CPT Final Exam Questions and Answers Already Graded A

CPT Final Exam Questions and Answers Already Graded A CPT and HCPCS codes are used in what type of healthcare setting? Correct Answer-Hospital outpatient, physician offices CPT is Correct Answer-current procedural terminology HCPCS is Correct Answer-healthcare common procedure coding system Who publishes CPT (Level I HCPCS)? How often is it updated? When is it updated? Correct Answer-AMA publishes cpt, it is updated annually, on Jan. 1 of each year CPT Category 1 codes consist of: Correct Answer-Anesthesia, Evaluation and management, surgery, radiology, pathology and laboratory, medicine What are Category 2 CPT codes for? What does the Category 2 code consist of? Correct Answer-Performance Measures consist of 4 numbers followed by a capital F, such as 1000F What are Category 3 CPT codes for? What does the Category 3 code consist of? Correct Answer-New & Emerging Technology consist of 4 numbers followed by a capital T, such as 2000T What are modifiers Why are they used? Correct Answer-Supplementary Codes to provide additional information to a code What is a HCPCS level II code used to report? What does the HCPCS level II code consist of? Correct Answer-Are used for supplies, DME, injectable substances, dental and chiropractic as well as orthotics Structure: J1885 - capital letter followed by 4 numbers What are HCPCS level II codes also called? Correct Answer-National codes Who developed the HCPCS level II codes? How often are they updated? When are they updated? Correct Answer-Developed by CMS, they are updated yearly update Jan1 NCCI Correct Answer-National Correct Coding Initiative What does the National Correct Coding Initiative edits do? Correct Answer-Helps CMS to detect inappropriate codes submitted on claims - CPT coding guidelines - Current standards of medical/surgical coding practice - Advice from specialty societies List 3 NCCI edits and the definition of those edits. Correct Answer-1. Comprehensive/component edit = edit pertains to HCPCS codes that should NOT be used together. 2. Mutually exclusive edit = edit applies to improbable or impossible combinations of codes 3. Medical unlikely edits = for part B claims, CMS has developed medical unlikely edits to reduce error rates for items on the claim form that reference units of service • (bullet) Correct Answer-new code ; (semi-colon) Correct Answer-main entry applies to & is part of all indented entries that follow Δ (triangle) Correct Answer-revision code