CPT Procedure Coding Flashcards
6 cards from real Certified Medical Coding Specialist practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CPT Procedure Coding flashcards as text
In CPT, Evaluation and Management (E/M) documentation requirements since 2021 for office visits are based on:
Answer: Medical decision making or total time on the date of the encounter
Since the 2021 E/M revisions, office and outpatient visit levels are determined by either medical decision making (MDM) or total time on the date of the encounter.
CPT code 99213 represents which level of office visit?
Answer: Established patient, low level of medical decision making
CPT 99213 is an established patient office visit with a low level of medical decision making (or 20–29 minutes total time).
Which code set is used to report supplies and equipment not covered by other CPT codes?
Answer: HCPCS Level II codes (A–V codes)
HCPCS Level II codes are alphanumeric codes (A through V) used to report drugs, supplies, equipment, and services not described in CPT.
What is the purpose of CPT modifier -59?
Answer: To indicate a distinct procedural service that is separate from other services performed on the same day
Modifier -59 is used to identify procedures/services not normally reported together that are appropriate under the circumstances (distinct procedural service).
Anesthesia CPT codes are reported using which unit-based formula?
Answer: (Base units + Time units + Modifying units) × Conversion factor
Anesthesia payment is calculated using base units assigned to the procedure plus time units (per 15-minute increments) plus modifying units, multiplied by the payer's conversion factor.
Which CPT modifier indicates that a service was performed by a resident under the direction of a teaching physician?
Answer: -GC
HCPCS/CPT modifier -GC indicates that a service was performed in part by a resident under the direction of a teaching physician.