CPT Final Exam Questions with 100% Correct Answers| Verified | Latest Update 2024
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Course
CPT
Institution
CPT
CPT and HCPCS codes are used in what type of healthcare setting? Hospital outpatient,
physician offices
CPT is current procedural terminology
HCPCS is healthcare common procedure coding system
Who publishes CPT (Level I HCPCS)?
How often is it updated? When is it updated? AMA publishes cpt,
i...
CPT Final Exam Questions with 100% Correct Answers| Verified | Latest Update 2024 CPT and HCPCS codes are used in what type of healthcare setting? ✔✔Hospital outpatient, physician offices CPT is ✔✔current procedural terminology HCPCS is ✔✔healthcare common procedure codin g system Who publishes CPT (Level I HCPCS)? How often is it updated? When is it updated? ✔✔AMA publishes cpt, it is updated annually, on Jan. 1 of each year CPT Category 1 codes consist of: ✔✔Anesthesia, Evaluation and management, surgery, radiology, pathology and laboratory, medicine What are Category 2 CPT codes for? What does the Category 2 code consist of? ✔✔Performance Measures consist of 4 numbers followed by a capital F, such as 1000F What are Category 3 CPT codes for? What does the Category 3 code consist of? ✔✔New & Emerging Technology consist of 4 numbers followed by a capital T, such as 2000T What are modifiers Why are they used? ✔✔Supplementary Codes to provide additional information to a code What is a HCPCS level II code used to report? What does the HCPCS level II code consist of? ✔✔Are used for supplies, DME, injectable substances, dental and chiropractic as well as orthotics Structure: J1885 - capital letter followed by 4 numbers What are HCPCS level II codes also called? ✔✔National codes Who developed the HCPCS level II codes? How often are they updated? When are they updated? ✔✔Developed by CMS, they are updated yearly update Jan1 NCCI ✔✔National Correct Coding Initiative What does the National Correct Coding Initiative edits do? ✔✔Helps CMS to detect inappropriate codes submitted on claims - CPT coding guidelines - Current standards of medical/surgical coding practice - Advice from specialty societies List 3 NCCI e dits and the definition of those edits. ✔✔1. Comprehensive/component edit = edit pertains to HCPCS codes that should NOT be used together. 2. Mutually exclusive edit = edit applies to improbable or impossible combinations of codes 3. Medical unlikely edi ts = for part B claims, CMS has developed medical unlikely edits to reduce error rates for items on the claim form that reference units of service
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