CPT Procedure Coding Flashcards
8 cards from real CBCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 8 CPT Procedure Coding flashcards as text
CPT codes are organized into how many main sections?
Answer: 6
CPT is organized into 6 main sections: Evaluation and Management, Anesthesia, Surgery, Radiology, Pathology/Laboratory, and Medicine.
Which CPT modifier indicates a procedure was performed bilaterally?
Answer: -50
Modifier -50 is used to indicate that a procedure was performed bilaterally during the same operative session.
What does the CPT modifier -25 indicate?
Answer: Significant, separately identifiable E/M service on the same day as a procedure
Modifier -25 indicates a significant, separately identifiable E/M service was provided on the same day as a procedure or other service.
In CPT E/M coding for office visits (2021 guidelines), what two components determine the level of service?
Answer: Medical decision making and time
Under 2021 revised guidelines, office/outpatient E/M levels are based on medical decision making (MDM) or total time.
What is an 'add-on code' in CPT?
Answer: A code that is always reported in addition to a primary procedure code
Add-on codes are designated with a '+' symbol and must always be reported with a primary procedure code; they are never reported alone.
Which CPT modifier is used when a physician performs only part of a procedure and another physician performs the rest?
Answer: -56
Modifier -56 is used when the physician performed the preoperative care only.
In CPT, what does the term 'bundling' refer to?
Answer: Including multiple related services within one procedure code
Bundling means that related services are included within a single procedure code and should not be billed separately.
CPT code 99213 is an example of which type of service?
Answer: Office or other outpatient visit
99213 is a Level 3 established patient office or outpatient visit code.