the cpt coding system quizlet

2) care for the condition for which a diagnostic surgical procedure is performed, descriptor used for a procedure that is usually part of a surgical package but may also be performed seperately, a number of modifiers are commonly used to indicate special circumstances involved with surgical procedures, using a single payment for two or more related procedure codes, Coding Practice: Chapter 10 CPT Evaluation an. 2) name of organ/other anatomical site. Medicare does not cover certain items and -e.g., copy of procedure report, Provide coding instruction It is vital the codes assigned by the coding professional are accurate and reflect the condition(s) of the patient and the procedures performed during the hospital stay or encounter. Codes range from 00100-99499 and are generally ordered into sub-categories based on procedure/service type and anatomy. Copyright 2023 AHIMA. Non-Member: 800-638-8255, Site Help | AZ Topic Index | Privacy Statement | Terms of Use A CPT code is usually a five-digit numeric code. x=2,y=6,z=24, Procedures/Services identified by a five-digit CPT code and descriptor nomenclature, The E/M Section is located at the beginning of CPT. See how the CCB recommends changes to the AMA Constitution and Bylaws and assists in reviewing the rules, regulations and procedures of AMA sections. The same CPT codes are used by all providers and payers to make the billing process consistent and to help reduce errors. Consider a right triangle with hypotenuse of (fixed) length 45 cm and variable legs of lengths x and y, respectively. A series of codes separated by commas The insurer or payer then reimburses the provider based on the CPT codes. Located in the code description to provide an example. Additionally, whether youre employed as a medical coder or studying to become acertified professional coder, youll need current CPT, ICD-10-CM, and HCPCS Level II code books. Provider offices, hospitals, and other medical facilities are strict about how CPT coding is done. -Assigned when provider performs procedure or Some CPT codes are only used occasionally and some are not really used at all.

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