CPT Procedure Coding Flashcards

Which CPT modifier indicates a service was reduced or eliminated at the physician's discretion?

Answer: -52

Modifier -52 is used when a service or procedure is partially reduced or eliminated at the physician's discretion.

When coding an outpatient surgical procedure, how should postoperative complications managed in the office during the global period be reported?

Answer: No separate code — included in global surgical package

Routine postoperative follow-up visits are included in the global surgical package and should not be coded separately.

Which CPT code category uses time as the key controlling factor for code selection in E/M coding as of 2021 guidelines?

Answer: Office/outpatient E/M codes (99202–99215)

The 2021 E/M guideline changes allow office/outpatient codes 99202–99215 to be selected based solely on total time on the date of the encounter.

What does the CPT symbol '▲' (triangle) next to a code indicate?

Answer: Revised code description

A triangle (▲) next to a CPT code signals that the code's description has been revised from the prior year.

Which CPT modifier is used when two surgeons each perform distinct portions of a procedure?

Answer: -62

Modifier -62 (two surgeons) is appended when two surgeons work together as co-surgeons, each performing a distinct part of a single procedure.

In CPT coding, an 'unlisted procedure' code is used when:

Answer: No specific CPT code adequately describes the service performed

Unlisted procedure codes are reported when no existing CPT code accurately describes the service; a special report is typically required.