Exam 13: Procedural, Evaluation and Management, and HCPCS Coding

If a Category III code is available,it must be used instead of an unlisted Category I code.

A manual containing a list of descriptive terms and identifying codes used in reporting medical codes and procedures is called the:

A bullet before a code means the code is new to the CPT book.

Which symbol is used to show that the code has been changed or modified?

A ____________ is a procedure by which codes used for data in one database are translated into the codes of another database,making it possible to relate information between or among databases.

Level I of the HPCS codes contains:

A __________ is used to report or indicate that a service or procedure has been altered by some specific circumstance but not changed in its definition or code.

An updated version of the CPT manual is published:

The cross-referencing term ____ is used as a cross-reference term in the CPT-4 Alphabetic Index and directs the coder to an alternative main term.

In the CPT-4,each main section is preceded by _______________ specific to that section.

In the CPT,the semicolon is used to separate main and subordinate clauses in the code descriptions.

HCPCS Level II codes are mandated by CMS for reporting codes for nonphysician procedures and services on ____________ claims.

In preparation of standardization for the full implementation of HIPAA,CMS has instructed carriers to eliminate Level _______ codes from their claim processing systems.

Observation is a classification for a patient who is not sick enough to qualify for acute inpatient status.

Category III codes deal with what the healthcare provider does during the time spent with the patient rather than merely with the amount of time spent.

MATCHING -Symbol indicating an add-on code

In what year was the CPT adopted as part of HCFA's Common Procedure Coding System?

Category II codes are alphanumeric,consisting of four digits followed by the alpha character "F."

There are two consultation subheadings in E/M coding-office/other outpatient and inpatient.

List the four primary classes of main term entries and give an example of each.