MA 300 – Study Outline #1 and Review Material
the American Medical Association (AMA) as the American Nomenclature of Disease. - correct
answer ✔✔ Who created the first comprehensive disease classification system in the United
States in 1869?
1. To justify medical services to insurance companies by correlating procedures to diagnosis
2. To collect statistics about the outcome and effectiveness of treatments
3. To help physicians and hospitals set fees based on the amount of time and skill required to
provide a specific service - correct answer ✔✔ What are the main reasons to use procedure
coding?
Updated Annually - correct answer ✔✔ How often are level I codes updated?
American Medical Association (AMA) - correct answer ✔✔ Who updates and publishes the CPT
manual?
procedures, injections, and durable medical equipment covered by Medicare Part B - correct
answer ✔✔ HCPCS level II codes include what services that are not in the PT system and may
not be covered by insurance?
every year. - correct answer ✔✔ How often should updated code books be purchased?
5-digits - correct answer ✔✔ CPT manual contains codes which are usually how many digits
long?
is an addition to a procedure code that indicates unusual circumstances related to the
procedure, such as a more extensive procedure or two procedures performed in the same
session - correct answer ✔✔ What is a modifier?
, 2 - correct answer ✔✔ How many digits are in a Modifier?
• Location
• Size of lesion or repair
• Method of performing the procedure, test, or surgery
• Number of minutes allotted for a treatment (e.g., acupuncture)
• Complexity of the procedure or service - correct answer ✔✔ What pieces of information may
be significant when choosing the correct code for a procedure?
Stand-alone & Indented - correct answer ✔✔ What are the two types of CPT codes?
The code 93005 would be used if the ECG tracing is made in one office, but insurance should
not be billed for the interpretation because it will be done by another physician and billed from
another office - correct answer ✔✔ If a patient comes in for an exam and has an
electrocardiogram done, per the physician's orders, is this billed under the examination or
separately, under its own code?
primary care practitioners and specialists. - correct answer ✔✔ What type of services and
providers would find their appropriate codes in the E/M section?
one who has been seen in the previous 3 years - correct answer ✔✔ Define established patient.
one who has not had services performed by any provider in the medical office in the previous 3
years - correct answer ✔✔ Define new patient.
a patient who has been formally admitted to a health care facility' - correct answer ✔✔ Define
inpatient.
the American Medical Association (AMA) as the American Nomenclature of Disease. - correct
answer ✔✔ Who created the first comprehensive disease classification system in the United
States in 1869?
1. To justify medical services to insurance companies by correlating procedures to diagnosis
2. To collect statistics about the outcome and effectiveness of treatments
3. To help physicians and hospitals set fees based on the amount of time and skill required to
provide a specific service - correct answer ✔✔ What are the main reasons to use procedure
coding?
Updated Annually - correct answer ✔✔ How often are level I codes updated?
American Medical Association (AMA) - correct answer ✔✔ Who updates and publishes the CPT
manual?
procedures, injections, and durable medical equipment covered by Medicare Part B - correct
answer ✔✔ HCPCS level II codes include what services that are not in the PT system and may
not be covered by insurance?
every year. - correct answer ✔✔ How often should updated code books be purchased?
5-digits - correct answer ✔✔ CPT manual contains codes which are usually how many digits
long?
is an addition to a procedure code that indicates unusual circumstances related to the
procedure, such as a more extensive procedure or two procedures performed in the same
session - correct answer ✔✔ What is a modifier?
, 2 - correct answer ✔✔ How many digits are in a Modifier?
• Location
• Size of lesion or repair
• Method of performing the procedure, test, or surgery
• Number of minutes allotted for a treatment (e.g., acupuncture)
• Complexity of the procedure or service - correct answer ✔✔ What pieces of information may
be significant when choosing the correct code for a procedure?
Stand-alone & Indented - correct answer ✔✔ What are the two types of CPT codes?
The code 93005 would be used if the ECG tracing is made in one office, but insurance should
not be billed for the interpretation because it will be done by another physician and billed from
another office - correct answer ✔✔ If a patient comes in for an exam and has an
electrocardiogram done, per the physician's orders, is this billed under the examination or
separately, under its own code?
primary care practitioners and specialists. - correct answer ✔✔ What type of services and
providers would find their appropriate codes in the E/M section?
one who has been seen in the previous 3 years - correct answer ✔✔ Define established patient.
one who has not had services performed by any provider in the medical office in the previous 3
years - correct answer ✔✔ Define new patient.
a patient who has been formally admitted to a health care facility' - correct answer ✔✔ Define
inpatient.
