ACTUAL Questions and CORRECT
Answers
OVERVIEW OF CPT - CORRECT ANSWER - Current Procedual Terminology {CPT} is
a listing of descriptive terms and indentifying codes for reporting medical services and
procedures.
CPT - CORRECT ANSWER - It provides a uniform language that describes medical,
surgical and diagnostic services to facilitate communication among providers, patients and
insurers.
AMA - CORRECT ANSWER - American Medical Association first published CPT in
1966 and subsequent editions expanded its descriptive terms and codes for diagnostic and
therapeutic procedures.
Five-digit codes - CORRECT ANSWER - were introduced in 1970, replacing the four-
digit classification.
CPT - CORRECT ANSWER - adopted as part of the Healthcare Common Procedure
Coding System {HCPCS}, mandated for reporting MEDICARE Part "B" services.
CPT Codes - CORRECT ANSWER - are used to report services and procedures performed
on patients:
CPT Codes {bullet 1} - CORRECT ANSWER - By providers in OFFICES, CLINICS and
PRIVATE HOMES.
CPT Codes {bullet 2} - CORRECT ANSWER - By providers in INSTITUTIONAL
settings such as HOSPITALS, NURSING facilities and HOSPICES.
, CPT Codes {bullet 3} - CORRECT ANSWER - When the provider is employed by the
HEALTHCARE facility (e.g. many of the physicians associated with VETERANS
ADMINISTRATION MEDICAL CENTERS ARE EMPLOYEES OF THAT ORGANIZATION
CPT Codes {bullet 4} - CORRECT ANSWER - By a hospital outpatient department (e.g.
ambulatory surgery, emergency dept and outpatient laboratory or radiographic procedures).
CPT Codes simplifies reporting - CORRECT ANSWER - Reporting and assist in the
accurate identification of procedures and services for {THIRD-PARTY} payer consideration.
CPT Codes and descriptions - CORRECT ANSWER - are based on consistency with
CONTEMPORARY MEDICAL PRACTICE as performed by clinical providers throughout the
country.
CPT-5 - CORRECT ANSWER - HIPAAA's requirements that code sets and classification
systems be implemented in a COST-EFFECIVE manner includes: LOW-COST, EFFICIENT
distribution, and application to all users
CPT IDENTIFIED - CORRECT ANSWER - as a procedure coding standard for the
reporting of physicialn services in 2000, the May 7th, 1998 Federal Register reported that CPT is
not always precise or unambiguous teh CPT-5 project was the AMA's response.
Changes to CPT - CORRECT ANSWER - CPT supports Electronic Data Inerchange
{EDD} hte computer-based patient record (CPR) or Electronic Medial record (EMR),
reference/research databases.
CPT glossary - CORRECT ANSWER - created to standarize definitions and differentiate
teh use of synonymous terms: and searchable, Electronic CPT Index is under development, along
with a computerized datebase to delinate relationships among CPT code descriptions.
CPT Improvements - CORRECT ANSWER - are underway to address the needs of
hospitals, managed care organizations and long-term care facilities.