CPT History
CPT was developed by the _________ in 1966.
AMA
The modifier that represents Significant and Separately Identifiable Service?
25
Software that finds common billing errors before the claim is sent to the insurance company.
Claim scrubbers
Diagnostic colonoscopy is what code?
45378
When coding our ICD-10-CM codes we should begin in the Tabular List. True or False.
False
The editorial panel that make the final decision on CPT Content are ____ medical providers.
16
Radiologist only completes the interpretation of the x-ray report and doesn’t perform the x-ray on the patient. What modifier is the radiologist reporting for the x-ray?
26
A document sent by the insurance company to the provider and the patient explaining the allowed charge amount, the amount reimbursed for services, and the patient's financial responsibilities.
EOB
CT Scan of Head and Neck with Contrast is what code?
70496
When coding in the CPT Manual we can begin either in the section or the alphabetic index in identifying our CPT code. True or False
True
Who in 2000 designated CPT as the national coding standard for physician and other health care professional services and procedures under HIPAA?
Department of Health and Human Services
What does modifier 51 represent?
Multiple procedures
An identifier assigned by the Centers for Medicare and Medicaid Services (CMS) that classifies the healthcare provider by license and medical specialties.
NPI
Established office visit with low level of medical decision making, and/or the provider spends 20 or more minutes of total time on the encounter on a single date is what CPT code?
99213
How often is the CPT manual updated?
Every January 1st.
How many sections are in the CPT Manual?
6
Provider has discontinued a service and/or procedure is what modifier?
52
The standard insurance claim form used for all government and most commercial insurance companies.
CMS 1500 Claim Form
New patient visit that involves a high level of medical decision making, and/or the provider spends 60 or more minutes of total time on the encounter on a single date is what code?
99205
What symbol represents an add on code?
+
Which section is the largest section in the CPT Manual?
Surgery
What modifiers represent Right and Left sides?
RT and LT
An organization that accepts the claim data from the provider, reformats the data to meet the specifications outlined by the insurance plan, and submits the claim.
Claims clearinghouse
What is the CPT code for inpatient consultation with low level of medical decision making or the provider spends at least 45 minutes of total time on the encounter on a single date?
99253
The lightening bolt symbol represents?
codes that are product pending FDA approval