CPMA Exam Chapter 3 with complete
solutions 2024/2025
Accurate reimbursement begins with - ANSWER-accurate coding and rules that
vary by payer
The CPT codebook contains - ANSWER-instructions, coding guidelines,
parenthetical notes, and symbols to provide guidance for proper coding.
Not all payers follow CPT coding guidelines. - ANSWER-An auditor must be able
to apply payer variations to the CPT guidelines during an audit, and must
communicate the differences in a way that will make sense to the provider.
Add-on codes - ANSWER-Listing found in Appendix D in the CPT codebook
Add-on code are carried out in addition to the primary procedure
Add-on codes are never reported alone, and always accompany specific primary
procedure codes.
There is a parenthetical note following the add-on code to indicate the associated
primary code(s)
When the list of associated add-on codes is too extensive, - ANSWER-there will
not be a list of applicable primary codes in a parenthetical note following the add-
on code
All add-on codes are - ANSWER-exempt from the multiple procedure concepts
(modifier 51) See Appendix A
solutions 2024/2025
Accurate reimbursement begins with - ANSWER-accurate coding and rules that
vary by payer
The CPT codebook contains - ANSWER-instructions, coding guidelines,
parenthetical notes, and symbols to provide guidance for proper coding.
Not all payers follow CPT coding guidelines. - ANSWER-An auditor must be able
to apply payer variations to the CPT guidelines during an audit, and must
communicate the differences in a way that will make sense to the provider.
Add-on codes - ANSWER-Listing found in Appendix D in the CPT codebook
Add-on code are carried out in addition to the primary procedure
Add-on codes are never reported alone, and always accompany specific primary
procedure codes.
There is a parenthetical note following the add-on code to indicate the associated
primary code(s)
When the list of associated add-on codes is too extensive, - ANSWER-there will
not be a list of applicable primary codes in a parenthetical note following the add-
on code
All add-on codes are - ANSWER-exempt from the multiple procedure concepts
(modifier 51) See Appendix A
