; - answer-Semicolon Symbol
Save space, some CPT Code description are NOT printed next to a code number
Entry is indented
Must refer back to the common portion of the code description that is located BEFORE the semicolon
(True/False) All payers accept claims that contain CPT Category II...
, CHAPTER 9 - INTRODUCTION TO CPT
CODING
; - answer-Semicolon Symbol
Save space, some CPT Code description are NOT printed next to a code number
Entry is indented
Must refer back to the common portion of the code description that is located
BEFORE the semicolon
(True/False) All payers accept claims that contain CPT Category II Codes. -
answer-False. Some payers can deny claims that contain CPT Category II Codes
(True/False) Bundling procedure codes are NOT separately coded and reported
with the major procedure code - answer-True
(True/False) CPT codes and descriptions are based on consistency with
contemporary medical practice and are performed by clinical providers
throughout the country - answer-True
(True/False) Do not add a modifier to a CPT Unlisted procedure/service does
because they do not include specific descriptions that would justify modifying
their meaning - answer-True
+ - answer-Plus Symbol
identifies add-on codes (Appendix D of CPT) for procedures that are commonly,
but NOT always performed at the same time and by the same surgeon as the
primary procedure
A/B MACs - answer-MACs that process both hospital inpatient/outpatient and
Medicare Parts A & B for physicians for claims
Add-on Code - answer-reported when another procedure is performed in addition
to the primary procedure during the same operative session and must never be
reported as a stand-alone code
Do not report Modifier -50 with add-on codes
Bilateral procedures, the add-on code is reported twice
Advanced Beneficiary Note (ABN) - answer-a form completed and signed by a
medical beneficiary each time a provider believes a normally covered service will
NOT be covered and provider wants beneficiary billed directly
Appendix A - answer-Modifiers
contains a list of CPT Modifiers and detailed descriptions
Appendix B - answer-Summary of Additions, Deletions, and Revisions
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