CCS CPT & HCPCS Procedure Coding Flashcards

HCPCS Level I codes are:

Answer: Numeric codes identical to CPT codes, maintained by the AMA

HCPCS Level I consists of the CPT code set (numeric codes) maintained by the AMA and adopted for use in the HCPCS system.

CPT modifier -22 is used when:

Answer: The work required to provide a service was substantially greater than typically required

Modifier -22 indicates that the service required substantially more work than usual and should be accompanied by documentation supporting the increased complexity.

Which CPT code range covers Evaluation and Management (E/M) services?

Answer: 99202-99499

E/M services are reported with CPT codes in the range 99202-99499, covering office visits, hospital care, consultations, and other encounter types.

When a surgical procedure is performed bilaterally during the same operative session and the CPT code does not specify bilateral, the coder should:

Answer: Report the code once with modifier -50 appended

Modifier -50 is appended to indicate a bilateral procedure performed during the same operative session when the CPT code does not specify bilateral.

The surgical package in CPT includes all of the following EXCEPT:

Answer: Post-operative pain management beyond the global period requiring a return visit

Services required beyond the global period due to complications or new conditions are separately billable and are not included in the surgical package.

Which modifier indicates that a procedure was performed by two surgeons, each performing a distinct part of the procedure?

Answer: -62 (Two surgeons)

Modifier -62 is used when two surgeons work together as primary surgeons performing distinct, separate parts of a single reportable procedure.