#1
What does CPT stand for in the context of medical coding?
Current Procedure Terminology
ExplanationAbbreviation for the code set used to describe medical procedures.
#2
Which organization publishes and maintains the CPT code set?
American Medical Association (AMA)
ExplanationThe organization responsible for updating and managing the CPT code set.
#3
What does the abbreviation 'E/M' stand for in CPT coding?
Evaluation and Management
ExplanationRefers to services related to assessing and treating patients.
#4
What is the purpose of using CPT codes?
To describe medical procedures and services
ExplanationStandardized system for documenting healthcare services.
#5
What is the primary purpose of CPT coding?
To describe medical procedures and services
ExplanationFacilitates communication between healthcare providers and payers by standardizing procedure documentation.
#6
What does the CPT code 99214 represent?
Established Patient Office Visit
ExplanationCode used to bill for a specific type of patient visit.
#7
Which section of the CPT manual contains codes for Evaluation and Management services?
E/M
ExplanationSection dedicated to codes for patient assessment and care.
#8
What is the purpose of using modifiers in CPT coding?
To indicate special circumstances that may affect the payment
ExplanationUsed to provide additional information about a procedure or service.
#9
Which of the following code sets is used for reporting medical procedures and services provided by physicians and other qualified healthcare professionals?
HCPCS Level II
ExplanationAlternative code set, primarily used for billing non-physician services.
#10
What is the purpose of the CPT Editorial Panel?
To review and update CPT codes annually
ExplanationResponsible for maintaining the accuracy and relevance of CPT codes.
#11
What does modifier 25 indicate when appended to an Evaluation and Management (E/M) service code?
Distinct procedural service
ExplanationIndicates a significant, separately identifiable procedure or service.
#12
What does the CPT code range 10000-69999 primarily cover?
Surgical procedures
ExplanationRange of codes specifically for surgical interventions.
#13
When reporting a bilateral procedure, which modifier is commonly used?
Modifier 50
ExplanationModifier indicating that a procedure was performed on both sides of the body.
#14
In CPT coding, what does the term 'unbundling' refer to?
Separately reporting components of a bundled service
ExplanationBreaking down a bundled service into its individual components for billing.
#15
What does the CPT code range 90000-99999 primarily cover?
Laboratory and Pathology services
ExplanationCodes for laboratory tests and pathology services.