CPT FINAL EXAM QUESTIONS AND ANSWERS GRADED A+
CPT and HCPCS codes are used in what type of healthcare
setting? ANS >> Hospital outpatient,
physician offices
CPT is ANS >> current procedural terminology
HCPCS is ANS >> healthcare common procedure coding system
Who publishes CPT (Level I HCPCS)?
How often is it updated? When is it updated? ANS >> AMA
publishes cot,
it is updated annually, on Jan. 1 of each year
,CPT FINAL EXAM
CPT Category 1 codes consist of: ANS >> Anaesthesia, Evaluation
and management, surgery, radiology, pathology and laboratory,
medicine
What is Category 2 CPT codes for?
What does the Category 2 code consist of? ANS >> Performance
Measures
consist of 4 numbers followed by a capital F, such as 1000F
What is Category 3 CPT codes for?
What does the Category 3 code consist of? ANS >> New &
Emerging Technology
consist of 4 numbers followed by a capital T, such as 2000T
What are modifiers
Why are they used? ANS >> Supplementary Codes
to provide additional information to a code
What is a HCPCS level II code used to report?
What does the HCPCS level II code consist of? ANS >> Are used for
supplies,
, CPT FINAL EXAM
DME, injectable substances, dental and chiropractic as well as
orthotics
Structure: J1885 - capital letter followed by 4 numbers
What are HCPCS level II codes also called? ANS >> National codes
Who developed the HCPCS level II codes? How often are they
updated? When are they updated? ANS >> Developed by CMS,
they are updated yearly update Jan1
NCCI ANS >> National Correct Coding Initiative
What does the National Correct Coding Initiative edits do? ANS >>
Helps CMS to detect inappropriate codes submitted on claims
- CPT coding guidelines
- Current standards of medical/surgical coding practice
- Advice from specialty societies
List 3 NCCI edits and the definition of those edits. ANS >> 1.
Comprehensive/component edit = edit pertains to HCPCS codes
that should NOT be used together.