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

The CPT-4 contains several appendices classified as A-Z.

List items that must be included in a "special report" if and when one becomes necessary to accompany a claim to explain unusual circumstances.

E/M codes 99281 through 99288 are used for both new and established patients who have been treated in a/an ______________ that is part of a hospital.

The first step in CPT coding is to identify the:

The National Correct Coding Initiative (NCCI)promotes national correct practices to help minimize coding errors that lead to incorrect payment on Medicare Part B claims.

Name the four levels of history-taking.

If Cheryl Parker was having an excision of an ovarian cyst,the main term would be:

A main term can stand alone,or it can be followed by up to three _____ terms.

E/M documentation guidelines first became effective in 1995.In what year did the second set become effective?

Category III codes provide a method for reporting performance measures.

The time the physician spends on bedside care of the patient and reviewing the health record and writing orders is _____ time.

Supplemental tracking codes,intended to be used for performance measurement,are Category _____ codes.

Main terms in CPT-4 are organized by four primary classes of main entries.Which of the following is not one of these primary classes?

Critical care involves high-complexity decision making to assess,manipulate,and support vital system failure and/or to prevent further life-threatening deterioration of the patient's condition.

Place of service,type of service,and patient status are three factors to consider for directing the health insurance professional to the correct category in the:

How many levels of procedural coding are there?

The first factor in determining the correct E/M level is the patient history.

MATCHING -Reinstated or recycled code

List the three ways CPT codes can be displayed and give an example of each.

Five-digit CPT codes accompanied by descriptive terms and used for reporting services performed by healthcare professionals are Level _____ codes.