CCS CCS CPT & HCPCS Procedure Coding

Question 1

CPT codes are maintained and published by which organization?

Accepted Answer

American Medical Association (AMA)

Answer

Centers for Medicare & Medicaid Services (CMS)

Answer

American Health Information Management Association (AHIMA)

Answer

World Health Organization (WHO)

Question 2

What is the purpose of CPT modifier -25?

Accepted Answer

Indicates a significant, separately identifiable E/M service was performed by the same physician on the same day as a procedure

Answer

Indicates a reduced service was performed

Answer

Indicates a bilateral procedure

Answer

Indicates the procedure was performed by a different provider

Question 3

HCPCS Level II codes are used primarily to report:

Accepted Answer

Medical supplies, durable medical equipment, drugs, and services not covered by CPT

Answer

Physician services coded in CPT

Answer

Inpatient hospital procedures

Answer

ICD-10-PCS procedure codes

Question 4

The 'global surgical package' concept in CPT means:

Accepted Answer

The surgical fee includes pre-operative, intra-operative, and post-operative services for a defined period

Answer

All procedures are bundled into one payment regardless of complexity

Answer

Global billing requires use of a modifier on all surgical codes

Answer

Only the surgeon's fee is included in the package

Question 5

'Unbundling' in CPT coding refers to:

Accepted Answer

Separately coding components of a procedure that should be reported with a single comprehensive code

Answer

Combining multiple codes into one comprehensive code

Answer

Using modifiers to reduce payment for a service

Answer

Splitting E/M services across multiple dates

Question 6

CPT add-on codes (identified by a '+' symbol) must:

Accepted Answer

Be reported in conjunction with the primary procedure code they supplement and cannot be reported alone

Answer

Always be used alone as a standalone code

Answer

Be reported only with a modifier -51

Answer

Apply exclusively to E/M services