__________ must accompany claims when an unusual, new, seldom used, or Category I unlisted code or Category III code is usubmitted? - answer-Special report - used to describe the nature, extent, and need for the procedure or service & the time, effort and equipment necessary to provide the service....
, CPT/HCPCS CODING 3 CHAPTER 1
__________ must accompany claims when an unusual, new, seldom used, or
Category I unlisted code or Category III code is usubmitted? - answer-Special
report - used to describe the nature, extent, and need for the procedure or
service & the time, effort and equipment necessary to provide the service.
___________ provide specific information about coding in a given section of the
CPT and contain valuable information for the coder. They are found at the
beginning of each section and may contain definitions of terms, applicable
modifiers, subsection information, unlisted services, special reports information,
or clinical examples. - answer-CPT guidelines and notes
____________ provide additional information or "adds to the story" regarding
services provided to a patient when the regular five digit CPT code does not
completely reflect the service or procedure provided? - answer-Modifiers, (2
digits, 2 letters, letter & number)
1.) Codes that contain a full description?
2.) Codes that are listed & indented under stand alone codes?
3.) In CPT it is understood that descriptions for indented codes include
the____________? - answer-1.) Stand-alone codes
2.) Indented codes
3.) portion of the associated stand-alone code description that precedes the
semicolon.
1.) HCPCS stands for_______?
2.) It is divided into________? - answer-1.) Healthcare Common Procedural Coding
System
2.) Level I = CPT codes & Level II = National Codes
A procedure or service not found in the CPT manual can be coded as an _______
procedure only if________? - answer-unlisted procedure, only if no Category I CPT
or Category III code is available.
According to the CPT manual, modifier 91 is not to be used when tests are
_____to confirm initial results? - answer-Rerun.
According to the E/M guidelines, time is not a component for the...? - answer-
Emergency dept. of E/M Services. (E/M - Evaluation and Management pg. 7)
According to the surgery guidelines, destruction can be considered part of -
answer-integral to a procedure.
Acode that has all of the words in the code that follows is ______? - answer-stand-
alone
Category I CPT codes have how many digits? - answer-5
CPT are incorporated as Level ________codes? - answer-Level I codes
CPT codes are referred to as Category ____codes? - answer-Category I
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