Flashcards in Chapter 8 Deck (58)
CPT codes are used by: (5)
Physician's offices and clinics
Long-term care facilities
CPT forms... (paragraph)
...the basis for a universal communication system that ensures accuracy and clarity when the procedures and services delivered within the health care system are described
Six main divisions in Category I of the CPT manual
1. Evaluation and Management (E/M)
5. Pathology and Laboratory
The universal paper form
Services that are reported electronically by the CMS-1500
Additions, Deletions, Revisions
Clinical Examples, E/M Codes
-51 Exempt Codes
-63 Exempt Codes
Include Moderate Conscious Sedation
Which appendix gives coders examples of how to apply E/M codes?
One subsection of E/M is...
...Office or Other Outpatient Services
What indicates that a portion of text has been changed?
right- and left- facing triangles surrounding the parenthetical note below the code description
An add-on code: (3)
1. May only be used with another specific code
2. Is never used alone
3. Requires no reduction for multiple services
Where is the full list of add-on codes listed?
What is the purpose of an add-on code?
Additional code to show the furthest extent of the procedure
-51 Exempt Codes are services...
typically exempt from multiple procedure reductions
When is a modifier -51 used?
When multiple surgeries are performed on the same day during the same surgical session
Modifier -51 should not be used with...
Symbol: plus (+) sign
Symbol: circle with a line through it
"-51 may not be used with these codes"
Why is evaluation and management section listed first?
Procedures and services listed in the E/M section are frequently used
How is the CPT categorized?
The surgery section is subdivided by...
Subdivisions may be categorized by:
Anatomy: knee or shoulder
Procedure: incision or excision
Condition: fracture or dislocation
Description: cast or strap
Surgical approach: anterior cranial fossa or middle cranial fossa
Where do guidelines appear in the CPT manual?
At the start of each section of the CPT
Where do notes appear in the CPT?
Throughout and are listed before and after the codes that they reference