CCS CCS CPT & HCPCS Procedure Coding

Question 1

CPT codes are maintained and published by which organization?

Accepted Answer

American Medical Association (AMA)

Answer

The American Medical Association (AMA) owns, maintains, and annually updates the CPT code set.

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

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.

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

HCPCS Level II codes cover supplies, equipment, drugs, ambulance services, and other items not captured by CPT 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

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.

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

Unbundling is the improper practice of billing multiple component codes separately when a single comprehensive CPT code exists to describe the complete service.

(CCS) Certified Coding Specialist Practice Test

(CCS) Certified Coding Specialist Practice Test

CCS CCS CPT & HCPCS Procedure Coding