CCS CPT & HCPCS Procedure Coding Flashcards
6 cards from real CCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CCS CPT & HCPCS Procedure Coding flashcards as text
CPT codes are maintained and published by which organization?
Answer: American Medical Association (AMA)
The American Medical Association (AMA) owns, maintains, and annually updates the CPT code set.
What is the purpose of CPT modifier -25?
Answer: Indicates a significant, separately identifiable E/M service was performed by the same physician on the same day as a procedure
Modifier -25 is appended to an E/M code to indicate that a separate, significant E/M service was provided on the same day as a procedure or service.
HCPCS Level II codes are used primarily to report:
Answer: Medical supplies, durable medical equipment, drugs, and services not covered by CPT
HCPCS Level II codes cover supplies, equipment, drugs, ambulance services, and other items not captured by CPT codes.
The 'global surgical package' concept in CPT means:
Answer: The surgical fee includes pre-operative, intra-operative, and post-operative services for a defined period
The global surgical package bundles the surgeon's pre-op evaluation, the procedure itself, and post-op care within the defined global period into one fee.
'Unbundling' in CPT coding refers to:
Answer: Separately coding components of a procedure that should be reported with a single comprehensive code
Unbundling is the improper practice of billing multiple component codes separately when a single comprehensive CPT code exists to describe the complete service.
CPT add-on codes (identified by a '+' symbol) must:
Answer: Be reported in conjunction with the primary procedure code they supplement and cannot be reported alone
CPT add-on codes represent additional work performed alongside a primary procedure and are never reported as standalone codes.