Procedural Coding – CPT questions with correct answers

Procedure Code - Answer Code identifying medical treatment or diagnostic services. When a patient sees a physician, each procedure and service performed is reported on a health care claim using a standardized procedure code. Procedure codes represent medical procedures, such as surgery and diagnostic tests, and medical services, such as an examination to evaluate a patient's condition. Code Linkage - Answer Connection between a service and a patient's condition or illness. On correct insurance claims, each reported service is connected to a diagnosis that supports the procedure as necessary to investigate or treat the patient's condition in that health care setting. Health plans analyze this connection between the diagnostic and procedural information, called code linkage, to evaluate the medical necessity of the reported charges. Procedure codes must be verified and then used to report physician's services. Physician, a medical coder, clearinghouse coder, or a medical administrative assistant may be responsible for the selection of procedure codes. Note that it is the physician's responsibility to report the correct CPT code. To be sure that the procedure codes, and the diagnosis codes, are correctly linked and valid, a medical administrative assistant, coder, or clearinghouse would review the documentation in the patient's medical record to be sure it supports the codes. A query may be communicated to the physician to resolve outstanding questions. By verifying all information and following the rules of correct coding, medical administrative assistants ensure that the provider receives the maximum appropriate reimbursement for procedures and services. Current Procedural Terminology (CPT) - Answer Contains the standardized classification system for reporting medical procedures and services. The HIPAA-required set of procedure codes is the CPT, published by the American Medical Association (AMA) and is called the CPT. An updated edition of the CPT is available every year to reflect changes in medical practice. Newly developed procedures are added, some are changed, and old