Chapter 8 Introduction to CPT coding

Chapter 8 Introduction to CPT coding
CPTMstandsMfor:M-MAnswerMCurrentMProceduralMTerminology



TheMCPTMmanualMoftenMreflectsMtheMtechnologicMadvancesMmadeMinMmedicineMwithMth
eseMcodes:M-MAnswerMCategoryM3MCodes



TheMCPTMmanualMisMeverMchangingMandMisMupdatedMannuallyMtoMreflectMtechnologicMa
dvancesMandMeditorialM_______.M-MAnswerMRevisions



WhatMtypeMofMcodesMendMwithM99?M-MAnswerMUnlistedMProceduresMorMServices



CodingMinformationMthatMpertainsMtoManMentireMsectionMisMlocatedMinMtheM__________
_.M-MAnswerMGuidelines



TheseMcodesMprovideMsupplementalMinformationMandMdoMnotMsubstituteMforMaMCategor
yM1MCode:M-MAnswerMCategoryM2MCodes.



WhatMisMtheMnameMofMtheMtwo-
digitMnumberMorMaMdigitMandMaMnumberMthatMisMlocatedMafterMtheMCPTMcodeMnumb
erMandMprovidesMmoreMdetailMaboutMtheMcode?M-MAnswerMModifierMExempt



WhenMusingManMunlistedMorMCategoryM3MCode,Mthird-
partyMpayersMusuallyMrequireMtheMsubmissionMofMwhat?M-MAnswerMSpecialMReport



TheMCPTMmanualMwasMdevelopedMby?M-MAnswerMTheMAmericanMMedicalMAssociation



ProvidersMofMhealthMcareMareMpaidMbasedMonMtheMcodesMsubmittedMforM________Mor
MproceduresMprovidedMtoMtheMpatient.M-MAnswerMServices



TheMfirstMCPTMwasMpublishedMinMthisMyear:M-MAnswerM1966



InMwhichMyearMwereMCPTMcodesMincorporatedMasMLevelM1McodesMintoMtheMHealthcare
MProcedureMCodingMSystemM(HCPCS)?M-MAnswerM1983

, AppendixMAM-MAnswerMlistsMallMmodifiersMthatMareMusedMtoMalterMorMmodifyMcodes.



AppendixMBM-
MAnswerMadditionsMto,MdeletionsMfrom,MandMrevisionsMofMtheMCPTMmanual.



AppendixMCM-
MAnswerMclinicalMexamplesMofMmanyMofMtheMEvaluationMandMManagementM(E/M)Mcode
s.



AppendixMDM-MAnswerMlistsMallMadd-onMcodesMSYMBOLM=M+



AppendixMEM-MAnswerMcompleteMlistMofMModifierM-51MexemptMcodes.



AppendixMFM-MAnswerMsummaryMofMCPTMcodesMthatMareMModifierM-63Mexempt.



ModifierM-51MindicatesMwhat?M-MAnswerMMultipleMprocedures



AppendixMF

ModifierM-63MidentifiesMwhat?M-
MAnswerMProceduresMthatMareMperformedMonMinfantsMwhoMweighMlessMthanM4MkgMor
M8.8MpoundsMandMrepresentsMaMsignificantMincreaseMinMtheMphysician'sMworksMandMco
mplexityMofMservice/procedure.



AppendixMGM-MAnswerMSummaryMofMModerateMSedationMCodes.M

(ProcedureMthatMrequiresMconsciousMsedation.)



AppendixMHM-MAnswerMCategoryM2MCodes.



CategoryM2McodesM-MAnswerMOptionalMperformanceMmeasures



CategoryM1McodesM-MAnswerMDescribeMservicesMandMprocedures,MapprovedMbyMFDA



AppendixMIM-MAnswerMGeneticMTestingMCodeMModifiers