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Questions and Answers
What is the global period duration for minor surgical procedures?
What begins the global period for major surgical procedures?
Which of the following services is NOT included in the surgical package?
What does 'unbundling' refer to in the context of surgical coding?
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Which of the following services is specifically excluded from the global surgical period?
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For what reason might a second procedure be separately payable?
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What is the correct code range for Fine Needle Aspiration Biopsy Procedures?
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Which body system is associated with the CPT code range 30000-32999?
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What is the definition of an Operating Room (OR) for coding purposes?
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What type of procedures are included in the surgical package with a zero global period?
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How long does the global period for major surgical procedures last?
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Which of the following procedures is NOT specifically mentioned in the surgery procedures list?
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Which of the following statements regarding pre-operative care is correct?
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Which service is considered a billable service not included in the surgical package?
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What is the correct code range for surgical procedures on the Digestive System?
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Which surgical procedures range includes those performed on the Musculoskeletal System?
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Which of the following codes refers to procedures on the Auditory System?
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When coding surgical procedures, what is essential to consider regarding the procedure?
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What is included in the surgical package besides the actual surgery?
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Which code range covers surgical procedures on the Female Genital System?
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What is the primary consideration when coding from the surgery section?
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Which of the following procedures is categorized under the surgical procedures in the CPT codes?
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What is a characteristic of simple procedures with a zero global period?
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Under which code range can Surgical Procedures on the Endocrine System be found?
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In which section of the CPT are procedures for the Cardiovascular System coded?
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Which of the following ranges covers procedures on the Male Genital System?
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What types of procedures are included in the surgical package?
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Which of the following is a factor considered in determining the appropriate CPT code for a surgical procedure?
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What is included in the global period for a major surgical procedure?
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Which of the following accurately describes unbundling in surgical coding?
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Which service must be documented in order for another physician to bill separately during a surgical procedure?
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What is the duration of the global surgical period for minor surgical procedures?
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In which case would a second procedure be separately payable?
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What defines a valid operating room (OR) in the context of surgical billing?
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What type of care does not count towards the global surgical period?
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Which of the following is considered a billable service not included in the surgical package?
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For minor surgical procedures, when does the global period start?
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What should coders pay attention to when selecting surgical codes?
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Study Notes
Surgery CPT Codes Overview
- Surgery CPT Code range spans from 10004 to 69990.
- Organized by body system, each subsection is categorized by organ or anatomic site and further divided into specific procedures.
Subsections of the Surgery Section
- Fine Needle Aspiration Biopsy: Codes 10004-10021.
- Integumentary System: Codes 10030-19499.
- Musculoskeletal System: Codes 20100-29999.
- Respiratory System: Codes 30000-32999.
- Cardiovascular System: Codes 33016-37799.
- Hemic and Lymphatic Systems: Codes 38100-38999.
- Mediastinum and Diaphragm: Codes 39000-39599.
- Digestive System: Codes 40490-49999.
- Urinary System: Codes 50010-53899.
- Male Genital System: Codes 54000-55899.
- Reproductive System: Codes 55920.
- Intersex Surgery: Codes 55970-55980.
- Female Genital System: Codes 56405-58999.
- Maternity Care and Delivery: Codes 59000-59899.
- Endocrine System: Codes 60000-60699.
- Nervous System: Codes 61000-64999.
- Eye and Ocular Adnexa: Codes 65091-68899.
- Auditory System: Codes 69000-69979.
- Operating Microscope Procedures: Code 69990.
Types of Surgical Procedures
- Categories of surgical interventions include:
- Incision
- Excision
- Introduction and removal
- Incision and drainage
- Repair (endoscopic)
- Revision or reconstruction
- Destruction
- Replantation
Global Surgical Package
- Comprises services related to multiple procedures performed by surgeons.
- Simple Procedures: Zero global period, includes only day of the procedure.
- Minor Surgical Procedures: 10-day global period starts on the day of the procedure.
- Major Surgical Procedures: 90-day global period includes one day preoperative care and the day of surgery.
Included Services in Surgical Package
- Pre-operative visits (one day prior for major surgeries).
- Intra-operative and post-operative services.
