EXAM STUDY MATERIALS 8/7/2024 11:29 AM
Medical Billing/Coding Ch 8 Exam Questions
With Correct Answers
A listing of descriptive terms and identifying codes for reporting medical services and
procedures. It provides a uniform language that describes medical, surgica, and diangostic
services to facilitate communication among providers, patients, and insurers. -
answer✔✔Current Procedural Terminology (CPT)
Services and procedures performed on patients:
*By providers in offices, clinics, and private homes
*By providers in institutional settings such as hsopitals, nursing facilities, and hospices
*When the provider is employed by the healthcare facility
*By a hospital outpatient department - answer✔✔CPT codes are used to report:
Evaluation and Management
anesthesia
Surgery
Radiology
Pathology and Laboratory
Medicing
**Every American Soldier Reads Playboy Magazine** - answer✔✔CPT Sections:
Procedures/services identified by a five-digit CPT code and desriptor nomenclature; these are
codes traditionally associated with CPT and oranized within six sections - answer✔✔Category I
codes
contain "performance measurements" tracking codes tht are assigned an alphanumeric identifier
with a letter in the last field (1234A) these codes will be located after the Medicine section, and
their use is optional. - answer✔✔Category II codes
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
contain "emerging technology" temporary codes assigned for data collection purposes that are
assigned an alphanumeric identifer with a letter in the last field (0001T) - answer✔✔Category III
Codes
Most procedures and services are classified as this. They include a complete description of the
procedure or service. To save space, some descriptions are not printed in their entirely next to a
code number. Instead, an indented code appears below a stand-alone code, requiring the coder to
refer back to the common portion of the code description that is located before the semicolon. -
answer✔✔Stand-alone codes
Codes exempt from modifier -51 reporting rules - answer✔✔Appendix E
Identifies new prodedures and services added to CPT - answer✔✔a "bullet" located to the left of
a code number..
Identifies a code description that has been revised - answer✔✔A "Triangle" located to the left of
a code number ..
revised guidelins and notes (this symbol should not be used for revised code descriptions) -
answer✔✔Horizontal triangles surround...
save space in CPT, and some code descriptions are not printed in their entirety next to a code
number. Instead, the entry is indented and the coder must refer back to the common portion of
the code description that is located before the semicolon. - answer✔✔a "semicolon" is used to..
identifies add-on codes (Appendix D of CPT) for procedures that are commonly, but not always,
performed at the same time and by the same surgeon as the primary procedure. - answer✔✔a
"plus" symbol
identifies codes that are not to be used with modifier -51 - answer✔✔The "forbidden" symbol
indicates a procedure that includes moderate (conscious) sedation - answer✔✔The "bullseye"
symbol
the administration of moderate sedation or analgesia, which results in a drug-induced depression
of cnsciousness.
**A complete list of codes that include moderate (conscious) sedation is located in Appendix G
of CPT** - answer✔✔Moderate (conscious) sedation
indicates codes that classify products that are pending FDA approval but have been assigned a
CPT code - answer✔✔The "flash" symbol
define terms and explain the assignment of codes for procedrues and services located in a
particular section. They are located at the beginning of each CPT section, and should be carefully
reviewed before attempting to code. - answer✔✔Guidelines
Medical Billing/Coding Ch 8 Exam Questions
With Correct Answers
A listing of descriptive terms and identifying codes for reporting medical services and
procedures. It provides a uniform language that describes medical, surgica, and diangostic
services to facilitate communication among providers, patients, and insurers. -
answer✔✔Current Procedural Terminology (CPT)
Services and procedures performed on patients:
*By providers in offices, clinics, and private homes
*By providers in institutional settings such as hsopitals, nursing facilities, and hospices
*When the provider is employed by the healthcare facility
*By a hospital outpatient department - answer✔✔CPT codes are used to report:
Evaluation and Management
anesthesia
Surgery
Radiology
Pathology and Laboratory
Medicing
**Every American Soldier Reads Playboy Magazine** - answer✔✔CPT Sections:
Procedures/services identified by a five-digit CPT code and desriptor nomenclature; these are
codes traditionally associated with CPT and oranized within six sections - answer✔✔Category I
codes
contain "performance measurements" tracking codes tht are assigned an alphanumeric identifier
with a letter in the last field (1234A) these codes will be located after the Medicine section, and
their use is optional. - answer✔✔Category II codes
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
contain "emerging technology" temporary codes assigned for data collection purposes that are
assigned an alphanumeric identifer with a letter in the last field (0001T) - answer✔✔Category III
Codes
Most procedures and services are classified as this. They include a complete description of the
procedure or service. To save space, some descriptions are not printed in their entirely next to a
code number. Instead, an indented code appears below a stand-alone code, requiring the coder to
refer back to the common portion of the code description that is located before the semicolon. -
answer✔✔Stand-alone codes
Codes exempt from modifier -51 reporting rules - answer✔✔Appendix E
Identifies new prodedures and services added to CPT - answer✔✔a "bullet" located to the left of
a code number..
Identifies a code description that has been revised - answer✔✔A "Triangle" located to the left of
a code number ..
revised guidelins and notes (this symbol should not be used for revised code descriptions) -
answer✔✔Horizontal triangles surround...
save space in CPT, and some code descriptions are not printed in their entirety next to a code
number. Instead, the entry is indented and the coder must refer back to the common portion of
the code description that is located before the semicolon. - answer✔✔a "semicolon" is used to..
identifies add-on codes (Appendix D of CPT) for procedures that are commonly, but not always,
performed at the same time and by the same surgeon as the primary procedure. - answer✔✔a
"plus" symbol
identifies codes that are not to be used with modifier -51 - answer✔✔The "forbidden" symbol
indicates a procedure that includes moderate (conscious) sedation - answer✔✔The "bullseye"
symbol
the administration of moderate sedation or analgesia, which results in a drug-induced depression
of cnsciousness.
**A complete list of codes that include moderate (conscious) sedation is located in Appendix G
of CPT** - answer✔✔Moderate (conscious) sedation
indicates codes that classify products that are pending FDA approval but have been assigned a
CPT code - answer✔✔The "flash" symbol
define terms and explain the assignment of codes for procedrues and services located in a
particular section. They are located at the beginning of each CPT section, and should be carefully
reviewed before attempting to code. - answer✔✔Guidelines
