Exam 7: Introduction to Cpt and Place of Service Coding

When a provider has a discussion with a patient or family member regarding test results, instructions, or follow-up care, this service is documented as:

An expanded problem focused history would include all of the following EXCEPT:

A description of the level of symptoms or pain or their ranking on a scale is the level of __________ .

The Current Procedural Terminology (CPT) was first published by the American Medical Association (AMA) in 1966.

The two-digit code placed after the main CPT code to indicate that the description of the service or procedure has been altered is a(n) __________ .

What are the four components of a patient history?

List the three key components used to determine the level of evaluation and management (E/M) service.

The current CPT system uses codes with:

The symbol + used with a CPT code indicates:

The set of temporary codes used for emerging technology, services, and procedures is known as __________ CPT.

Dimensions of a history of present illness (HPI) include all of the following EXCEPT:

Category III CPT codes are intended to facilitate data collection by coding certain services that contribute to positive health outcomes.

An established patient is defined as one who has received professional service from the physician or another physician of the same specialty in the same group within the last 2 years.

Category I CPT codes are used to describe a procedure or service; in the code book, they are identified with a five-digit numeric code and descriptor.

Types of medical decision making (MDM) include:

The transfer of the total care or a portion of care of a patient from one physician to another is a(n) __________ .

CPT codes are used to determine the amount of reimbursement the provider will receive.

The three key components used to select the appropriate evaluation and management (E/M) code include:

A review of a patient's past experiences with illnesses, injuries, and treatments is called a social history.

The modifier -32 is used to identify a mandated service; it is used when the service is requested by the payer.