KNOW BEFOR EXAM EXAM 2022
CPT stands for... - Common Procedural Terminology
Who is responsible for maintaining the CPT code set? - AMA's CPT Editorial
Panel
HCPCS stands for... - Healthcare Common Procedure Coding System
What are the levels of HCPCS? - Level I: AMA CPT Code Set; makes up the
majority of the HCPCS
Levell II: National Code Set
Each level is its own unique coding system.
Who updates CPT? When is CPT updated and when do the updates take effect? -
Updates are done by AMA CPT Editorial Panel.
Updated annually; released in the fall but effective on Jan 1 of every year.
What do CPT codes look like? - Each procedure or service code is identified with
a 5-digit code or a 5-character alphanumeric code.
Two-digit modifiers.
What are HCPCS Level II codes? When are they updated and Who maintains
them? - National Codes that describe services and supplies not found in the CPT
code set (examples: durable medical equip, ambo svc, med & surg supplies, drugs,
orthotics/prosthetics).
Updated annually; Maintained by CMS
What are the CPT Categories? - Cat I, Cat II, CatIII
What are CPT Category I codes? - Procedure or services with 5-DIGIT CPT
codes and descriptor code set.
What are CPT Category II codes? - Code set developed for optional reporting of
performance measurement. These are intended to facilitate data collection by
encoding specific services and/or test results that have exhibited evidence-based
results for contributing to positive health outcomes and quality patient care.
What are CPT Category III codes? -