CMC CPT & Procedural Coding

Question 1

CPT code 99213 is a typical example of which type of service?

Accepted Answer

Office or other outpatient established patient visit

Answer

CPT 99213 represents an office or other outpatient visit for an established patient requiring a medically appropriate history, exam, and medical decision-making of low complexity.

Question 2

Which CPT code range covers Evaluation and Management (E/M) services?

Accepted Answer

99202–99499

Answer

E/M services are represented by CPT codes in the 99202–99499 range, covering office visits, hospital care, consultations, and other evaluation services.

Question 3

What does the CPT modifier -25 indicate?

Accepted Answer

Significant, separately identifiable E/M service on the same day as a procedure

Answer

Modifier -25 is appended to an E/M code to indicate that a significant, separately identifiable evaluation and management service was performed on the same day as a procedure.

Question 4

In the CPT manual, what do Category II codes represent?

Accepted Answer

Performance measurement tracking codes

Answer

CPT Category II codes are supplemental tracking codes used for performance measurement and do not replace Category I codes.

Question 5

Which CPT modifier is used to indicate a procedure was performed bilaterally?

Accepted Answer

-50

Answer

Modifier -50 is appended to a procedure code to report that the same procedure was performed on both sides of the body during the same operative session.

(CMC) Certified Medical Coder Practice Test

(CMC) Certified Medical Coder Practice Test

CMC CPT & Procedural Coding