Medical Coding Systems Flashcards

Which section of CPT contains codes for Evaluation and Management services?

Answer: 99202-99499

E/M codes range from 99202-99499 and cover office visits, hospital care, consultations, and other patient evaluation services.

In ICD-10-PCS, how many characters does every code contain?

Answer: 7

Every ICD-10-PCS code is exactly 7 alphanumeric characters, each representing a specific axis of classification.

The CPT modifier -25 is used to indicate:

Answer: A significant, separately identifiable E/M was performed on the same day as a procedure

Modifier -25 is appended to an E/M code to indicate the provider performed a significant, separately identifiable E/M service on the same date as a procedure or other service.

Which ICD-10-CM guideline applies when coding for acute and chronic conditions?

Answer: Code the acute condition first, followed by the chronic condition

ICD-10-CM guidelines state that when the same condition is described as both acute and chronic, sequence the acute subentry first, then the chronic subentry.

A code listed as 'unspecified' in ICD-10-CM should be used:

Answer: Only when the documentation does not provide enough detail to assign a more specific code

Unspecified codes are appropriate only when clinical documentation lacks sufficient information to support a more specific diagnosis code.

Which root operation in ICD-10-PCS means 'cutting out or off, without replacement, all of a body part'?

Answer: Resection

Resection in ICD-10-PCS means cutting out or off all of a body part without replacement, distinguishing it from Excision which is partial removal.

CPT Category III codes are used to report:

Answer: Emerging technology, services, and procedures

Category III CPT codes (four digits followed by the letter T) capture temporary codes for new and emerging technologies and procedures.