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CPT Final exam questions and answers2024 GRADED A+
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CPT Final exam questions and answers2024GRADED A+
CPT and HCPCS codes are used in what type of healthcare setting? - Hospital
outpatient,
physician offices
CPT is - current procedural terminology
HCPCS is - healthcare common procedure coding system
Who publishes CPT (Level I HCPCS)?
How often is it updated? When is it updated? - AMA publishes cpt,
it is updated annually, on Jan. 1 of each year
CPT Category 1 codes consist of: - 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? - Performance Measures
consist of 4 numbers followed by a capital F, such as 1000F
,CPT Final exam questions and answers2024
GRADED A+
What are Category 3 CPT codes for?
What does the Category 3 code consist of? - New & Emerging Technology
consist of 4 numbers followed by a capital T, such as 2000T
What are modifiers
Why are they used? - 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? - 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? - National codes
Who developed the HCPCS level II codes? How often are they updated? When are
they updated? - Developed by CMS,
they are updated yearly update Jan1
, CPT Final exam questions and answers2024
GRADED A+
NCCI - National Correct Coding Initiative
What does the National Correct Coding Initiative edits do? - 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. - 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
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