BC2530: Week 1 Assignment

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How will my ability to summarize and discuss the purpose and function of the CPT codes, HCPCS codes, and modifiers benefit me during an interview?
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 coder. 50

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Building Your CPT Coding Skills
Use your coding manual, textbooks, and other course resources to answer the following questions.

Question 1.

J. Appendix A I. Unlisted H. Category III Codes

G. F. Appendix E E. Stand-alone D. “See”

C. Range of Codes B. Multiple A. Indented Codes

Match the following terms with the corresponding definition.

B. Indicated by the use of a comma between code numbers.

C. Indicated by a hyphen between codes.

D. Indicates that the correct code will be found elsewhere.

E. Codes that have the full description.

A. Codes include that portion of the stand-alone code description that precedes the

J. The location of a list and full description of all modifiers.

I. A procedure or service not found in the CPT manual.

H. CPT codes that have 5 digits- four numbers and a letter.

G. Provide additional information to the third-party payer about services provided to a patient.

F. Contains the complete list of Modifier -51 exempt codes.

2. What symbol is used to represent a code that may be used to report telemedicine services? Type answer here

Answer; Star

3. Identify the symbol used to represent add on codes.

Answer; +

4. What symbol is used for a revised code?

Answer; A triangle

5. Identify the symbol used for a code pending FDA approval.

Answer; A lighting bolt

6. What symbol is used for a resequenced code?

Answer; #

7. What symbol is used to indicate the beginning and ending of the text changes?

Answer; right and left triangle

8. Where is a complete list of additions, deletions, and revisions located in the CPT manual?

Answer; Appendix B

9. There are two types of codes: _______________ and _______________.

Answer; stand alone, indented codes.

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?

Answer; Special report

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. Organ or another anatomic site.
b. Procedure or service
c. Condition, such as esophageal varices, varicose veins
d. Synonyms, eponyms, and abbreviations

12. Identify the Main Term from the following statement: Arthrotomy of toe, interphalangeal joint.

Answer; Arthrotomy

13. Identify the Main Term from the following statement: Removal of gallbladder calculi by means of an
open procedure.

Answer; Gallbladder

14. Identify the Main Term from the following statement: Lung bullae excision.

Answer; excision

15. Identify the Main Term from the following statement: Suture of a wound of the kidney.

Answer; Kidney

16. Identify the Main Term from the following statement: Repair of an inguinal hernia.

Answer; Hernia

Type answer here Building Your Level II National Codes (HCPCS) Skills
Answer the following questions.

17. Define the following abbreviation: IT _______________.

Answer; Intrathecal

18. Define the following abbreviation: INH _______________.

Answer; Inhalant solution

19. Define the following abbreviation: IM _______________.

Answer; Intramuscular

20. Define the following abbreviation: SC _______________.

Answer; Subcutaneous

21. Define the following abbreviation: IV _______________.

Answer; Intravenous

Apply the 9 Steps to Correct CPT Coding
Use your coding manuals to assign appropriate codes.

22. Modifier for bilateral services:

Answer; Modifier-50

23. Modifier for surgical care only:

Answer; Modifier-54

24. Modifier for staged or related procedure:

Answer; Modifier-58

25. Modifier for distinct procedural service:

Answer; modifier-59

26. Modifier for assistant surgeon:

Answer; Modifier-80


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 company?

Answer; The codes are used for insurance companies to figure out the amount of money to repay the doctor for the service they did on the patient. ICD-10 codes are diagnosis codes and CPT codes are billing codes. When codes are not inputted or submitted correctly the claim will be rejected.

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