CCS CPT & HCPCS Procedure Coding Flashcards
6 cards from real CCS practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 CCS CPT & HCPCS Procedure Coding flashcards as text
CPT modifier -51 is used to indicate:
Answer: Multiple procedures performed by the same provider at the same session other than E/M services or add-on codes
Modifier -51 is appended to secondary and subsequent procedure codes when multiple procedures are performed at the same operative session.
CPT Category II codes are used for:
Answer: Supplemental tracking codes for performance measurement that are optional and do not affect reimbursement
Category II codes are alphanumeric tracking codes used for quality measurement and data collection but have no reimbursement value.
The 'separate procedure' designation in CPT means:
Answer: The procedure is commonly carried out as part of a larger service and should not be reported separately when performed as an integral component
A 'separate procedure' designation means the code should only be reported independently when it is not incidental to another more complex procedure performed at the same session.
CPT modifier -59 is used to indicate:
Answer: A distinct procedural service not normally reported together but appropriate under the circumstances
Modifier -59 identifies a procedure or service as distinct or independent from other services performed on the same day when other modifiers do not adequately describe the situation.
CPT Category III codes (T-codes) are used for:
Answer: Temporary codes for emerging technology, services, and procedures to allow data collection
Category III codes are temporary four-digit alphanumeric codes used to track utilization of new and emerging technologies and procedures.
The three key components used to select an E/M (Evaluation and Management) level of service are:
Answer: History, examination, and medical decision making
E/M code selection is based on the level of history obtained, the extent of physical examination performed, and the complexity of medical decision making.