- Post-surgical pain management by the surgeon.
- Necessary supplies (excludes certain items).
- Routine care like dressing changes and removal of sutures.
Unbundling Prohibition
- Unbundling is not allowed; only one comprehensive code should be used when applicable.
-
Examples of billable services outside surgical package:
- Other physicians’ services related to the surgery with an agreement in care.
- Visits unrelated to the surgical diagnosis unless due to surgery complications.
- Diagnostic tests, including radiological procedures.
- Distinct surgical procedures during the post-operative period not related to complication treatment.
- Return trips to the Operating Room (OR) for complications.
Definition and Criteria for Operating Room
- Defined as a specialized practice area for procedures, including cardiac catheterization and endoscopy suites.
- Standard patient rooms or recovery areas do not qualify as ORs unless circumstances require immediate intervention.
Importance of Coding Accuracy
- Critical to read associated coding rules and guidelines for accurate code assignment.
- Awareness of possible complications and additional medical services required during the post-operative period is essential.
Surgery CPT Codes Overview
- Surgery CPT Code range spans from 10004 to 69990.
- Organized by body system, each subsection is categorized by organ or anatomic site and further divided into specific procedures.
Subsections of the Surgery Section
- Fine Needle Aspiration Biopsy: Codes 10004-10021.
- Integumentary System: Codes 10030-19499.
- Musculoskeletal System: Codes 20100-29999.
- Respiratory System: Codes 30000-32999.
- Cardiovascular System: Codes 33016-37799.
- Hemic and Lymphatic Systems: Codes 38100-38999.
- Mediastinum and Diaphragm: Codes 39000-39599.
- Digestive System: Codes 40490-49999.
- Urinary System: Codes 50010-53899.
- Male Genital System: Codes 54000-55899.
- Reproductive System: Codes 55920.
- Intersex Surgery: Codes 55970-55980.
- Female Genital System: Codes 56405-58999.
- Maternity Care and Delivery: Codes 59000-59899.
- Endocrine System: Codes 60000-60699.
- Nervous System: Codes 61000-64999.
- Eye and Ocular Adnexa: Codes 65091-68899.
- Auditory System: Codes 69000-69979.
- Operating Microscope Procedures: Code 69990.
Types of Surgical Procedures
- Categories of surgical interventions include:
- Incision
- Excision
- Introduction and removal
- Incision and drainage
- Repair (endoscopic)
- Revision or reconstruction
- Destruction
- Replantation
Global Surgical Package
- Comprises services related to multiple procedures performed by surgeons.
- Simple Procedures: Zero global period, includes only day of the procedure.
- Minor Surgical Procedures: 10-day global period starts on the day of the procedure.
- Major Surgical Procedures: 90-day global period includes one day preoperative care and the day of surgery.
Included Services in Surgical Package
- Pre-operative visits (one day prior for major surgeries).
- Intra-operative and post-operative services.
- Post-surgical pain management by the surgeon.
- Necessary supplies (excludes certain items).
- Routine care like dressing changes and removal of sutures.
Unbundling Prohibition
- Unbundling is not allowed; only one comprehensive code should be used when applicable.
-
Examples of billable services outside surgical package:
- Other physicians’ services related to the surgery with an agreement in care.
- Visits unrelated to the surgical diagnosis unless due to surgery complications.
- Diagnostic tests, including radiological procedures.
- Distinct surgical procedures during the post-operative period not related to complication treatment.
- Return trips to the Operating Room (OR) for complications.
Definition and Criteria for Operating Room
- Defined as a specialized practice area for procedures, including cardiac catheterization and endoscopy suites.
- Standard patient rooms or recovery areas do not qualify as ORs unless circumstances require immediate intervention.
Importance of Coding Accuracy
- Critical to read associated coding rules and guidelines for accurate code assignment.
- Awareness of possible complications and additional medical services required during the post-operative period is essential.
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Description
This quiz covers the range of Surgery CPT codes from 10004 to 69990, organized by body system and anatomical site. Test your knowledge on the subdivisions and categories specific to various surgical procedures. Understanding these codes is essential for accurate medical coding and billing.
