Coding - CPT Codes Questions and Answers 100% Verified

2 types of services not included in surgical package codes - 1) complications or recurrences that arise after the therapeutic surgical procedures 2) care for the condition for which a diagnostic surgical procedure is performed add on code - procedure performed and reported in addition to a primary procedure analyzing the requirements to report the service level - the descriptor for each E/M code explains the standards for its selection , for office visits and most other services to new pt`s and initial visits , all 3 key components must be documented . if 2 are at a higher level and a third is below that level , the standard is not met . anesthesia codes - each anesthesia code includes the complete and usual services of an anesthesiologist assignment of correct procedure code - begins by reviewing the physician`s statements in the pt`s medical record bundling - using a single payment for two or more related procedure codes category l codes - procedure codes found in the main body of CPT ,5 digits , no decimals , has descriptor category ll codes - used to track performance measures for a medical goal, alpha character for 5th digit category lll codes - temporary codes for emerging technology, services , and procedures, alpha character for 5th digit consultation - asking for the opinion of another MDcounselling - counseling is a discussion with a pt regarding areas such as diagnostic results, instructions, education , not required to be documented as part of key components CPT - current procedural terminology, owned by AMA lists procedures and services commonly performed by MD`s across the country CPT modifier - two digit number used to communicate special circumstances involved with procedures that have been performed cross reference - the cross reference "see" , is a mandatory instruction determining the complexity of medical decision making - 1) straightforward 2) low complexity 3) moderate complexity 4) high complexity E/M codes (evaluation and management) - codes that cover physician`s services performed to determine the optimum course of treatment for pt care