FINALS - TEST - Ch. 19 Procedural Coding Flashcards
(24 cards)
What does code linkage evaluate of the procedures or services performed?
Medical necessity
Which area gives instructions on how to code within a specific chapter?
Guidelines
What CPT convention indicates the code is new to the current edition?
Red dot
What CPT convention indicates the code description is revised?
Blue triangle
What codes are considered to be the most important of the CPT codes?
E/M
CPT considers a patient “new” if he or she has not received professional services within how many years?
3
What is the “key” to showing medical necessity for a procedure or service?
Accurate code linkage
What is true in regard to add-on codes in the CPT manual?
They must be billed in addition to the primary code
How many digits are CPT codes?
5
What are considered the most important of all CPT codes?
E/M
What is the period of time covered after a procedure called?
Global period
What are laboratory procedures bundled together in one code called?
Panels
The modifies used with Level II HCPCS codes are . .
Different from the CPT modifiers
What code do you used when no code is available to completely describe a procedure?
An unlisted procedure code
What are the 3 key factors that affect evaluation and management codes?
History, examination, and medical decision making
What is the purpose of using CPT codes?
Identify procedures and services provided
What is the purpose of using a modifier with a CPT code?
Explain a situation involving the procedure
Where are the guidelines that pertain to procedures found?
At the beginning of each section
How often are CPT manuals updated?
Yearly
Who are HCPCS codes used for?
Medicare patients
Why are modifiers used with CPT codes?
To indicate that some special circumstance applies to the code
What does CPT stand for?
Current Procedural Terminology
Where should you start when locating a code in the CPT manual?
In the alphabetic index
What section is not included in the CPT manual?
Integumentary
