Chapter 28: Procedural and Diagnostic Coding (with complete solutions)

International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) correct answers - Codes describe the disease or condition presented by the patient. - Effective as of October 1, 2015. Current Procedural Terminology (CPT) correct answers - Codes for procedures and services. - Adopted in 1983 as part of the Healthcare Common Procedure Coding System (HCPCS). Healthcare Common Procedure Coding System (HCPCS): correct answers - Level I: CPT codes. - Level II: Codes that identify products, supplies, and services for which there are no CPT codes. - Codes published annually. CPT@ Coding correct answers • Six sections of the CPT Manual (refer to Table 28-1) 1. Evaluation and Management 2. Anesthesiology 3. Surgery 4. Radiology (including nuclear medicine and diagnostic ultrasound) 5. Pathology and Laboratory 6. Medicine (except Anesthesiology) Using the CPT Manual correct answers • CPT Code Format - Five characters long - May be numeric or alphanumeric - CPT codes are divided into three categories: • Category I • Category II • Category III Add-on Code correct answers - Always performed in addition to the primary procedure or service. - Designated with the + symbol. - Found in Appendix D of the CPT code book. - Never reported as a stand-alone code. CPT Symbols correct answers - Indicate specific information about code numbers (see Figure 28-1). - Figure 28-2 represents a selection of symbols and conventions.