA ✔✔is the American medical association How many categories are there in CPT ✔✔3 CPT contains the following categories ✔✔Category I, services and procedures, category II supplemental codes , and category III are temporary codes for emerging technologies CPT is composed of how many sections ✔✔8 CPT sections ✔✔guidelines that provide specific coding rules for that section CPT guidelines ✔✔usually contain definitions of terms, applicable modifiers, subsection information, unlisted services, specific reports information, or clinical examples. CPT sections named are ✔✔E/M, Anesthesia, Surgery, Radiology, Pathology and Laboratory, medicine, Category 2, and category 3 CPT coding's format is ✔✔indented CPT stand alone codes ✔✔contain the full description of the procedure code CPT indented codes ✔✔listed under associated stand alone codes CPT add-on codes ✔✔used for procedures that is always performed during the same operative session as another surgery in addition to a primary service CPT services rendered by a physician ✔✔uses a 5 digit numeric system Modifiers ✔✔give an accurate description of the services CPT triangle ✔✔represents a changed code description since last edition CPT two facing triangles ✔✔represent changes in the text or definition between the triangles CPT plus sign ✔✔indicates an add on code CPT a circle with a line through it ✔✔represents exemption from the use of modifier -51 Evaluation and management ✔✔99201-99499 Anesthesia ✔✔00100-01999 Surgery ✔✔10021-69990 Radiology ✔✔77010-79999 Pathology ✔✔80048-89356 Medicine ✔✔90281-99199 CPT location methods are divided by ✔✔Service, anatomic site, condition or disease, synonym, abbreviation -24 ✔✔Unrelated E/M service by the same physician during a postoperative period. Service was not part of the postoperative care which is usually part of a package of services. -26 ✔✔Professional component.. attached to the procedure to indicate that the physician provide don only the professional component -32 ✔✔Mandated services .. This is used to indicate that the service provided was required by a third party payer, governmental, legislative, or regulatory body -50 ✔✔Bilateral Procedure -51 ✔✔Multiple procedures.. more than one procedure is performed during the same surgical episode multiple modifier -51 is used ✔✔more than one procedure is performed during the same surgical episode; one code dos not desc ribe all of the procedures performed; and the secondary procedure is not minor or incidental to the major procedure. -58 ✔✔Stated or Related procedure or service by the same physician during the postoperative period -78 ✔✔Return to the operating room for a related procedure during the postoperative period -79 ✔✔Unrelated procedure or service by the same physician during the postoperative period -90 ✔✔Reference (outside) laboratory -99 ✔✔Multiple modifiers evaluation and management (E/M) codes Key components are ✔✔Chief complaint; History of present illness, review of system, past family and social history Chief Complaint ✔✔or CC reason the patient came to see the physician History of present illness ✔✔or HPI :chronological account of the illness Review of systems ✔✔ROS; this is the inventory of the constitutional symptoms Past, family and social history ✔✔(PFSH) patient's personal experiences with illness, surgeries and injuries. Unlisted procedures ✔✔procedures that are considered experimental or newly approved Surgical Package ✔✔aka global surgery includes services rendered by the surgeon Surgical package includes ✔✔surgical procedure performed; local infiltration; preoperative E/M services on day immediately prior to or on day of procedure; immediate postoperative care; normal, uncomplicated postoperative care Health insurance ✔✔contract between a policy holder and the individual Three ways of obtaining insurance are ✔✔group insurance, personal insurance, pre-paid health plan Group insurance ✔✔group of employees and dependants are insured under one policy Personal insurance ✔✔issued to an individual Pre-paid health plan ✔✔pre-determined set of benefits covered under one set annual fee Types of insurance include ✔✔indemnity insurance, managed care plans Indemnity insurance ✔✔is a fee for service based insurance. Listed in policy. Payments are based on fees physicians charge for the service. Managed Care plans ✔✔consist of HMO;PPO; POS Health Maintenance Organization (HMO) ✔✔least costly, most restrictive. Uses a gatekeeper physician (primary care physician) who the patient is required to visit first. Preferred Provider Organization (PPO) ✔✔same as HMO provider enters into [Show More]

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