NWC LB MIBC 130 Insurance 14e Rev Week 2

Which Advance Beneficiary Modifier may be reported in addition to modifier -GY?

What year did CMS develop and publish HCPCS?

HCPCS alphanumeric codes are also known as:

Health care providers are ____ based on the codes submitted on a claim form for procedures and services rendered.

Modifier -57, decision for surgery, is used on what type of service?

Subset HCPCS modifier indicating an “Opt out” physician providing emergency service.

Modifier -80, Assistant Surgeon, is used when:

How often are Category III codes released?

The modifier “-AA” is an example of what type of modifier?

Which of the following represents three of the six elements that a special report must contain?

K codes are used to identify:

HCPCS codes have how many digits?

Who requires a special report with the use of unlisted codes?

Subset HCPCS modifier indicating the service was provided by a resident under a teaching physician’s direction.

Category I CPT codes have ____ digits.

Which punctuation mark between codes in the index of the CPT manual indicates two codes are available?

A modifier:

The universal health insurance paper form for submission of outpatient services is the:

Where is specific coding information about each section located?

Which punctuation mark between codes in the index of the CPT manual indicates a range of codes is available?

The rules that govern coding in various health care settings are:

Which of the following is NOT a reason for the CPT coding system?

Procedures that are experimental, newly approved, or seldom used are reported with that type of code?

In which CPT appendix would additions, deletions, and revisions be found?

HCPCS is a collection of codes that represent the following:

Modifier -51, Multiple Procedure, is used on what type of services?

Level II National Modifiers can be found preceding the A Codes in HCPCS and also in Appendix A of CPT.

Who publishes CPT?

The modifier that indicates only the professional component of the service was provided is:

A code that has all of the words that describe the code that follows is what type of code?

What year was CPT first developed and published?

The rules that govern coding in various health care settings are:

The entries in the index of the National Codes are listed under one main term.

The modifier that indicates multiple procedures is:

Multiple modifiers are indicated with which modifier?

How many main sections are in the CPT manual?

HCPCS stands for:

This modifier indicates required Waiver of Liability statement issued.

According to the Surgery guidelines, surgical destruction may be considered part of a surgical procedure.

Subset HCPCS modifier indicating denial expected as not reasonable or necessary.

In which CPT appendix would all modifiers be found?

The words that follow a code number in the CPT manual are called:

A list of the unlisted procedures for use in a specific section of the CPT manual is contained in:

Which term reflects the technologic advances made in medicine that are incorporated into the CPT manual?

CPT stands for:

Modifiers are used to indicate what type of information?

According to the Surgery guidelines, surgical destruction may be considered part of a surgical procedure.

Modifiers may affect: