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SS Ch 8 Flashcards | StudBud
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SS Ch 8
SS Ch 8
41 terms
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1
The Medicaine section Guidelines contains the definition of a separate procedure
False
True
2
Which section Guidelines contains the definition of the chief complaints
Pathology and Laboratory
E/M
Medicaine
Surgery
3
Act mandating adoption of national standards for electronic transmission of financial and administrative health info
None are correct
HIPAA
HIPPA
HIPA
4
Unable to locate a code that describes the exact service, it is acceptable to use a code that approximates the service
True
False
5
CPT stands for
Correct Procedural Terminology
Current Procedures Terminology
Current Physicians Terminology
Current Procedural Terminology
6
Which punctuation mark between codes in the index of the CPT manual indicates two codes are available
Period
Hyphen
Semicolon
Comma
7
Category III codes are released annually
True
False
8
Which CPT appendix would additions, deletions, and revisions can be found
Appendix D
Appendix C
Appendix A
Appendix B
9
2 primary surgeons perform distinct parts of a procedure require modifier
-62
-26
-78
-87
10
What is the function of an add-on code
Serves as a primary code under certain conditions
Identifies a code that is never used alone
11
Only stand-alone code has the full description
True
False
12
Procedures that are experimental, newly approved, or seldom used are reported with a technical code
False
True
13
CPT manual is in alphabetic order with the main term listed first and then further divided by subterm
True
False
14
Modifier -73 is used by an ASC or hospital outpatient for
Postoperative
Administration of anesthesia
A, B and C
Discontinued procedure prior to administration of anesthesia
15
Guidelines reflect the technologic advances made in medicine that are incorporated into the CPT
False
True
16
A ______ must accompany claims when using an unlisted procedure code
CMS-1500
Special note
Special report
17
Time is not a descriptive component for the emergency dept levels of E/M service
True
False
18
According to Surgery guidelines, surgical destruction may be considered part of a surgical procedure
True
False
19
A semicolon between the codes in the index of the CPT manual indicates a range of codes
True
False
20
Healthcare providers are reimbursed based on the codes submitted on a claim form for procedures and services rendered
False
True
21
The words that follow a code number in the CPT manual are called
listing order
identified descriptor
format descriptor
Procedure/service descriptor
22
Who requires a special report with the use of unlisted codes
Third-party payers
CPT manual
Physicians
AMA
23
Intravascularly, intra-articularly, and intrathecally are methods that qualify as "with contrast"
False
True
24
Increased reimbursement is a reason for CPT coding system
False
True
25
An unlisted procedure code
A procedure or service not found in the CPT manual
Located in the Section guidelines
All are correct
Located at the end of a subsection or subheading
26
What year was CPT first developed and published
1966
None are correct
1986
1988
27
Select 6 basic location method to locate main terms in the index of CPT
Service/procedure and anatomic site
Abbreviation and disease
ALL are correct
Synonym and eponym
28
Modifier -78
Unplanned related procedure during postoperative period
None are correct
Return to the operating room
A and B
29
Service, extent, and procedure are three of the six elements that a special report must contain
False
True
30
CPT Appendix A contains all modifiers
True
False
31
There are 7 main sections in the CPT manual
True
False
32
Appendix C of the CPT manual contains examples of Add-on codes
False
True
33
A list of the unlisted procedures for use in a specific section of thr CPT manual is contained
Appendix A
Appendix C
Guidelines
Appendix B
34
AMA and CMS published CPT
False
True
35
A modifier increases third-party payer reimbursement
False
True
36
Universal health insurance paper form submission of outpatient services is the
CMS-1500
CDS-1500
CNS-1500
CMS-1400
37
Category 1 CPT codes have 6 digits
False
True
38
You can find specific coding information about each section in the Guidelines
True
False
39
Modifier -91 is used when tests are rerun to confirm initial results
True
False
40
A code that has all the words that describe the code that follows is a stand-alone code
False
True
41
The rules that govern coding in various health care settings are
Variable
Static
Nationally established
Unchanging