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CPT Procedure Coding Flashcards

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Read the first 8 CPT Procedure Coding flashcards as text
  1. What is the global surgery period for a major surgical procedure?

    Answer: 90 days

    Major surgical procedures have a 90-day global period that includes all related pre- and post-operative services.

  2. Which CPT code range covers Evaluation and Management services?

    Answer: 99202–99499

    E/M services are coded using CPT codes 99202-99499 (99201 was deleted in 2021).

  3. What does CPT modifier -22 indicate?

    Answer: Increased procedural service requiring substantially more work

    Modifier -22 indicates the service provided was substantially greater than typically required and may justify additional reimbursement.

  4. In the CPT Surgery section, what is the 'starred procedure' concept?

    Answer: A procedure that was previously exempt from the global package

    Historically, 'starred procedures' were minor procedures exempt from the global surgical package. This concept is no longer used in current CPT.

  5. When two surgeons work together, each performing a distinct portion of an operation, which modifier is used?

    Answer: -62

    Modifier -62 is used when two surgeons work together as co-surgeons on a complex procedure, each performing different parts.

  6. What CPT code would be used for a comprehensive preventive medicine evaluation of a new patient aged 40?

    Answer: 99385

    CPT 99385 covers a comprehensive preventive medicine evaluation for a new patient aged 18-39. For age 40-64, code 99386 is used.

  7. Which CPT code range covers pathology and laboratory services?

    Answer: 80047–89398

    CPT codes 80047-89398 cover pathology and laboratory services.

  8. A physician performs a diagnostic colonoscopy that becomes therapeutic when a polyp is removed. How should this be coded?

    Answer: Code only the therapeutic colonoscopy

    When a diagnostic procedure becomes therapeutic, only the therapeutic (more extensive) code is reported.