Questions and Answers
What is the CPT Manual organized according to?
Which of the following is NOT a category of the CPT Manual?
What are the six sections included in the CPT Tabular List?
Evaluation and Management, Anesthesia, Surgery, Radiology, Pathology and Laboratory, Medicine
What is the purpose of the CPT Manual?
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What is the CPT Manual based on?
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The basic steps for ______________ include reading, analyzing, and abstracting the procedure or service.
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Define 'abstract' in the context of medical coding.
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What are main terms in medical coding?
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What do sub terms provide in medical coding?
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What is the procedure for using the Alphabetical Index in CPT coding?
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Which of the following classifications is NOT used in the Alphabetical Index?
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Study Notes
Current Procedural Terminology (CPT) Manual
- Organized into three categories: Category I for standard codes, Category II for performance tracking, and Category III for temporary emerging procedures.
- Category I codes are five-digit numbers arranged systematically within a tabular list.
CPT Tabular List Sections
- Six main sections with specific code ranges:
- Evaluation and Management (99201-99499)
- Anesthesia (00100-01999, 99100-99140)
- Surgery (10021-69990)
- Radiology (70010-79999), including nuclear medicine and diagnostic ultrasound
- Pathology and Laboratory (80047-89398)
- Medicine, except Anesthesiology (90281-99607)
- Each section provides detailed specificity regarding the procedure and anatomical sites involved.
Purpose of CPT
- The alphabetic index serves as a guide to navigate the CPT manual and locate necessary codes.
Basis of the CPT Manual
- The alphabetic index relies on main terms related to anatomies and diagnoses for organization.
Basic Steps for Coding
- Read and analyze the health record to abstract the procedure or service.
- Compare findings with the encounter form or operative report.
- Review guidelines and conventions in the tabular list to ensure precise code selection.
Abstracting in CPT
- Collect essential medical information to accurately assign codes.
- The process captures all relevant procedures or services from the medical record without omissions.
- Abstracted data features main terms and subterms to facilitate code identification through the index.
Main Terms
- Represent the primary procedure performed, e.g., excision.
Sub Terms
- Provide additional specificity, including anatomical location, type of instrument, technique used, or concurrent procedures.
Using the Alphabetical Index
- Extract procedures from the documentation, identifying main and modifying terms.
- Select the most relevant main term and optional modifying terms to refine the search.
- Iterate the search with alternate terms if necessary.
- Find the corresponding code or code ranges based on the documented procedure.
Searching in the Alphabetical Index
- Four primary classification types for entries:
- Procedure or service (e.g., examination, excision).
- Organ or anatomical site (e.g., clavicle, liver).
- Condition, illness, or injury (e.g., cholelithiasis).
- Eponym, synonym, abbreviation, or acronym (e.g., MRI).
- "See" statements direct to alternative index locations.
- "See also" statements suggest related codes or ranges.
- Stand-alone codes may represent single procedures, while some require a range of codes for varying conditions.
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Description
Explore the structure and categories of the Current Procedural Terminology (CPT) Manual. This quiz will help you understand the three code categories: Category I, Category II, and Category III. Test your knowledge on their definitions and purposes.
