CPT CH 13 100% verified 2026
Modifier - Answer provides additional information to the third party payer
Special Report - Answer Required when reporting a unusual or variable service. Pertinent
information should include adequate definition or description of the NATURE, EXTENT, and NEED for
the procedure and the TIME, EFFORT, and EQUIPMENT necessary to provide the service.
Procedures that are experimental, newly approved, or seldom used are reported with what type of
code? - Answer Unlisted or Category III
Where is specific coding information about each section located? - Answer Guidelines
Procedure/Service Descriptor - Answer The words that follow a code number in the CPT manual
Nomenclature - Answer According to the notes preceding the Category III codes in the CPT manual,
the digits of the Category III codes are not intended to reflect the placement of the code in the
Category I section of the CPT
Category I codes in the CPT manual have ___ digits. - Answer 5
A code that has all of the words that describe the code that follows is what type of code? - Answer
stand alone
Which punctuation mark between codes in the index of the CPT manual indicates two codes are
available? - Answer comma
Who publishes the CPT manual? - Answer AMA
(American Medical Association)
Who requires a special report with the use of unlisted codes? - Answer third-party payers
According to the CPT manual, modifier -91 is not to be used when tests are ____ to confirm initial
results. - Answer rerun
Modifier - Answer provides additional information to the third party payer
Special Report - Answer Required when reporting a unusual or variable service. Pertinent
information should include adequate definition or description of the NATURE, EXTENT, and NEED for
the procedure and the TIME, EFFORT, and EQUIPMENT necessary to provide the service.
Procedures that are experimental, newly approved, or seldom used are reported with what type of
code? - Answer Unlisted or Category III
Where is specific coding information about each section located? - Answer Guidelines
Procedure/Service Descriptor - Answer The words that follow a code number in the CPT manual
Nomenclature - Answer According to the notes preceding the Category III codes in the CPT manual,
the digits of the Category III codes are not intended to reflect the placement of the code in the
Category I section of the CPT
Category I codes in the CPT manual have ___ digits. - Answer 5
A code that has all of the words that describe the code that follows is what type of code? - Answer
stand alone
Which punctuation mark between codes in the index of the CPT manual indicates two codes are
available? - Answer comma
Who publishes the CPT manual? - Answer AMA
(American Medical Association)
Who requires a special report with the use of unlisted codes? - Answer third-party payers
According to the CPT manual, modifier -91 is not to be used when tests are ____ to confirm initial
results. - Answer rerun
