Chapter 8 CPT Coding System 2024 exam

Advanced Beneficiary Notice (ABN) - answer-Form completed and signed by Medicare beneficiary each time provider believes: Normally covered service will not be covered Provider wants to bill beneficiary directly for service Appendix A - answer-List of modifiers and descriptions Appendix B - answer-Annual CPT coding additions, deletions, and revisions Appendix C - answer-Clinical examples for codes found in E/M section Appendix D - answer-List of add-on codes identified with plus symbol + Appendix E - answer-List of codes exempt from modifier -51 Appendix F - answer-List of codes exempt from modifier -63 Appendix H - answer-List of alphabetical clinical topics Removed from CPT coding manual and placed online at AMA's website Appendix I - answer-Removed from CPT coding manual Appendix J - answer-List of electrodiagnostic medicine listing of sensory, motor, and mixed nerves Appendix K - answer-List of codes pending Food and Drug Administration (FDA) approval Appendix L - answer-List of vascular families Appendix M - answer-Summary of crosswalked deleted and renumbered codes from 2007 to 2009 Appendix N - answer-Summary of resequenced CPT codes Appendix O - answer-Multianalyte Assays with Algorithmic Analyses (MAAA) Administrative codes for procedures that by their nature are typically unique to a single clinical laboratory or manufacturer Appendix P - answer-List of CPT codes that are reported for telemedicine services Modifier -95 is added to reported telemedicine service codes Star symbol identifies telemedicine services codes in CPT Blocked Unindented Note - answer-Located below the title of a subsection, heading or category, or subheading or subcategory. It contains instructions that apply to all codes in the subsection, heading/category, or subheading/category. Blue Reference Symbol - answer-Located below a code description in some CPT coding manuals indicates that the coder should refer to the CPT changes an insider's view annual publication that contains all coding changes for the current year. Bullet Symbol - answer-Located to the left of a code number identifies new procedures and services added to CPT. Category II Codes - answer-Optional "performance measurement" tracking codes Not a substitute for Cat I. Certain services or test results. Assigned an alphanumeric identifier with a letter in the last field (1000F) These codes will be located after the Medicine section. Category III Codes - answer-Contain "emerging technology, procedure, and service" temporary codes Assigned for data collection purposes Assigned an alphanumeric identifier w/ a letter in the last field (0042T) Accepted for placement within Cat I sections of CPT. Column 1/2 Edits - answer-Code pairs that should not be billed together because one service inherently includes the other, previously called comprehensive/component edits. Column 1/column 2 edits - answer-Code pairs that should not be billed together because one service inherently includes the other Previously called comprehensive/component edits CPT Code Number Format - answer-Five-digit code number and a narrative description identify each procedure and service listed in Cat I of CPT. Most procedures/services contain stand-alone descriptions. Some descriptions are not printed in their entirety next to a code number. Entry can be indented and the coder must refer back to the common portion of the code description that is located before the semicolon. CPT Guidelines - answer-Located at beginning of each CPT section Should be carefully reviewed before assigning a code Define terms and explain assignment of codes for procedures and services located in a particular section Guidelines in one section do not apply to another section in CPT CPT Index - answer-Organized by main terms printed in boldface. Main terms represent procedures or services, organs, anatomical sites, conditions, eponyms, or abbreviations. Main term may be followed by indented terms that modify the main term-subterms. CPT Modifiers - answer-Clarify services and procedures performed by providers Reported as two-digit numeric codes added to five-digit CPT code HCPCS level II national two-character alphanumeric modifiers also added to five-digit CPT code CPT Sections, Subsections, Categories, and Subcategories - answer-CPT Category I codes are organized according to six sections: −Subsections −Categories −Subcategories Guidelines are located at the beginning of each CPT section Cross-reference Term - answer-"See" is a cross reference term that directs coders to an index