CBCS CPT Procedure Coding

Question 1

CPT codes are organized into how many main sections?

Accepted Answer

6

Answer

CPT is organized into 6 main sections: Evaluation and Management, Anesthesia, Surgery, Radiology, Pathology/Laboratory, and Medicine.

Question 2

Which CPT modifier indicates a procedure was performed bilaterally?

Accepted Answer

-50

Answer

Modifier -50 is used to indicate that a procedure was performed bilaterally during the same operative session.

Question 3

What does the CPT modifier -25 indicate?

Accepted Answer

Significant, separately identifiable E/M service on the same day as a procedure

Answer

Modifier -25 indicates a significant, separately identifiable E/M service was provided on the same day as a procedure or other service.

Question 4

In CPT E/M coding for office visits (2021 guidelines), what two components determine the level of service?

Accepted Answer

Medical decision making and time

Answer

Under 2021 revised guidelines, office/outpatient E/M levels are based on medical decision making (MDM) or total time.

Question 5

What is an 'add-on code' in CPT?

Accepted Answer

A code that is always reported in addition to a primary procedure code

Answer

Add-on codes are designated with a '+' symbol and must always be reported with a primary procedure code; they are never reported alone.

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