CPT Codebook and Evaluation and Management Coding Homework

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Feb 20, 2024

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CPT Codebook and Evaluation and Management Coding Homework Part 1: Navigating the CPT Codebook Question Your Response 1.CMS adopted CPT codes in which year? 1983 2.There are how many sections in the CPT codebook? 6 3.In your CPT codebook, what page is your CPT Index located on? In the back of the book starting on page 1043 4. What is a CPT code symbol? A solid dot ( ) preceding a code number identifies a new CPT code. 5. Define what a Main Term is. The condition, name of procedure or medical service, name of anatomic site or organ, or synonyms, eponyms or abbreviations. 6) CPT Section Matching Answer Select from drop down (a- f) CPT Code from this Section 1. Contains codes for x-rays, MRIs, diagnostic ultrasounds, nuclear medicine, and radiation oncology. Radiology (70010– 79999) 2. Contains codes for the evaluation, therapeutic, and diagnostic procedures. Types of services include immunizations, injections, dialysis, infusions, vascular studies, EKGs, Holter monitors, pacemaker procedures, Medicine (90281– 99607)

cardiac catheterizations, occupational, physical and speech therapies, allergy services, psychiatry, optometry, and chiropractic services, etc. 3. Contains codes that report anesthesia services performed by or supervised by a physician. The services include general and regional anesthesia, and the code covers preop evaluation and planning, care during the procedure and routine post op care. Anesthesiolog y (00100– 01999) 4. Contains codes that cover services that represent services associated with performing tests and analyzing and reporting the test results; organized by type of test; ex: organ or disease- oriented panels, drug testing drug assays, consults, surgical pathology. Pathology and Labortory (80047– 89398) 5. Contains codes for services that are performed that include incision & drainage, debridement, biopsies, excisions, amputation, colonoscopy, OB care, digestive procedures, chemo denervation, etc. and is the largest section of the CPT codebook for procedures. Surgery (10021– 69990) 6. Contains codes that cover services that are performed by a physician or other qualified healthcare professional and the provider is involved in evaluating or managing the patient’s health. Evalutation and Managment (99202– 99499) 7) Code Symbol Description and Matching Answer Provide CPT code with Code Symbol

Appendix Select from drop down (a-d) Indicator ⦸ Appendix E A. Exempt Modifier 51 ⦸ 64462 * Appendix P D. Telemedicine * 99452 ▲ Appendix B C. Revised Code ▲ 12345 ~ Appendix K B. Pending FDA Approval ~ 90678 Part 2: CPT and HCPCS Modifiers Question Your Response 1. What is the purpose of a coding modifier? The modifier provides additional information about the medical procedure, service, or supply involved without changing the meaning of the code. 2. In your CPT codebook, where will you locate all the CPT modifiers applicable to CPT 2023 codes? CPT modifiers are added to the end of a CPT code with a hyphen. In the case of more than one modifier, you code the “functional” modifier first, and the “informational” modifier second. 3. What is the modifier that you would use if under certain circumstances a service being performed in an Ambulatory Surgery Center (ASC) was cancelled by the doctor because the wellbeing of the patient was being threatened prior to the administration of anesthesia? Modifier 73

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