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CPT Procedure Coding Flashcards

8 cards from real CBCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

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  1. What CPT modifier is appended when a service is reduced or eliminated at the physician's discretion?

    Answer: -52

    Modifier -52 (Reduced Services) is used when a service is partially reduced or eliminated at the physician's discretion.

  2. Which section of CPT covers anesthesia services?

    Answer: 00100–01999

    CPT codes 00100–01999 cover anesthesia services.

  3. What does the symbol '▲' (triangle) before a CPT code indicate?

    Answer: The code description has been revised

    A triangle (▲) before a CPT code indicates the code description has been revised from the previous edition.

  4. When a surgeon performs an arthroscopic knee procedure, which CPT code range applies?

    Answer: 29800–29999

    Arthroscopic knee procedures are found in the 29800–29999 range of CPT (arthroscopy section under musculoskeletal).

  5. What is the purpose of CPT modifier -59?

    Answer: To identify a distinct procedural service not normally reported together

    Modifier -59 identifies a distinct procedural service that is not normally reported together with another code but is appropriate for reporting separately.

  6. A new patient office visit requires documentation of which of the following under 2021 E/M guidelines?

    Answer: Medical decision making or total time on date of encounter

    Under 2021 guidelines, office E/M levels for new and established patients are selected based on MDM or total time.

  7. CPT modifier -TC indicates what?

    Answer: Technical component only

    Modifier -TC indicates the technical component of a diagnostic service was performed.

  8. Which CPT code is used for an initial hospital care visit with high medical decision making?

    Answer: 99223

    99223 is the highest-level initial hospital inpatient or observation care code, requiring high MDM or 75 or more minutes.