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How will my ability to summarize and discuss the purpose and function
the CPT codes, HCPCS codes, and modifiers benefit me during an
This assignment helps you apply your knowledge from this weeks modules
The ability to explain how CPT and HCPCS Level II codes are used to
provide reimbursement to the physician is an essential attribute of a good
Building Your CPT Coding Skills
Use your coding manual, textbooks, and other course resources to answer the following questions. 1. J. Appendix A I. Unlisted F. Appendix E E. Stand-alone B. Multiple A. Indented Codes H. Category III Codes
D. See G. C. Range of Codes Match the following terms with the corresponding definition. ___. Indicated by the use of a comma between code numbers. ___. Indicated by a hyphen between codes. ___. Indicates that the correct code will be found elsewhere. ___. Codes that have the full description. ___. Codes include that portion of the stand-alone code description that precedes the
semicolon. ___. The location of a list and full description of all modifiers. ___. A procedure or service not found in the CPT manual. ___. CPT codes that have 5 digits- four numbers and a letter. ___. Provide additional information to the third-party payer about services provided to a patient. ___. Contains the complete list of Modifier -51 exempt codes. © Ultimate Medical Academy. 1 2. What symbol is used to represent a code that may be used to report telemedicine services? Type answer here 3. Identify the symbol used to represent add on codes.
Type answer here 4. What symbol is used for a revised code?
Type answer here 5. Identify the symbol used for a code pending FDA approval.
Type answer here 6. What symbol is used for a resequenced code?
Type answer here 7. What symbol is used to indicate the beginning and ending of the text changes?
Type answer here 8. Where is a complete list of additions, deletions, and revisions located in the CPT manual?
Type answer here 9. There are two types of codes: _______________ and _______________.
10. What type of report must accompany claims when an unusual, new, seldom used, or category I
unlisted code or category III code is submitted?
Type answer here
11. According to the instructions for using the Index in the back of the CPT coding manual, what are the
4 primary classes of main terms used to find a code?
a. Type answer here
b. Type answer here
c. Type answer here
d. Type answer here © Ultimate Medical Academy. 2 12. Identify the Main Term from the following statement: Arthrotomy of toe, interphalangeal joint. Type answer here 13. Identify the Main Term from the following statement: Removal of gallbladder calculi by means of an
Type answer here 14. Identify the Main Term from the following statement: Lung bullae excision.
Type answer here 15. Identify the Main Term from the following statement: Suture of a wound of the kidney.
Type answer here 16. Identify the Main Term from the following statement: Repair of an inguinal hernia.
Type answer here Building Your Level II National Codes (HCPCS) Skills
Answer the following questions. 17. Define the following abbreviation: IT _______________.
18. Define the following abbreviation: INH _______________.
19. Define the following abbreviation: IM _______________.
20. Define the following abbreviation: SC _______________.
21. Define the following abbreviation: IV _______________. Apply the 9 Steps to Correct CPT Coding
Use your coding manuals to assign appropriate codes. © Ultimate Medical Academy. 3 22. Modifier for bilateral services: _______________.
23. Modifier for surgical care only: _______________.
24. Modifier for staged or related procedure: _______________.
25. Modifier for distinct procedural service: _______________.
26. Modifier for assistant surgeon: _______________. Reflection
Reflect on what you have learned this week to help you respond to the question below. You may choose
to respond in writing or by recording a video!
27. When sending a claim to an insurance company for services provided by the physician, why are both
ICD-10 and CPT codes required to be submitted? How are these codes dependent upon each
other? What would be the result of not submitting both codes on a medical claim to an insurance