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
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
