Primary code in cpt - Study guides, Class notes & Summaries

NHA,CBCS Exam (Latest 2024/ 2025 Update) | Questions and Verified Answers| 100% Correct| Grade A Q: Which of the following would most likely result in a denial on a Medicare claim? Answer: An experimental chemotherapy medication for a patient who has stage III renal cancer Q: Which of the following pieces of guarantor information is required when establishing a patient's financial record? Answer: Phone number Q: A provider surgically punctures through the space betw...

Certified Professional Coder Coding Test 2025/2026| Verified Q&A Which entity is responsible for developing and updating the ICD-10-PCS code set? Centers for Medicare and Medicaid Services (CMS) In the Medicare Physician Fee Schedule, what is the purpose of the Relative Value Unit (RVU)? To determine the value of services provided by physicians Which ICD-10-CM chapter covers diseases of the digestive system? Chapter 11 What is the primary purpose of the ICD-10-CM code set? To classi...

CPT-4/HCPCS CODING EXAM QUESTIONS AND ANSWERS 100% PASS!! If a coder is unable to locate a code that describes the exact service provided, it is acceptable to use a code that approximates the service provided. -Answer-False According to the surgery guidelines, surgical destruction may be considered part of a surgical procedure. -Answer-True The words that follow a code number in the CPT manual called: -Answer- Procedure/service descriptor Who requires a special report with the use of unl...

Alcohol and Drug Abuse codes - H0001-H2037 Categories of temporary codes: C codes - identify items that may qualify for transitional pass through payments under OPPS Categories of temporary codes: G codes - identify professional health care procedures and services that do not have codes identified in CPT Categories of temporary codes: H codes - reported to state Medicaid agencies as mandated by state law to identify mental health services. Categories of temporary codes: K codes - reported...

Medical Coding Chapter 1| Unit Question and Answers| Approved 2025 What is the primary purpose of medical coding? Documentation of services Translating healthcare diagnoses, procedures, and services into standardized codes Creating medical records for patient history Ensuring patient confidentiality Which coding system is primarily used for diagnosis coding in the United States? CPT ICD-10-CM HCPCS DRG What does the acronym ICD-10-CM stand for? International Code Descr...

Accurate reimbursement begins with accurate coding and rules that vary by payer The CPT codebook contains instructions, coding guidelines, parenthetical notes, and symbols to provide guidance for proper coding. Not all payers follow CPT coding guidelines. An auditor must be able to apply payer variations to the CPT guidelines during an audit, and must communicate the differences in a way that will make sense to the provider. Add-on codes Master01 | September, 2024/2025 | Latest u...

MEDICAL BILLING & CODING LATEST VERSION GRADED A+ CPT CURRENT PROCEDURAL TERMINOLOGY CPT IS PUBLISHED BY (AMA) AMERICAN AMERICAN MEDICAL ASSOCIATION CPT HAS SIX SECTIONS 1.Evaluation and Management codes starts with . 2. Anesthesia is . 3. Surgery is . 4. Radiology is . 5. Lab/Test is . 6. Medicare is CPT CODES ARE USED FOR SERVICE AND PROCEDURES/ ALSO WHERE PATIENT IS GOING AND WHAT DOCTOR IS DOING. CPT ONLY HAS 5 DIGITS IN THERE CODE PCP Primary Care Physician PPO P...

Medical Billing and Coding Questions and Answers Already Passed Which of the following is an example of health insurance abuse? Performing more tests than are necessary. A durable power of attorney (POA) must be a blood relative of the patient. False Under the HIPAA Privacy Rule, what does "minimum necessary" mean? Disclose only what is necessary for the intended purpose. What's the term for the document that states which medical treatments you want and don't want if you're ...

MEDICAL BILLING & CODING (100% VERIFIED EXAM REVIEW SOLUTION) A+ CPT - ANS-CURRENT PROCEDURAL TERMINOLOGY CPT IS PUBLISHED BY - ANS-(AMA) AMERICAN AMERICAN MEDICAL ASSOCIATION CPT HAS SIX SECTIONS - ANS-1.Evaluation and Management codes starts with . 2. Anesthesia is . 3. Surgery is . 4. Radiology is . 5. Lab/Test is . 6. Medicare is CPT CODES ARE USED FOR - ANS-SERVICE AND PROCEDURES/ ALSO WHERE PATIENT IS GOING AND WHAT DOCTOR IS DOING. CPT - ANS-ONLY HAS 5 DIGITS IN THERE CODE ...

Durable (can withstand repeated use) -Used for a medical reason -Not usually useful to someone who isn't sick or injured -Used in your home -Generally has an expected lifetime of at least 3 years - Answer-DME must be prescribed by a physician and must meet these criteria: 1. Review the patient record to determine the procedures performed or services provided. 2. Locate the main term in the HCPCS Level II index. 3. Identify the code next to the main term in the HCPCS Level II index. Ther...