CMC CPT & Procedural Coding 1 — Questions and Answers
Question 1: CPT code 99213 is a typical example of which type of service?
- Inpatient hospital visit
- Office or other outpatient established patient visit (Correct answer)
- Emergency department visit
- Preventive medicine visit
Correct answer: Office or other outpatient established patient visit
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?
- 10000–19999
- 99202–99499 (Correct answer)
- 70000–79999
- 00100–01999
Correct answer: 99202–99499
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?
- Reduced services
- Significant, separately identifiable E/M service on the same day as a procedure (Correct answer)
- Bilateral procedure
- Assistant surgeon
Correct answer: Significant, separately identifiable E/M service on the same day as a procedure
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?
- Investigational procedures
- Performance measurement tracking codes (Correct answer)
- Temporary codes for emerging technology
- Vaccine product codes
Correct answer: Performance measurement tracking codes
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?
- -50 (Correct answer)
- -51
- -59
- -76
Correct answer: -50
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.
Question 6: What is the global surgery package in CPT coding?
- A bundle of codes for complex surgeries only
- A defined period of pre- and post-operative care included in the surgical fee (Correct answer)
- A package price for all surgeries in a hospital stay
- A modifier used for outpatient surgery centers
Correct answer: A defined period of pre- and post-operative care included in the surgical fee
The global surgery package includes the operation itself, standard pre-operative care, and routine post-operative care within the defined global period (0, 10, or 90 days).
CMC CPT & Procedural Coding 1
CPT code 99213 is a typical example of which type of service?