Exam 13: Procedural, Evaluation and Management, and HCPCS Coding

One of the ways a CPT code cannot be displayed is as:

The AMA developed and published the first CPT manual in 1966.

When assigning an E&M code,contributing factors sometimes enter into the picture.What are they?

List the six basic steps of CPT coding discussed in the book.

MATCHING -Symbol representing a code that is new to the CPT book

MATCHING -Symbol identifying a change in wording of a new/revised code

A physician may not bill for a consultation unless another physician formally requests his or her opinion about the treatment.

Name the three elements that must be considered when determining the complexity of decision making.

Main terms can stand alone,or they can be followed by ______________terms.

Place of service is not a determining factor in E/M coding.

MATCHING -Symbol indicating code description has been changed/modified

The use of a semicolon (;)has special significance and importance when assigning a CPT code.Explain and give an example.

Levels of service are based on three key components,including all of the following,except:

What is the type of status that allows patients to be monitored in the hospital so that physicians can determine if they need to be admitted as inpatients or can be discharged?

The CPT-4 is composed of several sections beginning with the Alphabetic Index.

Explain the purpose of CPT coding.

The E/M codes are found at the end of the CPT manual.

What specific factors direct the health insurance professional to the proper category in the E&M coding section of CPT?

Time is not considered a factor unless 50% of the encounter is spent in counseling.

A critical illness or injury acutely impairs one or more vital organ systems such that there is a high probability of imminent or life-threatening deterioration in the patient's condition.