CODING AND BILLING WEEK #9
questions well answered to pass
Definition of Current Procedure Terminology (CPT) - correct answer ✔✔- Sets of codes,
descriptions, and guidelines
- intended to describe services performed
-contains 5 digit codes
CPT codes
-should always code from what? - correct answer ✔✔always use codes from current year
publication
*generally updated annually
**very important to use updated codes!!
When APN's working w/ MD, they are considered working? - correct answer ✔✔same exact
specialty and exact same subspecialty as the physician
x6 divisions of CPT - correct answer ✔✔1. Evaluation and Management (E/M)
-includes office visits, hospital, and consult
2. Anesthesiology
3. Surgery
4. Radiology
5. Pathology and lab
6. Medicine
-EKG, pulse ox, cardiac caths
, CPT Specific Guidelines
1. presented where?
2. they ___items necessary to appropriately ____ and ____ procedures within that section -
correct answer ✔✔1. presented at the beginning of each division of CPT
2. DEFINE items necessary to appropriately INTERPRET and REPORT procedures and services
within that section
Definition of modifier? - correct answer ✔✔provides a means to report a service/procedure
performed that's been altered by some specific circumstance but DOES NOT change it's
definition or code
What are the 3 key components to Evaluation and Management (E/M) services? - correct
answer ✔✔1. History
2. Exam
3. Medical Decision-making
HISTORY (#1 of 3 components to E/M)
-x4 elements of this? - correct answer ✔✔1. CC
2. HPI
3. ROS
4. Past, family, and/or social hx (PFSHx)
1997 Physical Exam guidelines (#2 of 3 component E/M)
-can be performed/documented what x2 different ways - correct answer ✔✔1. general multi-
system exam
2. single organ system exam
General multi-system exam: CONSTITUTIONAL
questions well answered to pass
Definition of Current Procedure Terminology (CPT) - correct answer ✔✔- Sets of codes,
descriptions, and guidelines
- intended to describe services performed
-contains 5 digit codes
CPT codes
-should always code from what? - correct answer ✔✔always use codes from current year
publication
*generally updated annually
**very important to use updated codes!!
When APN's working w/ MD, they are considered working? - correct answer ✔✔same exact
specialty and exact same subspecialty as the physician
x6 divisions of CPT - correct answer ✔✔1. Evaluation and Management (E/M)
-includes office visits, hospital, and consult
2. Anesthesiology
3. Surgery
4. Radiology
5. Pathology and lab
6. Medicine
-EKG, pulse ox, cardiac caths
, CPT Specific Guidelines
1. presented where?
2. they ___items necessary to appropriately ____ and ____ procedures within that section -
correct answer ✔✔1. presented at the beginning of each division of CPT
2. DEFINE items necessary to appropriately INTERPRET and REPORT procedures and services
within that section
Definition of modifier? - correct answer ✔✔provides a means to report a service/procedure
performed that's been altered by some specific circumstance but DOES NOT change it's
definition or code
What are the 3 key components to Evaluation and Management (E/M) services? - correct
answer ✔✔1. History
2. Exam
3. Medical Decision-making
HISTORY (#1 of 3 components to E/M)
-x4 elements of this? - correct answer ✔✔1. CC
2. HPI
3. ROS
4. Past, family, and/or social hx (PFSHx)
1997 Physical Exam guidelines (#2 of 3 component E/M)
-can be performed/documented what x2 different ways - correct answer ✔✔1. general multi-
system exam
2. single organ system exam
General multi-system exam: CONSTITUTIONAL
