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HIM 251 Test 3 CPT > Chapter 2 > Flashcards

Flashcards in Chapter 2 Deck (17)
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1
Q
Evaluation and Management (E/M) 
Anesthesiology
Surgery
Radiology
Pathology and Laboratory
Medicine
A

CPT Category I—Major Sections

2
Q
Physician visit codes
Consultation codes
Emergency department services
Critical care
Nursing facility care
A

Evaluation and Management

3
Q

Anatomic format
Selection based on surgical procedure performed
Include general, regional, supplementation of local anesthesia
Includes preop and postop visits, monitoring, administration of fluids and/or blood
Some insurance carriers use time for reimbursement

A

Anesthesiology

4
Q

Largest section and most difficult

Note section divided into:
Section (Surgery)
Subsection/category (Urinary system) 
Subcategory (Kidney)
Heading (Incision)
Procedure codes (50010)
A

Surgery

5
Q
Four subsections:
Diagnostic radiology
Diagnostic ultrasound
Radiation oncology
Nuclear medicine

Most hospitals maintain these codes in computerized file (chargemaster)

A

Radiology

6
Q

Most hospitals maintain codes in an electronic file (chargemaster)
Physicians maintain list of common procedures performed (superbill or computer file)

A

Pathology and Laboratory

7
Q

Specialized section

Types of codes:
Psychiatric services
Physical therapy
Ophthalmological services
Cardiac catheterization
A

Medicine

8
Q

Performance measurements
For data collection
End with letter F
Use is optional

Example:
4008F Beta-blocker therapy prescribed or currently being taken

A

Category II Codes

9
Q
Emerging technology
Alphanumeric codes ending in T 
Used for data collection
Temporary
Updates available on the AMA website
Payment depends on the payer

Example:
0085T Breath test for heart transplant rejection

A

Category III Codes

10
Q

Allows the coder to assign a code to a procedure not listed in CPT
Assigned as a last resort
Payers want documentation (operative report)
Note: The Alphabetic Index lists all unlisted procedures.

Example: 45999 Unlisted procedure, rectum

A

Unlisted Procedure

11
Q

What Appendix is the list of modifiers?

A

Appendix A

12
Q

What Appendix is the Summary of additions, deletions, and revisions?

A

Appendix B

13
Q
First step for locating a code (after familiar with procedure)
Alphabetic list
Main terms in bold print
Subterms indented
Never code directly from the index
A

Index

14
Q

When coding with CPT you must always reference the ____?

They are guidelines for the use of CPT codes

A

Notes

15
Q

When you have several codes to chose from you must _______.

A

Look at each code in the tabular part

16
Q

What do you do if a procedure is not in index?

A
Research alternative names
Perform web search 
Peruse CPT procedure section
Look for abreviations
Look at the diagnosis
17
Q

Reading the procedural statement and interpreting what they did

Look for key “action” terms

  • Excision
  • Biopsy
  • Removal
A

Abstracting