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Understanding CPT and HCPCS Coding Systems, Quizzes of Medical Records

Definitions and explanations for various terms related to the cpt and hcpcs coding systems used in healthcare. It covers topics such as cpt code structure, anesthesia subsections, qualifying circumstances, global period, and hcpcs level 1 and 2 codes. It also explains the use of modifiers and the organization of cpt categories.

What you will learn

  • What are HCPCS level 2 codes used for?
  • What is the difference between CPT and HCPCS level 1 and level 2 codes?
  • What is the purpose of CPT codes?
  • What are the four qualifying circumstances in the Anesthesia section of CPT?
  • What are the two types of modifiers used in the anesthesia section of CPT?

Typology: Quizzes

2017/2018

Uploaded on 12/28/2018

wendolyne-saenz
wendolyne-saenz 🇺🇸

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TERM 1
Under CPT definition, after consultation, who
takes care of the patient?
DEFINITION 1
care returns to the attending physician
TERM 2
True or False Ordering the treatment based
on the results is something performed with
the pathology and laboratory function
DEFINITION 2
False.A complete procedure in the pathology and laboratory
section includes handling the sample, ordering the test,and
preforming the test
TERM 3
what kind of code begins with a +
?
DEFINITION 3
an add-on code
TERM 4
the anesthesia subsections are organized by?
DEFINITION 4
body site
TERM 5
Common descriptor in CPT begin with?
DEFINITION 5
a capital letter
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Under CPT definition, after consultation, who

takes care of the patient?

care returns to the attending physician

TERM 2

True or False Ordering the treatment based

on the results is something performed with

the pathology and laboratory function

DEFINITION 2

False.A complete procedure in the pathology and laboratory

section includes handling the sample, ordering the test,and

preforming the test

TERM 3

what kind of code begins with a +

DEFINITION 3

an add-on code

TERM 4

the anesthesia subsections are organized by?

DEFINITION 4

body site

TERM 5

Common descriptor in CPT begin with?

DEFINITION 5

a capital letter

CPT codes for initial hospital care can be

reported?

only once per hospitalization

TERM 7

Divisions in CPT, such as Anesthesia and

Radiology, are referred as?

DEFINITION 7

Sections

TERM 8

When modifier -51 (Multiple procedures)

used?

DEFINITION 8

when multiple surgical procedures are performed on one

area of the body

TERM 9

A lightning bolt sign indicates?

DEFINITION 9

code is pending FDA approval

TERM 10

how many digits are in Category 1 codes?

DEFINITION 10

What are the two parts in a radiological

procedure?

Supervision and interpretation

TERM 17

What is the Global Period?

DEFINITION 17

the global period describes the 90-day postoperative time

period during which related procedures are not additionally

paid

TERM 18

What are qualifying circumstances?

DEFINITION 18

Qualifying circumstances codes are used to indicate that the

administration of the anesthesia involved difficult

circumstances

TERM 19

Which two sections follow the same

guidelines?

DEFINITION 19

Radiology and Surgery

TERM 20

The E/M code method came from two

agencies, which are there?

DEFINITION 20

CMS and AMA

How many CPT codes are required to report

an immunization?

two; one for administration and a second for the substance

TERM 22

Which codes are used to report services not

listed in CPT?

DEFINITION 22

unlisted procedure codes

TERM 23

299909 Unlisted Procedure, Anthroscopy. -

the word listed after the number is referred

as a?

DEFINITION 23

the words following the code in CPT listings are called the

descriptor

TERM 24

CPT is a publication of

who?

DEFINITION 24

CPT is a publication of the American Medical Association

(AMA)

TERM 25

What does HCPCS use to provide additional

information about services, supplies, and

procedure?

DEFINITION 25

Level 2 modifiers

What are HCPCS level 2 used

for?

I dont know :) YET

TERM 32

What are HCPCS level one codes?

DEFINITION 32

CPT-4 codes

TERM 33

Who maintains HCPCS level 1 codes?

DEFINITION 33

CPT codes are maintained by AMA

TERM 34

Who maintains HCPCS level 2 codes?

DEFINITION 34

CMS

TERM 35

What procedure codes should be used for

outpatient and inpatient settings?

DEFINITION 35

CPT codes aka HCPCS level 1

What are modifiers used

for?

modifiers are used to change the code description

TERM 37

How many categories do CPT/HCPCS level 1

codes have?

DEFINITION 37

CPT/HCPCS level 1 codes has category 1, category 2, and

category 3

TERM 38

How many sections are in Category 1?

DEFINITION 38

Evaluation and Management

Anesthesia

Surgery

Radiology

Pathology and Laboratory

Medicine

TERM 39

What CPT category 1 code is section 99201-

DEFINITION 39

Evaluation and Management

TERM 40

What CPT category 1 codes is section 00100-

DEFINITION 40

Anesthesia

What are CPT category 3 codes?

CPT category 3 codes are temporary codes for new

technology and services that have not meet the

requirements necessary to go into the main section of the

CPT book.

TERM 47

What are CPT category 1 codes?

DEFINITION 47

TERM 48

What is in Appendix

A?

DEFINITION 48

a complete list of modifiers and descriptions

TERM 49

What is in Appendix

B?

DEFINITION 49

a summary of addition, revisions, and deletions of CPT codes

in the current CPT edition book

TERM 50

What is in Appendix C?

DEFINITION 50

it has a list of clinical examples for codes in the E/M

sectionAppendix C is helpful in understanding how to report

a code in the E/M section

What is in Appendix D?

a list of add on codes

TERM 52

What is Appendix E?

DEFINITION 52

a summary of CPT codes that are exempt from modifier -

TERM 53

What is CPT modifier

DEFINITION 53

Multiple procedures

TERM 54

What is Appendix F?

DEFINITION 54

a summary of CPT codes exempt from modifier 63

TERM 55

What is CPT modifier

DEFINITION 55

procedures performed on infants less than 4kg

What is Appendix M?

shows a tabled of deleted CPT codes and crosswalks to

current CPT codes

TERM 62

What is Appendix

N?

DEFINITION 62

A list of codes that have been resequenced

TERM 63

What 6 ways can you locate a CPT code?

DEFINITION 63

eponym

synonym

condition/disease

abbreviation

anatomic site

procedure service

TERM 64

Who is responsible for revising the CPT code

book?

DEFINITION 64

The AMA's CPT editorial panel

TERM 65

True or False HCPCS level 2 codes begin with

a letter followed by four numbers

DEFINITION 65

True

What are HCPCS level 2 codes used

for?

HCPCS level 2 codes are used to report services, procedures,

and supplies not listed in the CPT code book

TERM 67

True or False HCPCS level 2 codes range from

letters A-V

DEFINITION 67

True

TERM 68

What letter are HCPCS level 2 temporary

codes?

DEFINITION 68

Q codes

TERM 69

What letter are HCPCS level 2 DME codes?

DEFINITION 69

E codes

TERM 70

What letter are HCPCS level 2 dental codes?

DEFINITION 70

D codes

What letter are HCPCS level 2 pathology and

laboratory services codes?

P codes

TERM 77

What letter are HCPCS level 2 other medical

services, cardiovascular, and medical office

codes?

DEFINITION 77

M codes

TERM 78

What letter are HCPCS level 2 domestic

radiology services codes?

DEFINITION 78

R codes

TERM 79

What are HCPCS level 2 L codes?

DEFINITION 79

orthotic and prosthetic procedures and devices