Buck: Chapter 13 – Flashcards
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The words that follow a code number in the CPT manual are called:
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procedure/service descriptor
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A code that has all of the words that describe the code that follows is what type of code?
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stand alone
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Procedures that are experimental, newly approved, or seldom used are reported with what type of code?
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unlisted/Category III
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Who requires a special report with the use of unlisted codes?
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third-party payers
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Which of the following represents three of the six elements that a special report must contain?
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nature, extent, need
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Which punctuation mark between codes in the index of the CPT manual indicates a range of codes is available?
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hyphen
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Which punctuation mark between codes in the index of the CPT manual indicates two codes are available?
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comma
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A list of unlisted procedures for use in a specific section of the CPT manual is contained in:
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Guidelines
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In which CPT appendix would additions, deletions, and revisions be found?
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Appendix B
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In which CPT appendix would all modifiers be found?
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Appendix A
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CPT stands for:
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Current Procedural Terminology
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Which terms reflects the technological advances made in medicine that are incorporated into the CPT manual?
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revisions
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Where is specific coding information about each section located?
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Guidelines
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This act mandated the adoption of national uniform standards for electronic transmission of financial and administrative health information.
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HIPAA
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What year was CPT first developed and published?
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1966
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Who publishes CPT?
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AMA
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Health care providers are ___ based on the codes submitted on a claim form for procedures and services rendered.
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reimbursed
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Category I CPT codes have ___ digits
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5
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The universal health insurance form for submission of outpatient services is the:
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CMS-1500
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Which of the following is NOT a reason for the CPT coding system?
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increased reimbursement
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What is the function of an add-on code?
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identifies a code that is never used alone
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The rules that govern coding in various health care settings are:
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nationally established
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How many main sections are in the CPT manual?
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6
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A modifier:
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provides additional information to the third-party payer
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An unlisted procedure code:
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ALL OF THE ABOVE: is a procedure or service not found in the CPT manual, is located in the Section Guidelines, is located at the end of a subsection or subheading
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How often are Category III codes released?
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twice a year
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According to the notes preceding the Category III codes in the CPT manual, the digits of the Category III codes are not intended to reflect the placement of the code in the Category I section of the CPT:
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nomenclature
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According to the CPT manual, modifier -91 is not to be used when test are __ to confirm inertial results.
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rerun
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According to the E/M guidelines, time is not a descriptive component for the ___ department levels of E/M service.
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emergency
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According tothe Radiology Guidelines, these are the methods that qualify as "with contrast."
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intavascularly, intra-articularly, intrathecally
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Level II codes are not used in which setting?
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inpatient
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Which of the following would be used to code drugs?
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J codes
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Name the six basic location methods to locate main terms in the index of CPT.
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procedure/service synonym eponymous anatomic site condition of disease abbreviations
