CPMA Exam Chapter 3 Study Guide with Verified Solutions
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Course
CPMA
Institution
CPMA
CPMA Exam Chapter 3 Study Guide with Verified
Solutions
Accurate reimbursement begins with - Answer-accurate coding and rules that vary by payer
The CPT codebook contains - Answer-instructions, coding guidelines, parenthetical notes,
and symbols to provide guidance for proper coding.
Not all p...
When the list of associated add-on codes is too extensive, - Answer✔✔-there will not be a list of
applicable primary codes in a parenthetical note following the add-on code
All add-on codes are - Answer✔✔-exempt from the multiple procedure concepts (modifier 51)
See Appendix A
Multiple surgical procedure reduction is applied when - Answer✔✔-multiple procedures are
performed during the same operative session.
The highest valued code is paid at 100%
The 2nd highest valued code is paid at 50%.
And each additional procedure is paid at 25%
If a claim exceeds five line items, payers may evaluate for special pricing
The fee schedule for add-on codes already accounts for - Answer✔✔-the reduction, and the
payment is made at 100%
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